Health management information system in health

HMIS

1. LEARNING OBJECTIVES By the end of this session, you should be able to: Define Health Management Information System /HMIS/ Describe basic principles of HMIS Explain why HMIS indicator revision is needed Compute different indicators coverage based on the case scenario 5/15/2024 2

2. Health Management Information System (HMIS) HMIS is the routine collection, aggregation, analysis, presentation and utilization of health and health related data for evidence based decisions for health workers , managers , policy makers and others . HMIS is one of the six building blocks essential for health system strengthening (WHO) 3 5/15/2024

3. Health Management Information System (HMIS)… Purposes of HMIS: Availing accurate, timely and complete data to support decision making at each level of the health system Strengthening the use of locally generated data for evidence based decision making 4 5/15/2024

4. Components of HMIS HMIS has two main components: Information management component and Use of the information for evidence-based decision-making. 5 5/15/2024

5. Components of HMIS Information management Data collection : Recording of health data using individual and family folder, registers, tally and reporting formats Data processing : is a process of cleaning, entering and aggregation of data. Data analysis and presentation : is a process of interpretation and comparison of generated information in the form of sentence, tables and graphs. 6 5/15/2024

6. Using information for management purposes Problem identification: identifying problems using key indicators Prioritizing problems and decision making : Problems identified should be prioritized and decide what types of actions need to be taken. Action taking: Implementing the agreed action. Result monitoring: Assessing the desired result has been achieved. Components of HMIS… 7 5/15/2024

7. The HMIS redesign and its development considered the following major principles, Standardization : Common definitions of indicators, data collection instruments, and data processing and analysis procedures form the foundation for effective HMIS/M&E. Without consistent principles and definitions performance cannot be systematically measured and improved across locations or over time. HMIS redesign major principles 8 5/15/2024

8. 2. Simplification : Collecting, analyzing, and interpreting only the information that is immediately relevant to performance improvement makes best use of scarce resources, especially human resources. 3. Integration : A single HMIS/M&E plan, shared by all partners, is a cornerstone of health sector strategic plans. Implementation of this principle requires integrating data from different programs into a shared channel from which all derive their information. 9 5/15/2024

9. Indicator revision process 108 2008 G.C 122 2014 G.C 131 2017 G.C 177 2021 G.C

10. The current 177 HMIS indicators under 14 programmatic areas categorized Each of the indicators are presented with short names , codes , definitions, formula, interpretations with their limitations, disaggregation, source, reporting level and frequency.

11. Table 1, Distribution of 2021 HMIS indicators by their thematic areas Thematic area Code Number of indicators 1. Reproductive, Maternal, Neonatal, Child, Adolescent and Youth Health-Nutrition RMNCH 51 1.1. Reproductive & Maternal Health RMH 15 1.2. PMTCT MTCT 6 1.3. Expanded program on Immunization EPI 12 1.4. Child Health CH 10 1.5. Nutrition NUT 8 2. Prevention and Control of Communicable Diseases PCCD 45 2.1. HIV Prevention and Control HIV 15 2.2. Tuberculosis and Leprosy TB LEP 22 2.3. Malaria Prevention and Control MAL 8 3. Prevention and Control of Neglected Tropical Diseases NTD 8 4. Prevention & Control of Non-Communicable Diseases & Mental Health NCD MH 10

12. Table 1, Distribution of 2021 HMIS indicators by their thematic areas Thematic area Code Number of indicators 5. Hygiene and Environmental Health HEH 10 6. Health Extension and Primary Health Care HEP 4 7. Medical services MS 21 8. Pharmaceuticals & medical devices & their rational & proper use PMS 7 9. Regulatory systems RS 2 10. Human resource development and management HRDM 3 11. Informed decision making and innovations EIDM 6 12. Health financing HCF 4 13. Governance and leadership GL 4 14. Health infrastructure HI 2 Total 177

13. HMIS Indicator Revision-2021 Process: Why and How? 14 5/15/2024

14. Summary of the major changes of the revised HMIS-2021 Changes on: Indicators Registers Tally sheets Reporting formats 15 5/15/2024

15. Final revised HMIS indicators 2017_HMIS Total Indicator:131 Continued: 103 Dropped: 25 Modified: 3 2021_HMIS Total indicators:177 New:71

16. 5/15/2024 17 HMIS Indicator Revision (2021) RATIONALE Indicator revision has been happening about every 3-4 years so far HSTP II launched recently and will span 2020-2025 HSTP II comes with additional new programs and initiatives

17. 5/15/2024 18

18. Number of indicators by category (2017 versus 2021) SN Indicator Category 2017 2021 1 Reproductive and Maternal health 14 15 2 PMTCT 7 6 3 EPI 13 12 4 Child health 8 10 5 Nutrition 8 8 6 Hygiene & environmental Health 2 10 7 Medical service 12 21 8 HIV/AIDS/Hepatitis viruses 10 15 9 Tuberculosis/TB/ & Leprosy 22 22 10 Malaria 5 8 Revised Indicators (2021) SN Indicator Category 2017 2021 11 Neglected Tropical Diseases (NTD) 2 8 12 Non-communicable diseases (NCD) & mental Health 3 10 13 HEP and Primary Health care 3 4 14 Leadership and governance 4 4 15 Health Financing 3 4 16 Pharmaceutical supply and services 4 7 17 Evidence based decision making 3 6 18 Health Infrastructure 4 2 19 Human Resource Development & mgt 4 3 20 Regulatory system 1 2 Total 131 177

19. S. No Type of Tools Maintained Modified New Total 1 Registers 15 26 1 8 59 2 Tally Sheets 5 9 7 21 3 Report forms There are changes in data elements (some modified and others added) and NTD, TB & Leprosy quarterly changed to monthly REVISED REGISTERS AND TALLY SHEETS NB : Health Post level tools are not included

20. HMIS recording and reporting Tools … Individual Medical Records Registers Tally sheets Reporting formats 21 5/15/2024

21. Indicator calculation example Read the following Case scenario and answer the questions below: Y is a kebele with a total population of 25,000 at the year 2016 E.C. A Health center in this catchment provides the following family planning services New acceptors = 500 Repeat acceptors = 3500 Assuming proportion of Women in reproductive age group (15 -49 years) is 23%, Compute Contraceptive Acceptance Rate (CAR)

22. Class room Group exercise Read the following Case scenario and answer the questions 9-11 below: Ataklit is a kebele with a total population of 10,000 at the year 2016 E.C. A Health post in this kebele provides the following immunization service Penta1 = 330 children Penta3 = 300 children Measles = 280 children Fully immunized = 250 children Assuming proportion of surviving infants is 3.5%,

23. Compute Penta1 coverage of the kebele is Penta 3 coverage of the kebele is Fully immunized coverage of the kebele is Measles coverage of the kebele is

24. Group Assignment (10%) Regarding Health Management Information System Indicators List each indicators and its definition, Formula, Interpretation, disaggregation, sources and Frequency of reporting. Based on the Revised Health Management Information System Indicator Reference Guide 2021. 5/15/2024 25

25. Follow assignment submission protocol List each group members with their ID No Write the assignment with readable hand writing There will be Presentation Submission Date May 23/2024 5/15/2024 26