HMIS

DR SHAHZAD AKHTAR AZIZ

MBBS , MPH ,CHPE ,PGD
DEFINITION

 A mechanism for collection, processing, analysis and

transformation of data/information required for organizing
and operating health services, and also for research and
training
 The system should provide reliable, relevant, up-to-date,
timely and reasonably complete information for health
managers at all levels
Data Characteristics/Attributes

 Accurate
 Reliable
 Valid
 Timely
 Complete
 Retrievable
Objectives

 To provide reliable, latest and useful health information to

all levels of health officers and administrators.
 To amend health policies and working system on the basis
of feedback, received from health information system.
 To provide information about periodically and time bound
programs and for mid term evaluation.
 To contribute towards achievement of objectives of health
policies and programs.
 To increase efficiency and quality in health management.
 Characteristics /Requirements

 According to WHO,
• The information should be problem oriented.
• Information should be population based.
• Functional and directorial wording should be used.
• Information should be expressed in short and in
imaginative form (graphs, chart, table etc).
 • Facility for data feed back must be present in health information
system.
• Latest technology should be used in health information system
• Unnecessary figures or data should not be present in information
system.
• For information management, organizational structure must be
present.
 Domains/fields of Health information
System
 It includes
 Demography and Vital statistics,
 Environmental health statistics.
 Health status – mortality ,morbidity ,disability and quality of life
 Utilization and non-utilization of health services
attendance ,admissions ,waiting lists
 Indices of outcome of medical care
 Financial statistics ( cost, expenditures ) related to the particular
objective
 Health system input, output,
 Health determinants, health economics,
 Health infrastructure, resources and outcome
 Provide at periodic intervals, data that will help to evaluate
the general performance of the health services and
efficiency of the health personnel.
 
 It help the planners to assess the needs of the population for
planning the health activities in the communities.
 USES OF HEALTH
INFORMATION
 To measure the health status of the people and to quantify
their health problems and medical and health care needs.
 For local, national, and international comparison of health
status.
 For planning, administration, and effective management of
health services and programs.
 To assess the efficiency and effectiveness of the health
services being provided to the community
 For assessing the attitudes and degree of satisfaction of the
beneficiaries with the health system.
 For research into the particular problems of health and
disease 
 SOURCES OF HEALTH
INFORMATION
In Pakistan there are different sources of information regarding the health
sector
 
  Census
  Registration of vital events e.g. births, deaths.
  Bio-statistics from hospitals and dispensaries in the urban areas.
  Biostatistics from health facilities of rural areas. 
 Pakistan medical and dental council.
 the Pakistan nursing council.
 disease notification 
 Epidemiological surveillance e.g. malaria, poliomyelitis, Tuberculosis.
Good data can save resources

 Good data

 Useful information

 Better decision

 Better use of resources

 Resources
Decision

Information Programmes

Data Output
Decision Focus of HMIS

Health and Information Decisions

Management Flows
Data Flows

HMIS USERS
Components of HMIS
Information Process

Indicators
Resources
Data Collection

Data Transmission
Data Processing Management

Data Analysis
Organizational
Information for use in
planning and management Rules
HMIS Framework
 HMIS and Health Improvement
Improve
Revise indicators Population
& expand HMIS Improve info.
relevancy
Health

Validate data
& feed back
Improve info.
reliability
Improve Improve
Upgrade data
evidence Improve
Health
Health
analysis skills &
expedite data
Improve
availability|
based System Services
transmission timeliness decision
of info.
Facilitate the
making
frequency of Improve
communication Info.
between data sharing
people &
decision
practice
makers
 Deficiencies in the HMIS

There is no system of collecting information from the private

health facilities e.g. hospitals, nursing homes,and clinics.
 
deficiency of trained staff for data entries at first level
health care facilities. 
the validity and reliability of data is doubtful. 
the health statistics collected do not cover the entire
population.  
timely collection of data is also a problem
 SYSTEM FOR COLLECTION
AND REGISTRATION OF
VITAL EVENTS IN PAKISTAN
the system of registration of vital events is similar in province of Punjab,
kPk, Bahawalpur state, and parts of Baluchistan
Rural areas
head of the village/chowkidar is responsible for informing the authorities in
the union council for any birth or death in the village
information from the union council register is passed on to
the district health officer/ deputy district health officer/civil
surgeon through the concerned police station on weekly or
fortnightly basis.  
the information is passed onto the higher offices and finally
to the provincial headquarters, here compilation of data is done
and conveyed to national level.
URBAN AREAS:
birth and death registers are kept in the registry office of the local
body/municipal committee.
 

  whenever a birth or death occurs in a household, the head of the family or

any other adult member informs the registry office within 4 days of the event.
  

the information so collected is compiled on weekly or monthly basis and

forwarded to the district health officer. the dho in turn conveys this information
to the director health services and finally to the director general health services
of the province
Births and Deaths in Medical Institution :
the hospitals and dispensaries supply information pertaining to births
and deaths to local authorities.
 

these authorities supply these information to the dho/ddho of the

district concerned.
 

the hospitals and the dispensaries also report other health events e.g.
number of cases of different diseases. in total there are 22 such
diseases.
.
In rural areas the health facilities maintain such records on
specified registers known as ABSTRACT REGISTERS
 

The information is entered on daily basis and at the end of

the month, the information is filled on MONTHLY REPORT
FORM and forwarded to the DHO/DDHO.
 

By the end of the year a YEARLY REPORT FORM is filled from
the record and sent to the Office of the DHO
PRESENTLY AT THE OFFICE OF DHO THESE MONTHLY AND
YEARLY INFORMATION IS COMPUTERIZED AND CONVEYED TO
DHS.
 
FROM DHS (DIVISIONAL HMIS) A STATISTICAL OFFICER
COMPILES THE DATA OF DIVISION AND INFORMATION IS
CONVEYED TO THE PROVINCIAL HEADQUARTERS IN A
FLOPPY DISC.
 
THE WHOLE DATA IS THEN COMPILED, ANALYZED AND
PRESENTED BY THE NATIONAL HEALTH MANAGEMENT
INFORMATION SYSTEM CELL BASED AT FEDERAL LEVEL
 
 
MONTHLY REPORT FORM
(HMIS)
THE MONTHLY REPORT FORM CONTAINS THE INFORMATION
REGARDING
POPULATION DATA OF THE AREA SERVED BY THE FLCF.
 
DETAILS OF ESSENTIAL DRUGS (10 IN NUMBER) AND VACCINES
(EPI VACCINES).
 TOTAL NUMBER OF PATIENTS ATTENDING THE FLCL.
 PRIORITY HEALTH PROBLEMS (22 DISEASES).
SPECIAL MENTION OF DIARRHEA, ARI, MALARIA, TUBERCULOSIS
AND IMMUNIZABLE CHILDHOOD DISEASES.
YEARLY REPORT FORM
(HMIS)
THE YEARLY REPORT FORM CONTAINS THE INFORMATION ON THE
FOLLOWING ISSUES
 SUPERVISORY VISITS MADE BY THE SENIOR OFFICERS.
  
POPULATION DATA AS STANDS AT THE END OF THE YEAR.
 DETAILS REGARDING THE CONDITION OF THE BUILDING I.E. WATER
SUPPLY, APPROACH ROAD, ELECTRICITY, AND PUBLIC TOILET
FACILITIES.
  
TRANSPORT.
 EQUIPMENT, FURNITURE, AND LINEN.
 DRUGS, VACCINES, AND GENERAL STORE SUPPLIES.
HMIS
 Thank You
More Focused Decision Making saves much resources and time