HMIS MONITORING AND EVALUATION

- Aims primarily at assisting in the planning and management of a national health strategy
plans; this, continuous monitoring and evaluation and evaluation is necessary for it to be
effective.

-MONITORING- refers to the collection, analysis, and use of information gathered from
programs for the purpose of learning from the acquired experiences.
-EVALUATION- systematic assessment of completed programs or policies.
OBJECTIVES: Gauge the effectiveness of the program so that adjustments can be made in
areas that need improvement.

PURPOSE OF M&E
- Robust monitoring and evaluation system is required to assess the effect of an
integrated service delivery.

M&E FRAMEWORK
- A general framework of M&E of health system strengthening was developed by various
global partners and countries. Derived from the Paris Declaration on aid harmonization
and effectiveness and the International Health Partnership (IHP+), this framework places
health strategy and related M&E of HSS in the core of the framework. In doing so, there
is better alignment and the monitoring of findings for the health system is easy.

4 COMPONENTS OF THE M&E FRAMEWORK

1. Indicator Domains
2. Data Collection
3. Analysis and Synthesis
4. Communication Use

M&E PLAN
- An M&E plan addresses the components of the framework and establishes the
foundation for regular reviews during the implementation of the plan for the national
level.

M&E AND HMIS INDICATORS

- An INDICATOR is a variable which measures the value of the change in units that can
be compared to past and future units.

THE UNITED STATES AGENCY FOR INTERNATIONAL DEVELOPMENT (USAID)

5 CLASSIFICATIONS OF INDICATORS
1. Reproductive Health
2. Immunization
3. Diseases Prevention and Control
4. Resource Utilization
5. Data Quality
HMIS INDICATORS AND HEALTH PROGRAMS
- The HMIS indicators should be carefully selected to meet the essential information
necessary for monitoring the performance of various health programs and services and
to present an overview of available health resources.
- This section explains the relationship of HMIS indicators and some of the health
programs on communicate and none-communicable diseases.

MATERNAL SURVIVAL INTERVENTIONS

- The fifth-millennium development goals targets to reduce the maternal mortality ratio by
75 % and to achieve universal access to reproductive health. Despite this set goal, none
of the maternal survival intervention alone can reduce the maternal mortality rate.
THE HMIS INDICATORS:
1. Pregnancy care interventions
● 1st antenatal care attendances
● 4th antenatal care attendances
● Cases of abnormal pregnancies at OPD of health facilities
● Institutional cases of maternal morbidity and mortality due to antepartum
hemorrhage (APH), hypertension and edema reported by IPD of health facilities
● Cases of abortion attended at heath facilities
● Cases of medical (safe) abortions conducted at health facilities
2. Intrapartum care
● Delivery by skilled attendants
● Deliver is by health extension workers
● Institutional cases of maternal morbidity and mortality due to instructed labor
3. Postpartum care
● 1st postnatal care attendance
● Institutional cases of maternal morbidity and mortality due to postpartum
hemorrhage and puerperal sepsis
4. Interpartum period
● Family planning method acceptors
● Family planning methods issued by type of method

CHILD MORTALITY AND CHILD SURVIVAL INTERVENTIONS

- The leading cause of under 5 child mortality in the Philippines in 2012, as reported by
the DOH in its top 10 leading causes of child mortality report, was PNEUMONIA with
2,051 reported cases.
STRATEGIES TO HELP ENSURE GOOD HEALTH OF FILIPINO CHILDREN BY 2025
1. Child 21 - Also known as Philippine National Strategic Framework for Plan
Development for Children 2000 to 2025
- Framework for policy making and program planning and as a roadmap for
interventions aimed at safeguarding the welfare of Filipino children
2. Children’s Health 2025 - Focuses on the development of Filipino children and the
protection of their rights by utilizing the life cycle approach.
3. Integrated Management of Childhood Illness (IMCI) - Strategy that aims to lower child
mortality caused by common illnesses.
4. Enhanced Child Growth- Intervention aimed to improve the health and nutrition of
Filipino children by operating community-based health and nutrition posts all throughout
the country.

STOP TB PROGRAM
- Envisioning a tuberculosis-free world.
- GOAL: Dramatically reduce the global burden of tuberculosis by 2015.
- Main Objectives: To achieve universal access to high-quality care for all people with
TB.
HMIS INDICATORS TO MONITOR STOP TB PROGRAM:
● TB patients on DOTS
● TB cases detection
● HIV-TB co-infection
● HIV+ new TB patients enrolled in
● DOTS
● TV treatment outcome