health information system [HMIS] BY SHIVAM

HEALTH INFORMATION SYSTEM Kjkjljhfjlgbbnnjmmkkkk

1. HMIS 1 Shivam MBBS Intern 2019 Batch

2. Definition Health information system is that system in which collection, utilization, analysis and transmission of information is done for conducting health services, training and research.

3. hISTORY HMIS has started functioning from  2008-09  with District level reporting. Gradually, facility level data entry initiated during 2011-12 and it was completed by 2016-17. Due to technological and programme need, HMIS revamping was initiated in 2019-20 and further launched in December 2020.

4. OBJECTIVES To provide reliable, latest and useful health information to all levels of health officers and administrators. To amend health policies and working system on the basis of feedback, received from health information system. To provide information about periodically and time bound programmes and for mid term evaluation. To contribute towards achievement of objectives of health policies and programmes . To increase efficiency and quality in health management.

5. INDICATORS 1. Percentage of 1st trimester ANC registration to total ANC Registrations 2. Percentage of Pregnant Woman received 4 ANC check-ups to total ANC Registrations 3. Percentage of Institutional delivery to estimated deliveries 4. Percentage of C-section per Institutional delivery 5. Percentage of Skill Birth Attendants (SBA) attended home deliveries to total reported home deliveries 6. Percentage of Pregnant women received TT2 and Booster to total estimated number of Pregnancies 7. Sex Ratio at Births 8. Percentage of women who had institutional deliveries and accepted PPIUCD Insertion 9. Sterilization rate (for per 1000 estimated no. of Sterilised Couples (age 15-49 years)) 10.Percentage of fully immunized children (9-11 months) to estimated infants 11.Average OPD per 1000 Population per month 12.IPD % to OPD 13.Bed Occupancy Rate (BOR) percentage

6. characteristics According to WHO, The information should be problem oriented. Information should be population based. Functional and directorial wording should be used. Information should be expressed in short and in imaginative form (graphs, chart, table etc ). Facility for data feed back must be present in health information system. Latest technology should be used in health information system. Unnecessary figures or data should not be present in information system. For information management, organizational structure must be present. 6

7. DOMAINS/FIELDS OF HEALTH INFORMATION SYSTEM 7 It includes demography, vital statistics, health system input, output, health determinants, health economics, health status, health infrastructure, resources and outcome, financial statistics, environmental health statistics.

8. SOURCES OF HMIS 8 Census-demography and vital events Registration of vital events( birth, death, marriage etc ) Notification of diseases and disease registers. Records and reports of hospitals Statistics regarding environmental health. Statistics regarding health resources and services. Sample survey( national sample survey organization) Population survey Statistics regarding efforts to check epidemiological diseases and researches in this field. School record Economic planning Plans of social security

9. USES OF HEALTH INFORMATION To measure the health status of people and to quantify their health problems and medical and health care needs For local, national and international health comparisons For planning, administration and effective management of health services and programme To assessing whether health services are accomplishing their objectives For assessing the attitudes and degree of satisfaction of the beneficiaries with the health system For research into particular problems of health and diseases 9

10. HEALTH INFORMATION SYSTEM IN COMMUNITY HEALTH NURSING It serves as foundation of planning of all public health programmes Resurveys of the area at regular intervals are most useful in monitoring the program, which is being implemented Facts about births and deaths besides serving as an indicator of population growth can help as to focus attention on a target group for specific health services Morbidity data regarding various illness occurring in the area can serve as an index of the state of health of the population Records and reports received from the periphery are very helpful for taking operative and administrational decisions and for deciding priorities or for staring new programmes It helps to planning health education programme It gives the supervisor an idea about the quantity and quality of the work being done 10

11. 11

12. PROBLEMS OR CONSTRAINTS OF HMIS IN INDIA 1. Structural Multiplicity of institutions and department Fragmentation of data. Lack of infrastructural facilities for storage and maintenance of records. 2. Technological Much manual paper based system. Absence or lack of computerized data base system 13

13. 3. Procedural Excessive information Exhaustive information, seldom used. Overburden of collection and recording of data along with General health care. Incomplete, unreliable and intentionally managed information. Repetition of general information Inappropriate forms/cards/reports Less interest of users in information Time consuming procedure Confusing coding, long list of indices Absence of feedback to information suppliers. 14

14. 15 4. Related to content Mostly service utilization statistics. Only summarized information reaches at higher level. Less emphasis on socioeconomic information. No user friendly 5. Related to human resource Absence or lack of skilled medical record professionals Lack of opportunity for in service training for the staff. Health care providers/nurses/biomedical trained persons are collecting and preparing data. Lack of motivation/extra incentives

15. SUBSYSTEMS/ SUBCOMPONENTS OF HMIS 16 Epidemiological surveillance Routine service reporting Specific program reporting Administrative systems Vital registration

16. CHALLENGES FOR HMIS Low levels of public will, about vital registration system. Inadequate government’s capacity and lack of firm political decision Gender issues in vital events registration Fragmentation of health information Establishing a unified information system with in country. 17

17. BENEFITS OF HMIS 18 Helping decision makers to detect and control emerging and endemic health problems. Help in monitoring progress towards health goals and promote equity. Empowering individuals and communities with timely and understandable health related information. Improving quality of services. Strengthening the evidence base for effective health policies. Permitting evaluation of scale up efforts and enabling innovation through research. Mobilizing new resources and ensuring accountability in the way they are used.

18. ROLE OF HEALTH TEAM IN MAINTENANCE OF HEALTH INFORMATION SYSTEM Interact with user groups Identify the needs of users Designing of reporting formats Identify systems of information flow Ensure smooth flow of information within and outside the organisation Act as an interface between sections and management tiers Identify the training needs of staff Organise monthly periodic meeting to assess performance ,maintain minutes and follow up on the decisions Interface with various divisions ,units in the organisation for information sharing

19. Thank you Shivam MBBS Intern (2019 Batch)