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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

HIS in Asia/Pacific 2004


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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


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Issues in the Pacific for HIS Strengthening Health Information System in Asia and the Pacific, Bangkok, 13-15 December 2004

  • 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


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Diversity Strengthening Health Information System in Asia and the Pacific, Bangkok, 13-15 December 2004

  • 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


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Workforce for HIS Strengthening Health Information System in Asia and the Pacific, Bangkok, 13-15 December 2004

  • 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


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Health systems Strengthening Health Information System in Asia and the Pacific, Bangkok, 13-15 December 2004

  • 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


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Use of health information Strengthening Health Information System in Asia and the Pacific, Bangkok, 13-15 December 2004

  • 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


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Data quality and integrity Strengthening Health Information System in Asia and the Pacific, Bangkok, 13-15 December 2004

  • 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


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Strategic Planning for HIS Strengthening Health Information System in Asia and the Pacific, Bangkok, 13-15 December 2004

  • 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


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Evidence-based decision making Strengthening Health Information System in Asia and the Pacific, Bangkok, 13-15 December 2004

  • 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


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Challenges Strengthening Health Information System in Asia and the Pacific, Bangkok, 13-15 December 2004

  • 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


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Opportunities Strengthening Health Information System in Asia and the Pacific, Bangkok, 13-15 December 2004

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


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Fiji Health Information System Strengthening Health Information System in Asia and the Pacific, Bangkok, 13-15 December 2004

HIS in Asia/Pacific 2004


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Issues in Fiji Health Information System Strengthening Health Information System in Asia and the Pacific, Bangkok, 13-15 December 2004

  • 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


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Fiji Health Management Reform Strengthening Health Information System in Asia and the Pacific, Bangkok, 13-15 December 2004:Patient Information System (PATIS)

HIS in Asia/Pacific 2004


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Objectives of PATIS Strengthening Health Information System in Asia and the Pacific, Bangkok, 13-15 December 2004

  • 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


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Fuctionality Strengthening Health Information System in Asia and the Pacific, Bangkok, 13-15 December 2004

  • 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


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Coverage of PATIS Strengthening Health Information System in Asia and the Pacific, Bangkok, 13-15 December 2004

  • 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


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Summary Strengthening Health Information System in Asia and the Pacific, Bangkok, 13-15 December 2004

  • HIS in Pacific Island Countries

  • Issues

  • Challenges

  • Opportunities

  • Issues in Fiji HIS

  • PATIS

HIS in Asia/Pacific 2004


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Thank You Strengthening Health Information System in Asia and the Pacific, Bangkok, 13-15 December 2004

Vinaka vakalevu

HIS in Asia/Pacific 2004


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References Strengthening Health Information System in Asia and the Pacific, Bangkok, 13-15 December 2004

  • 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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