Health Management Information System



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MS-13-74 (1)
Time: 2 hrs

Materials required: Flip charts and colored markers LCD and computer loaded with PowerPoint slides Facilitators & participant manual
Session objectives
By the end of this session, participants will be able to Explain the role of HMIS in health service management and its importance as a management tool for performance improvement and evidence-based decision making Explain the concept of Routine Health Information System (RHIS) performance and factors determining RHIS performance Describe the background of HMIS reform in Ethiopia
Plan of activities

2.1 Brainstorming: Health system and its information needs
1

Encourage participants to brainstorm on the overall purpose of the health system in the light of Health Sector Development Program (HSDP) in Ethiopia.

What is a system What is a health system

Compare the responses to the following
1
This section adapted from Improving RHIS Performance for Better Health System Management Trainer’s Guide. Edited by Aqil & Lippeveld: USAID/MEASURE Evaluation. Senegal, 2008; AND District Health Information System (DHIS) Training Manual for Trainers, National Health Information Resource Center, Ministry of Health, Pakistan. April 2009 System is a collection of components that work together to achieve a common objective. (Developing HMIS, WHO) In general, the primary purpose of the health system is to promote, restore or maintain health (from WHO definition)

HSDP in Ethiopia strives to reduce morbidity, mortality and disability, and improve the health status of the Ethiopian people through providing comprehensive package of preventive, promotive, rehabilitative and basic curative health services via a decentralized and democratized health system in collaboration with all stakeholders.


11 Ask the participants what the typical management functions of a health system are needed in order for it to serve its purpose. Facilitate the discussion and encourage the participants to look into the various levels of the health system and management functions involved. (Seethe box below. Ask the participants what the information needs are to perform the health management functions identified above. Ask how do we get this information
2
Design and Implementation of Health Information Systems. Edited by Lippeveld, Sauerborn & Bodart; WHO Geneva,
2000. Page 18. In the public sector, health system management includes the functions of
1. Client management / individual care (delivery of promotional, preventive, and curative health services to the population working with communities)
2. Health unit/facility management (managing service coverage utilization, resources)
3. Health system management (policy, planning, coordinating and managing support to health units) Examples of Information need at various health management levels Management level Information needs (example) Patient Client management

Previous medical, surgical, obstetric, history

Signs, symptoms,

Treatment, vaccination history

Investigation findings Health Unit management

Patient load, Bed Occupancy

Service coverage, dropouts Human, financial, logistic, physical resources

Quality of care

Disease prevalence, incidence, epidemic in catchment area Health System management

Morbidity, mortality

Coverage of essential services

Births, deaths

Health behavior

Health resources


12

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