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Computerized System In Himachal Pradesh

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

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Computerized System In Himachal Pradesh

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  1. Computerized System In Himachal Pradesh Health Management Information System (HMIS)

  2. Health Management Information System in Himachal Pradesh Presentation by Ms. Harinder Hira Principal Secretary-Health Govt. of Himachal Pradesh

  3. Before: • Data was available but not accessible • Summary of data was calculated by hand and therefore prone to errors • Long delay to produce reports

  4. “Data Storage”

  5. 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

  6. Existing MIS Flow Health Workers at SC Level Collects and fills data Form 6 Other Health Program Forms Reports to PHC Form 7 A

  7. A Reports to Block Form 8 Reports to District H.Q. Form 9 Monthly Bulletin on Process of Different Districts Reports to Directorate

  8. Today: • Data is accessible at all levels • Reports are produced on time • Reports are used for monitoring and decision support

  9. 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

  10. 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 Decision Support System State Directorate Health Managers / Program Officers

  11. 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

  12. Reports • Reports are used at monthly Block meetings • Reports help in the monitoring of activities • Additional reports can be programmed if needed

  13. Health Performance Indicators

  14. 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

  15. Data Available in Form 7 (PHC only) • Post natal care • RTI/STI • Contraceptive Services • Abortions • Communicable Diseases • Blindness Cases • Leprosy Cases • School Health • Equipment • Vacancy Position • Inventory of Drugs, Vaccines, Lab consumables and Equipment

  16. Data Available in Form 8 (Add. for CHC, CH, Dist. Hops., Zonal Hosp.) • Natal care • Post natal care • Contraceptive Services • Abortions • Leprosy Cases • Prevention of food adulteration • Inventory of Drugs • Staff Position

  17. 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

  18. 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

  19. 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.

  20. 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

  21. 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

  22. 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

  23. 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.

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