Currently there are four types of Management

Information System existing within Ministry of

Health:
• Health Management Infomration System
(HMIS)
• Logistics Management Information Sytem
(LMIS)
• Human Resource Developemnt
Management Information System (HuRDIS
• Financial Mangment Informtion System
(FMIS)
 A Management
Information System is a
system to provide the right
information to the right
person at the right time in
the right form to further
improve the program
 information should possess
the following characteristics:
Reliability, Relevance,
Timeliness, Cost
effectiveness, Efficiency and
Dynamism.
 Objectives:
• To monitor the achievement,
coverage, continuity and quality of
Health Services
• To assess progress (evaluation)
towards goals and targets of district
Health Programs
• To support the planning activities
of all health programs
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The other objectives are:
• To provide information that can be
used to improve the quality of care
• To help senior managers develop
appropriate health policy guidelines
• To link data/information to all
Departments, Divisions and Centers
for access of data on time.

For comprehensive planning, monitoring

and evaluation the program at all levels 5
Information Flow Chart Level
Reporting Institution
NPC

National/
Ministry of Health Central
National Department of Health Divisions
Centers Services MD/MIS

RHD Central/Regional Regional

/Zonal Hospital

Hospital DHO District

PHC/HP Catchment
Reporting Line area and
Feedback Line
SHP Community

VHW/MCHW
Information Flow Chart Reporting Feedback Latest Mode of
Frequency Frequency Reporting Information
Level Reporting Institution Time Flow

NPC
By end of By
Trimesterly 1st month Person
National/
MOH of each
Central
Trimester
By end of
National DoHS Divisions 1st month By
Trimesterly Person
Centers MD/MIS Trimesterly/ of each
Perodic Trimester
By AIR
7th day /Express
of Next Delivery / Post
RHD Central/Regional
Regional Monthly Trimesterly Month / Person
/Zonal Hospital
By AIR
12th day /Express
District DHO Hospital Monthly Monthly of Next Delivery / Post
Month / Person

Catchment PHC/HP •7th day of

area and next month
Monthly •3rd day of By
Community Monthly
SHP next month Person
Reporting Line •1st day of
next month
Feedback Line
VHW/MCHW
 Data are maintained 32
forms, and registers, and
reporting done in 4 forms
for service statistics of all
programme divisions.

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 368 variables are
recorded in the whole
system, and there are
about 70 indicators to
monitor the Health
System.
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Data are processed
for the following
major indicators

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 CHILD HEALTH
EPI : (i) Immunization Coverage
(ii) Drop out Rate
(iii) Wastage Rate
Nutrition : (i) Coverage of Growth Monitoring 1st Visit
(ii) Average No. of Visits
(iii) % Malnourished Children
(iv) Iron and Iodine Coverage
(v) Treatment of Vitamin 'A'
ARI : (i) Incidence
(ii) % Pneumonia and severe pneumonia
(iii) Treatment by antibiotic and mortality
CDD : (i) Incidence
(ii) % Dehydration and severe dehydration
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(iii) Treated with IV fluid and mortality
 REPRODUCTIVE HEALTH
Safe Motherhood :
(i) Coverage of ANC and PNC 1st Visit
(ii) Average No. of ANC Visit
(iii) % ANC 4 Visit . ( Newly Introduced )
(iv) Delivery Conducted by Health manpower
(v) Maternal Deaths
Family planning :
(i) No. of new acceptors and current users
(ii) CPR
(iii) CYP
FCHV : (i) Mothers Group Orientations
(ii) Contraceptive distributions
(iii) Motivation to the Clients

TBA : (i) ANC visit

(ii) PNC visit 12
(iii) Delivery
 DISEASE CONTROL
Malaria / Kala-azar: (i) Slide Positivity Rate
(ii) Annual Parasite Incidence
(iii) Clinical Malaria Incidence
Tuberculosis : (i) Slide Collection
Leprosy : (i) Prevalence Rate
(ii) New case detection Rate
(iii) Skin smear Positivity Rate
AIDS / STD : Morbidity
(i) RTI
(ii) STD
(iii) HIV
Hospital : (i) Mortality & Morbidity pattern of Ind. Services
Services . (ii) Average length of stay
(iii) Bed Occupancy Rate
(iv) OPD service and emergency 13
Annual Performance Review Process

Aswin15-30
National Review Workshop (Oct 1-15)

Aswin 1-15
(Sept 15-30)
Regional Review Workshop
Bhadra 15-30
District Review Workshop (Sept 1-15)

Srawan 30-
Review at HP/PHC Bhadra 15
(Aug 15-30)

Srawan 15-30
VDC Level Review (Aug 1-15)

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Health Management Information System

Epidemiology Routine Information

Logistics

SERVICES Data Bank Finance

Infrastructure
Manpower

Supplementary Information

Census Research &

Special Studies
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 Constraints
• Re-supply of record keeping and
reporting forms remains a constraint
within the available HMG resources
• No provision of (Re) training for the
(old and) newly recruited persons
especially at the service delivery points

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• Difficulties in maintaining Computers.
• Very few programme managers have
responded and acted upon the feedback
provided
• Hospital data still not yet been fully
integrated

• No Carrier ladder for all HMIS Staff

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 Strengths:
• Well Established (7 + years old)
• Wide Coverage ( Health Facilities and
Programs)
• Trained Manpower
• Computerized Information
• Easy Accesibility
• Data bank
 Weaknesses:
• Quality of data
• Extent of use
• Sense of ownership
• Sustainiblity
 Curreent Issues
1. Cost Effectiveness
2. Reporting Frequency
3. Volume of information
4. Integration : Centre
5. Integration : District
6. Improvement in the quality of data
7. Gender and age disaggregation
8. Gaps (Training information, physical assets etc)
9. Incorporation of Health Service data from Private and
NGOs sector
10. Human Resources