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Data Management and HMIS. Facilitator: Dr. Lucie Blok Delhi, 31 st Jan 2006. The Issue is not that we need more data…. .. but better use of data. A HMIS is a system of record-keeping, reporting, processing, analysis, interpretation, use, and feedback of information. HMIS: Definition.

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Data Management and HMIS

Facilitator: Dr. Lucie Blok

Delhi, 31st Jan 2006


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The Issue is not that we need more data….

.. but better use of data


Hmis definition l.jpg

A HMIS is a system of record-keeping, reporting, processing, analysis, interpretation, use, and feedback of information.

HMIS: Definition


Hmis functions l.jpg

- Provides analysis, interpretation, use, and feedback of information.different levels of beneficiaries

(clients, community, service

providers, managers, planners

and policy makers)

with timely and relevant information

HMIS: Functions

  • Used to formulate policy, to plan, implement,

  • monitor, supervise and evaluate health-related

  • activities

  • (adapted from Campbell, 1997)


Hmis provides information on l.jpg

Health status analysis, interpretation, use, and feedback of information.

(through surveillance, surveys)

Health-related interventions and services (activities, progress, quality)

(through surveillance, program monitoring and evaluation)

HMIS provides information on:


Purposes of hmis evidence based decision making l.jpg

Monitoring and evaluation of control programs analysis, interpretation, use, and feedback of information.

Plan actions, programs, and resources

To prioritize the allocation of health resources

To provide the basis for epidemiological research

Accountability

Purposes of HMIS: Evidence-Based Decision Making


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Where are we now? analysis, interpretation, use, and feedback of information.

Situation Analysis

Where did we reach?

Evaluation

Where do we want to go?

Objectives

HMIS

Is everything going according to plan?

Monitoring

Identifying constraints

Taking action

Which route shall we take?

Strategy

How shall we travel there?

Plan of Activities

Management cycle


M e framework in tbcp l.jpg

Context: analysis, interpretation, use, and feedback of information.

Political commitment

Access and utilisation of services

Socioeconomic conditions

Epidemiological context (HIV, nutrition)

M&E Framework in TBCP

Input

Process

Output

Outcome

Impact

Source: WHO: (2004); Compendium of indicators for monitoring and evaluating national tuberculosis programs,


Problems in hmis 1 design l.jpg

Top-down control, leaving out lower level analysis, interpretation, use, and feedback of information.

Unclear objectives and targets

Too much working time spent on HMIS

No guidelines

Not enough skills

Not enough staff

Fragmentation in services

Problems in HMIS 1: Design


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Too many records analysis, interpretation, use, and feedback of information.

Too late

Poor quality

Poor lay-out, confusing terminology

Incomplete

Potential exclusion of private and hospitalized patients

Inflexible data collection

Resistance to change

Problems in HMIS 2: Collection


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Data not analysed to produce information, but just forwarded upward

No indicators to assess progress

Presentation not clear, out of date

Management culture does not value information (decision-making on intuitive or political basis only)

Political use (coverage = 1 microscope per dist)

Problems in HMIS 3: (Self-) Assessment


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Inadequate training for managers upward

Data not available for the

right persons at the right time

No feedback to lower levels,

no pressure to use data

Data not used for supervision

Rigid criteria (success rate in the era of HIV)

Problems in HMIS 4: Use


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Provides all information required upward

Is easy to implement

Requires minimal staff time

Is consistent with other management and recording systems in place

Is useful for all stakeholders and is used

A good HMIS system:


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Question 1a upward: What are the main challenges in your country regarding design of the HMIS?

Question 1b: What solutions do you suggest?

Group work HMIS - challenges


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Question 2a upward: What are the main challenges in your country regarding the collection andquality of data that you receive?

Question 2b: What solutions do you suggest?

Group work HMIS - challenges


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Question 3a upward: What are the main challenges in your country regarding the use of data collected on TB management?

Question 1b: What solutions do you suggest?

Group work HMIS - challenges


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