Name of the Subject
(COURSE CODE-SEC_: LECTURE/ LABORATORY) | BATCH 2023
DEPARTMENT OF MEDICAL TECHNOLOGY-FAR EASTERN UNIVERSITY (INSTITUTE OF ARTS AND SCIENCES)
TRANSCRIBED BY: RAMIREZ, LANCE WILLIAM T.
LECTURER: MS. LYNETTE SERANNO
REFERENCES: LECTURE VIDEO, HANDOUTS & BOOK
HMIS MONITORING AND EVALUATION
● health management information system aims
primarily at assisting in the planning and
management of the National Health strategic plans
thus continuous monitoring and evaluation is
necessary for it to be effective.
● Monitoring
o refers to the collection, analysis and use of
information from programs for the purpose of
learning from the acquired experiences,
accounting the resources used both internal
and external, and obtaining results and
making decisions.
o Purposes corresponds three functions:
▪ Learning
▪ Monitoring
▪ Steering
● Evaluation
o is the systematic assessment of completed
programs or policies.
o Learning Function: in which the lessons will
be incorporated into future proposals.
o Monitoring Function: which means that the
concerned parties review the implementation
of policy based on the objectives and
resources
M&E PURPOSE
● The robust monitoring and evaluation (M&E) system
is required to assess the effect of an integrated
service delivery.
M&E FRAMEWORK
● Monitoring and evaluation (M&E) is a core
component of current efforts to scale up for that they
have period notified Nelson conscious of develop a
general framework for M&E of health system
strengthening (HSS).
● Developed by various global partners in countries.
● Derived from the Paris Declaration and it
harmonization and effectiveness and the International
Health Partnership (IHP+)
− This framework places health strategy and
related M&E process of each country at the
center.
4 COMPONENTS of M&E FRAMEWORK (WHO)
1. Indicator Domain
2. Data Collection
3. Analysis and Synthesis
4. Communication use
● Indicators should be tracked to assess processes and
results associated with the various indicated domains.
● Shifts in Outcomes and impact indicators, the change
may not be directly used by service delivery efforts or
there are other factors to consider.
o However, data are still useful in
understanding the current health status of the
country
NAME OF SUBJECT | SURNAME, 2021
LESSON 7
HMIS Monitoring and Evaluation
● Shifts in outcome an impact indicators may not be
directly attributable to integrating service delivery
efforts.
o However, it can be useful to collect this data
to understand health context within a country
and the ways in which packages of
interventions can lead to impact overtime
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.
● Local M&E systems generate information for global
monitoring based on the health sector review
processes which are considered the factors in
monitoring the progress and performance of the
entire system .
The Framework should:
1. Be localized
2. Address the needs for multiple users and
purposes
3. Facilitate the identification of indicators and data
sources
4. Be able to use the M&E in disease specific
programs.
- National Health Mission of
India
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.
● HMIS The source of protein data necessary for
monitoring different aspects of various health
programs implemented in a country
The HMIS indicators related are the following
MATERNAL SURVIVAL INTERVENTIONS
▪ The fifth millennium development goal targets to
reduce the maternal mortality ratio by 75% and to
achieve universal access to reproductive health
▪ Maternal survival intervention can reduce the
maternal mortality rate
▪ The complexity of the country context and maternal
health determinants makes it complicated to choose
the best strategies in achieving this goal
▪ Packaging of health facility oriented interventions is
highly effective and has high coverage of intended
target group
THE HMIS indicators related are the ff:
1. Pregnancy care interventions
● 1st antenatal care attendances
● 4th antenatal care attendances
● Cases of abnormal pregnancies attended at
outpatient department (OPD) of health facilities
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● Institutional cases of maternal morbidity and
mortality due to antepartum hemorrhage,
hypertension, and edema, reported by inpatient
departments of health facilities
● Cases of abortion attended at health facilities
● Cases of medical (safe) abortions conducted at
health facilities
2. Intrapartum care
● Deliveries by skilled attendants (at health
facilities)
● Deliveries by Health Extension Workers
(HEW) (at home of health posts)
● Institutional cases of maternal morbidity and
mortality due to obstructed labor
3. Postpartum care
● 1st postnatal care attendance
● Institutional cases of maternal morbidity and
mortality due to postpartum hemorrhage
(PPH) and pleural sepsis
4. Interpartum period
● Family planning method acceptors (new and
repeat)
● 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
● The Philippine government through DOH launch
various strategies to help ensure good health of
Filipino children by 2025.
o Child 21 or the Philippine national strategic
framework for plan development for
children 2000 to 2025
▪ Serves as framework for policy making
and program planning and as a roadmap
for interventions in at safeguarding the
welfare of filipino children.
▪ Part of the philippines commitment to
the united convention on the rights of the
child (UN CRC)
HEALTH INFORMATION SYSTEM FOR MEDICAL LABORATORY SCIENCE | SORIANO, 2021
o Children’s Health 2025
▪ Subdocument of child 21 which focuses on
the development of filipino children and the
protection of their rights by utilizing the life
cycle approach
o Integrated Management Of Childhood Illness
(IMCI)
▪ Aims to lower child mortality caused by
common illnesses
o Enhanced Child Growth
▪ This is an intervention into improve the
health and nutrition of filipino children by
operating community based health and
nutrition post all throughout the country.
Stop TB Program
• The goal is to dramatically reduce the global burden of
tuberculosis (TB) by 2015.
• In line with WHO’s millennium development goals and
the stop TB Partnership which aims to push TB up the
world political agenda.
● One of the main objective of the program is to achieve
universal access to high quality care for all people with
TB (including those co-infected with HIV and those
with drug-resistant TB)
● By 20150, one of the targets of the strategy is reduce
the prevalence and deaths due to TB by 50 percent
compared with the 1990 baseline.
• HMIS indicators to monitor Stop TB Program are:
1. TB Patients on DOTS (Number of new smear
positive pulmonary TB cases enrolled in the
cohort)
2. TB Case Detection (Number of new smear
positive pulmonary tb cases detected, number of
new smear negative pulmonary TBcases
detected, number of new extrapulmonary TB
cases detected)
3. HIV-TB Co-infection (proportion of newly
diagnosed TB cases tested for HIV)
4. HIV + New TB patients enrolled in DOTS
5. TB Treatment outcome (Treatment completed
PTB+, Cured PTB+ , Defaulted DTP+, Deaths
PTB+)
KEY POINTS TO REMEMBER
● Monitoring and evaluation (M&E) is a core component of
current efforts to scale up for better health. Global
partners and countries have developed a general
framework for M&E of health system strengthening
(HSS).
● The primary aim of HMIS is to have a strong M&E and
review system in place for the national health strategic
plan that comprises all major disease programs and
health systems.
● The different HMIS indicators which can be used in
monitoring the key aspects of the health system
performance. These are from among the five broad
categories, namely, reproductive health, immunization,
disease prevention and control, resources utilization, and
data quality.
● HMIS is a source of routine data that is necessary for
monitoring different aspects of various health programs
implemented in the country. The HMIS indicators have
been carefully selected to meet the essential information
necessary for monitoring the performance of various
health programs and services and to present an overview
of the available health resources
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 Name of the Subject
(COURSE CODE-SEC_: LECTURE/ LABORATORY) | BATCH 2023
DEPARTMENT OF MEDICAL TECHNOLOGY-FAR EASTERN UNIVERSITY (INSTITUTE OF ARTS AND SCIENCES)
TRANSCRIBED BY: RAMIREZ, LANCE WILLIAM T. LESSON 7
LECTURER: MS. LYNETTE SERANNO
REFERENCES: LECTURE VIDEO, HANDOUTS & BOOK HMIS Monitoring and Evaluation

M&E AND HMIS INDICATORS

● Indicator
● its a variable which measures the value of the change in units that can be compared to past and future units.
● HMIS uses various indicators to monitor the aspects of health system performance

CATERGORIES OF HMIS KEY INDICATORS

KEY PERFORMANCE AREA KEY INDICATOR

Reproductive health 1. Family planning acceptance rate

2. antenatal care coverage
3. proportion of deliveries attended by skilled health personnel
4. proportion of deliveries attended by HEWs

Immunization 1. DPT-3 (Pentavelent-3) coverage (>1 child)

1. Measles Immunization coverage (>1 child)

Disease prevention and control 1. Malaria case fatality rate among patients under 5 years of age
1. new malaria cases per 1000 population
1. neon ammonia cases among children under 5 per 1,000
population of < 5 years
1. TB case detection rate
1. TB cure rate
1. Clients receiving VCT services
1. PMTCT treatment completion rate
1. PLWHA currently on ART

Resource utilization 1. Trace drug availability (in stock)

1. OPD Attendance per capita
1. inpatient admission rate
1. average length of stay (inpatient)

Data Quality 1. bed occupancy rate

1. reporting completeness rate
2. reporting timeliness rate

Quantitative indicators for monitoring family planning/ immunization integration

● Provide specific indicators, data sources, and purposes for tracking each indicator for monitoring family
planning and immunization service delivery and assessing the integration of services.

INDICATOR DATA SOURCE PURPOSE

INPUTS

Vaccine stockouts in a single month HMIS service statistics monitor vaccine stockouts
(YES/NO, by type of contraceptive)

Contraceptive stockouts in a single month HMIS, Service statistics monitor contraceptive stock outs
(YES/NO, by type of contraceptive)

number of service providers trained in Training record monitor reach of EPI/FP integration
provision of EPI/FP integrated services training as an input for effective
integrated service delivery

NAME OF SUBJECT | SURNAME, 2021 3

LESSON _: TITLE OF THE LESSON
Number of service delivery points offer
integrated FP and immunization services
number of days per month in innovation &
family planning services are offered at the
same site
Number/ percent of women attending
routine child immunization services to
receive information on family planning from
a vaccinator
Number/ percent of women (with children <
12 months) going for family planning to
receive information on immunization from
the family planning provider
Number/ percent of women attending child
immunization services who accept your
period to family planning services
Number/ percent of women Attending
routine immunization services who follow
through on a FP referral form a vaccinator
Number/ percent of women Attending
Family planning services who follow
through on referral to immunization
services from a family planning provider.
Number of children receiving DTP 1, DTP3,
measles, and DTP 1-3 dropout
Immunixation coverage for DTP1, DTP3,
and measles
Number of new family planning acceptors
by method type and demographic/ age
group
Contraceptive prevalence rate
Total financial cost of inputs required to
integrate FP and immunization
services(per facility, per client exposed, per
new FP acceptor)
Maternal, infant, and child mortality rates
HEALTH INFORMATION SYSTEM FOR MEDICAL LABORATORY SCIENCE | SORIANO, 2021
OUTPUTS
service statistics and supervision Coverage of integrated service delivery
service statistics and supervision availability of located FP/immunization
(observation + interviews) services
supplemental tracking column that quality/ continuously of implementation
can be added to existing of integrated service delivery
immunization register
[monitored for demonstration/ pilot
programs only]
Supplemental Tracking column quality/ continuously of implementation
added to Immunization ledger of integrated service delivery
[monitored for demonstration/ pilot
programs only]
Supplemental Tracking column Acceptance of FP referrals provided by
added to Immunization ledger the vaccinator
[monitored for demonstration/ pilot
programs only]
comparison of supplemental Follow through on FP referrals provided
tracking added to immunization by the vaccinator
ledger, and supplemental tracking
column added to FP ledger
[monitored for demonstration/ pilot
programs only]
comparison of supplemental follow through on immunization referrals
tracking column added to FP ledger, provided by the family planning provider
and supplemental tracking column
added to immunization ledger
[monitored for demonstration/ pilot
programs only]
OUTCOMES
Immunization ledger/HMIS, and Use of immunization services, dropout
population-based survey data
HMIS and population based service percentage of children <12 population
data who have received DTP1 and DTP3
family planning ledger/HMIS uptake of family planning services
Population survey Data Contraceptive use within a given
population
Program data/Special Costing Cost of inputs required for integration.
studies This may be helpful in planning for
decisions related to sustainability and
scale-up of internet and services.
IMPACT
studies on maternal and infant measure improvement in health status
mortality
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HEALTH INFORMATION SYSTEM FOR MEDICAL LABORATORY SCIENCE | SORIANO, 2021 5