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Health Information Systems in the Pacific Island Countries (PICs): Issues, Challenges and Opportunities. Presentation at the WHO SEARO/ WPRO Consultation on Strengthening Health Information System in Asia and the Pacific, Bangkok, 13-15 December 2004. Presented by Dr Salanieta T Saketa, Fiji

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health information systems in the pacific island countries pics issues challenges and opportunities
Health Information Systems in the Pacific Island Countries (PICs): Issues, Challenges and Opportunities

HIS in Asia/Pacific 2004

slide2

Presentation at the WHO SEARO/ WPRO Consultation on Strengthening Health Information System in Asia and the Pacific, Bangkok, 13-15 December 2004

  • Presented by Dr Salanieta T Saketa, Fiji
  • 13th December 2004.

HIS in Asia/Pacific 2004

issues in the pacific for his
Issues in the Pacific for HIS
  • Diverse in terms of level of HIS development, population size and infrastructure development
  • Lack of skilled workforce in HIS
  • Similarities in health systems
  • Oceans of data and drops of information
  • Data quality and integrity
  • Strategic planning for HIS
  • Use of HI as a management tool to improve health care delivery

HIS in Asia/Pacific 2004

diversity
Diversity
  • Vastocean with many islands
  • Volcanic to coral atolls
  • Population range from 5million to

less than 20,000

  • Varied government commitment

to HIS development

  • IT infrastructure development is

varied

  • Differing HIS systems in place

HIS in Asia/Pacific 2004

workforce for his
Workforce for HIS
  • Staff strength and skills lacking
  • No clear career structure
  • Lack of leadership
  • Lack of commitment
  • High turnover with loss of corporate memory

HIS in Asia/Pacific 2004

health systems
Health systems
  • System similarities related to colonisation linkages (British, US, French, NZ)
  • Strength in networking and support possibilities
  • Common training institutions
  • Healthy competitiveness in health care system development

HIS in Asia/Pacific 2004

use of health information
Use of health information
  • Mismatch between supply and demand
  • Overwhelming data collection with limited analysis and feedback
  • Capacity for analysis often lacking
  • Culture of information use maybe lacking
  • Resources limited to enable free flow of information

HIS in Asia/Pacific 2004

data quality and integrity
Data quality and integrity
  • Checking systems ill-defined
  • Capacity to validate information maybe lacking
  • Lack of clear procedures and guidelines
  • Coordination and consolidation of various data sources
  • Centralised systems with limited delegation of responsibilities and authority

HIS in Asia/Pacific 2004

strategic planning for his
Strategic Planning for HIS
  • Few countries have a Strategic Plan for HIS in place
  • Leading to lack of monitoring and evaluation of the system
  • Poor prioritisation of resources
  • Success of organisational performance dependent on use of information for planning

HIS in Asia/Pacific 2004

evidence based decision making
Evidence-based decision making
  • Nurturing of culture of information use
  • Demand for information by management at every level
  • Timeliness of available high quality information
  • Information use in management and in clinical settings

HIS in Asia/Pacific 2004

challenges
Challenges
  • Leadership
  • Political/Financial commitment
  • Identification of roles and responsibilities
  • Manpower (brain drain)
  • Level of management awareness of health information
  • Geography
  • Support system
  • Telecommunication infrastructure

HIS in Asia/Pacific 2004

opportunities
Opportunities

Health reform

  • Improvement and decentralisation of HIS
  • Regional network
  • Collaboration and support

Monitoring and Evaluation of

Performance in MDGs

Open Learning Centres

HIS in Asia/Pacific 2004

fiji health information system

Fiji Health Information System

HIS in Asia/Pacific 2004

issues in fiji health information system
Issues in Fiji Health Information System
  • Complex with extensive data collection processes
  • Minimal information feedback
  • Public health information well documented
  • Varied and poor medical record filing procedures
  • Centralised system
  • Capacity and skills of staff

HIS in Asia/Pacific 2004

objectives of patis
Objectives of PATIS
  • Improve patient services and outcomes
  • Assist health service administration
  • Collect information for timely public health surveillance and health programme monitoring

HIS in Asia/Pacific 2004

fuctionality
Fuctionality
  • Software developed on Access database
  • Registers all persons who have been serviced at hospital, health centre and nursing stations
  • Person registered within their locality
  • Local area networks linking into wide area networks

HIS in Asia/Pacific 2004

coverage of patis
Coverage of PATIS
  • Piloted in 2001 in Northern division
  • All 3 major hospitals with 2 subdivisional hospitals on line
  • Rollout limited by funds and staffing capacity
  • Rollout also dependent on infrastructure availablity

HIS in Asia/Pacific 2004

summary
Summary
  • HIS in Pacific Island Countries
  • Issues
  • Challenges
  • Opportunities
  • Issues in Fiji HIS
  • PATIS

HIS in Asia/Pacific 2004

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Thank You

Vinaka vakalevu

HIS in Asia/Pacific 2004

references
References
  • Websites
    • www.spc.int/phs
    • WHO website
  • Documents
  • Discussion Paper “ A Pacific Health information Network: in the Context of Health Reform- AusAID
  • Evaluation of the Fiji Health Information System- AusHealth International
  • Samoa Health Information System Project Review-AusAID
  • Fiji Patient Information System (PATIS)- AusHealth Insternational
  • Fiji Management Information Plan- AusAID
  • Evaluation of PATIS pilot- Dr S Saketa
  • Evaluation of Fiji HIS- Dr Y C Chong, WHO

HIS in Asia/Pacific 2004

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