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Informacao sobre Saude. MSP course March 2002. Information sobre Saude. Information system as social system informacao – information organizational, social, political, ambiental Information as social resource use, purpose, communication, interaction Information as ‘artifact’
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Informacao sobre Saude MSP course March 2002
Information sobre Saude • Information system as social system informacao – information organizational, social, political, ambiental Information as social resource use, purpose, communication, interaction Information as ‘artifact’ tools, media – meias, documents, systems
Informacao sobre saude • Information mapping • Mapping reporting systems • Registry books, forms • Reports, documents • Information flows • Information audit • Quality and use of data • Information systems for health management
Field research--always • Who • What • Where • When • Why • How
Who What Where When Why How Quem? Qual? Onde? A --? De --? Quando? Porque? Como? Field research
e.g. of a “system”: Activity system –individuals & teams in social practices, tools—artifacts, purposes, community, rules, division of labor TOOLS (eg, info systems, computers, Schedule+ etc) OBJECT-OUTCOME To act as a mediator between computer industry and clients SUBJECT CommArc RULES (inc. values, ethics) COMMUNITY OF PRACTICE (other CommArc staff members, suppliers, customers etc) DIVISION OF LABOUR
Figure 3: Hierarchy of standards where each level has freedom to define their own standards as long as they align with the standards at the level above.
Feedback Feedback Central level Admn health program Statistic and planing dep • Reports • Meetings • Supervision Provincial level statistic and planing dep. • Reports • Meetings • Supervision District level • District information officer Other community sources Health services HC D. Hospital. HP Standard forms Standard forms Books
District level District information officer + 2 representative ( Nur or admin) Forms + Reports Reports Other community sources Health services Schools NGO Local Gov Unions Special intergroups Standard forms Books District Hospital/HC/ Priv sector Nurse chief Nurse, Doc, Lab men, or farmac HP Basic health worker Basic health worker
01-Adilabad02-Karimnagar03-Warangal04-Khammam05-East Godavari06-Visakhapatnam07-Vizianagram08-Srikakulam09-West Godavari10-Krishna11-Guntur12-Prakasam13-Nellore14-Chittoor15-Cuddapah16-Anantpur17-Kurnool18-Mahbubnagar19-Nalgonda20-Rangareddi21-Medak22-Nizamabad
Community level Health Centre 1 lab Health Centre 2 lab Health Centre 3 lab District lab data compiled in a Rural Hospital lab Other relevant data from the community and health facilities District level Nucleus for Planning and Statistics (Aggregation of health district data) Department for Planning and Statistics Provincial lab data compiled and analysed by the lab manager Provincial level Health Information Department National Section for clinical labs National level Reporting system usually delayed Feedback reports and supervision less frequent Figure 1 – The vertical top-down approach of lab information system coupled to the complex health information system in the National Health System
CentralGovernment (Ministries/Departments) Funds PolicyIssues ScientificInstitutions StateGovernment Feedback Prog. Priorities & Monitoring GIS S/W and data Funds DistrictAdministration --------------------------------------------------------------------------------- Line Departments Beneficiaries, LocalPeople, NGOs Interplay of institutions TechnologyDevelopment & RelatedPolicies
Figure 2: Comparison of the new tally sheet in the injection room on the left with the old reporting form on the right, reporting 66 and 59 ‘events’ respectively. Note the columns marked ‘E’, ‘C’, ‘B’ and ‘A’ in the old form, for European, Coloured, Black and Asian. These columns are not in use anymore, and the space is used for marking the categories of the events reported.
