Transcript Objetivos del Taller - Policy Reform Options Database

Computerized System In
Himachal Pradesh
Health Management Information
System (HMIS)
Health Management Information
System in Himachal Pradesh
Presentation by Ms. Harinder Hira
Principal Secretary-Health
Govt. of Himachal Pradesh
Before:
Data was available but not accessible
Summary of data was calculated by hand
and therefore prone to errors
Long delay to produce reports
“Data Storage”
Need for the New HMIS
• Reform health information system
• Transition from reporting system to
conscious use of information
• Managerial decision making
• Accuracy of Data
• Facility wise performance
• New computerized HIMS is expected to
increase coverage & improve quality of
services
Existing MIS Flow
Health Workers at
SC Level
Collects and fills data
Other Health
Program
Forms
Form 6
Reports to PHC
Form 7
A
A
Reports to Block
Form 8
Reports to District H.Q.
Form 9
Reports to Directorate
Monthly Bulletin on
Process of Different
Districts
Today:
Data is accessible at all levels
Reports are produced on time
Reports are used for monitoring and
decision support
Current Status
 A computerised information system (HMIS) has
been installed in 10 districts out of 12 districts of
Himachal Pradesh.
 Monthly Reporting Forms 6, 7 and 8 are entered
into the HMIS from all Blocks.
 HMIS is on trial basis in remaining district of
Sirmaur and Tribal District of Himachal Pradesh.
 Data from SC, PHC, CHC and Hospitals is available
for reporting, supervision, planning and analysis
Computerized HMIS
Data Collection at
Health Facilities
Form 6, 7 and 8)
Through
Floppy
District Computer Unit
Block Computer Unit
Through FTP, using phone
lines
Health Managers /
Program Officers
Decision Support
System
State Directorate
New Computerized HIMS Flow
SC, PHC, Block PHC,
CHC and Other Health
Facility
Collects and fills data
Feedback on Indicators
Form 6
PHC fills additional data
On form 7
Reports to Block
Computer Unit
Hospitals fill additional data
On form 8
Reports to District
Computer Unit
Compiles data for
Decision Making
Reports to State
Computer Unit
Compiles data for
Decision Making
Reports
• Reports are used at monthly Block meetings
• Reports help in the monitoring of activities
• Additional reports can be programmed if needed
Health Performance Indicators
Services
1
ANC cases registered
2
Pregnant woman with 3 ANC check-ups
3
Registered pregnant woman receiving all ANC services
4
Registered high risk pregnant woman referred
5
Deliveries conducted by trained health personal
6
Deliveries conducted by TBA
7
Woman received 3 Post Natal Check-ups (PNC)
8
Male sterilization to total sterilization
9
Eligible couples covered by IUD
10
Births notified to Local Registrar
11
Still Births notified to Local Registrar
12
Maternal Deaths notified to Local Registrar
13
Utilization of health facility (O.P.D.)
14
Average per day O.P.D. workload per doctor
15
Infant Mortality Rate (IMR) per 1000 live births
16
Maternal Mortality Rate (MMR) per lakh live births
Percentage Recorded
Male
17
Infant (0 to 1 year) fully immunized out of the eligible infants.
18
Incidence of Measles cases per 1000 population
Female
19
Incidence of Whooping Cough cases per 1000 population
20
Diarrheal cases registered under 5 years per 1000 under 5 years population
21
Birth weight recorded less than 2.5 Kg
22
Birth weight recorded 2.5 Kg or more
23
High risk new born referred
24
Acute Diarrhea Disease under 5 years given ORS
25
Acute Diarrhea Disease cases referred
26
ARI cases treated with Co-trimaxozole
27
ARI cases referred
28
Infant Mortality Rate (IMR) per 1000 live births
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
Data Available in Form 6 (all health
facilities)
Number of OPD cases
Ante Natal Care
Natal Care
Pregnancy Outcome
Post Natal Care
Immunization
Booster Immunization
Childhood Diseases
Child / Infant Deaths
Contraceptive Services
Abortions
Communicable Diseases
Number of Blind
IDD control (Iodine Deficiency)
Leprosy Cases
Registration of vital events (births, deaths)
Interaction with the community
Data Available in Form 7 (PHC only)
1. Post natal care
2. RTI/STI
3. Contraceptive Services
4. Abortions
5. Communicable Diseases
6. Blindness Cases
7. Leprosy Cases
8. School Health
9. Equipment
10.Vacancy Position
11.Inventory of Drugs, Vaccines, Lab consumables and Equipment
Data Available in Form 8 (Add. for CHC, CH,
Dist. Hops., Zonal Hosp.)
1.
2.
3.
4.
5.
6.
7.
8.
Natal care
Post natal care
Contraceptive Services
Abortions
Leprosy Cases
Prevention of food adulteration
Inventory of Drugs
Staff Position
General Findings
• HMIS is their reporting, monitoring and supervision
tool
• Situation with data transfer has improved
• User refresher training has to be intensified
• Maintenance of computers not secured
• Need to change form 6,7 and 8
General Findings: Data Analysis
• HMIS is a rich basis for additional data analysis
• Data analysis is limited (meaning no trends,
correlations, regressions) at the moment
CONCLUSION
• The vision of a new HMIS is that it is simple
to operate & valuable to health staff.
•
The system has been designed in such a way that
health workers who collect the information must be
able to use it also. The forms & formats developed
should not be too many, bulky and complicated so
as to avoid the temptation of not filling them.
•
The system has been developed & pre-tested in 3
districts for a year.
Outlook and Perspectives: Reports
• Reports have improved, some calculations need to
be corrected (in process).
• Visualisation of data/reports (graphs/charts) is
available but has to be improved.
• Ranking of health services for selected indicators
has been programmed and works
Outlook and Perspectives: Training
and Maintenance
• Statisticians should be trained in additional software
(Excel, Access, Windows).
• Statisticians are and will be trained in same basic
hardware maintenance
FRIENDLY REMINDER:
• The purpose of HMIS is to improve health
care delivery through improved monitoring,
supervision and planning!
• HMIS is an essential tool to achieve that
purpose
Challenge Ahead
• New Forms in NRHM
• Integrate HMIS proposed HIS(Health
Information System) and other softwares to
produce comprehensive reports.
• To take HMIS up to PHC level.