HEALTH MANAGEMENT INFORMATION SYSTEM
HMIS (Health Management Information System)
Ø It is organized system of collecting
, storing , processing , recording , reporting & use of feedback
information
Ø In FY 2052/53 , HMIS implemented to
record the health program activities
Ø Process
1. Information recording
2. Information compilation
3. Feedback
4. Reporting
5. Analysis & local use of information
History
Ø In 1994/95 – all vertical program integrated at central level. HMIS as a centralized system developed in traditional Foxpro language
o Development
and implementation of HMIS was supported by UNFPA technically and financially
Ø In 1995 -
field testing in 2 districts (Kaski and Dang)
Ø
In 1996 – training/orientation to managers, service
providers and volunteers
Ø In 1996/97
– implementation of HMIS in all 75 districts
Ø In 2001/02
– migration to centralized system in SQL
Ø In 2006/07
– center-based and district based system in SQL
Ø In 2009/10
– center-based SQL and district based in MS-Access
Ø In 2012 – Web-based
system
Ø What kind
of data should be collected by Management Information System(MIS) in
Health?
a) Routine
data (health service statistics)
b) Non-routine
data
c) Census
d) Research/survey
Ø
What are
the areas of Health Measurement?
o Mortality
o Morbidity
o Disability
o Nutrition
o Health
Services
o Access
o Coverage
& Quality
o Cost &
Expenditures
o Equity
Issues
o Social
Inclusion Issues: Remoteness, Gender, Poverty and Caste/ethnicity –
Accessibility/Remoteness Index
Ø What
components should be in a Management Information System (MIS) in health?
o Health
service statistics
o Demography
and vital events
o Environmental
health statistics
o Health
status: mortality, morbidity disability and quality of life
o Health
resources: facilities, beds, manpower
o Utilization
and non-utilization of health services : attendance, admissions, waiting lists
o Indices of
outcome of medical care
o Financial
statistics (cost, expenditure) related to the particular objective
o Other
health related statistics
Ø
Main
objective of HMIS
o Provide
reliable, relevant, up-to-date, timely, complete and adequate information to
health managers at all levels
Ø Other objectives
o To monitor
the achievement, coverage, continuity and quality of health services.
o To help
assessing progress (evaluation) towards goals and targets of district health
programmes.
o To support
the planning activities of all health programs.
o To help senior
managers develop appropriate health policy guidelines
o To provide
access of data/information to NPC, MoHP, all departments, divisions and centers
on time.
o To support
the planning, monitoring and evaluation (PME) management cycle of all health
programmes
Ø Information
needed by different level
·
Top level managers, leaders
o Policy
formulation
o Need
analysis and public demand
·
Senior management level
o Set goal,
vision, mission and target
o Prepare
evidence based plan/policy/decision
o Monitoring
progress
·
Mid level management
o Organize
resources (physical, human, finance)
o Carryout
plan (implementation)
·
Operational level
o Manage day
to day activities
o Prepare
action plan
o Supervise
and follow work in progress
o Identify
the need and gaps
·
Health education and research
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