HIS Impact Story: Strengthening national HIS through multi-sectoral

coordination and collaboration

Crispinita A. ValdezDirector

Information Management ServiceDepartment of Health

HIS Challenge

• Principle: A responsive HIS requires political will along with sustained stakeholders’ cooperation and collaboration and user involvement.

• Reality: Coordination and collaboration across sectors is minimal and securing buy-in difficult and support is superficial

• Goal: “To establish a modern information system that shall provide evidence for policy and program development and for immediate and efficient provision of health care and management of province-wide health systems.”

• Key Players: Department of Health, National Statistics Office, National Statistical Coordination Board, University of Philippines, Local Government Units, Department of Science and Technology, other government agencies, NGOs and that private sector.

Actions Taken

Better collaboration with in the DOH (2005)

• Clarification of roles among offices with HIS or HIS-related mandates• Information management services from internal management support to

Sectoral Management Coordination Office • HMIS and ICT functions were relegated to one Undersecretary of Health

Initial Multi- Stakeholders Coordination

Inter-agency Committee on Nutrition and Health Statistics under National Statistics and Coordination Board chaired by DOH

Philippine Health Information Network , 2007 – a coalition of stakeholders in government Build the linkages among agencies to have shared agreements on goals,

and coordinated efforts and investments. Foster ownership and leadership Assess the current state of HIS Formulate strategies & plan

Actions Taken

Philippine Network for Injury Data Management – a multi-sectoral organization composed of government and non-government agencies for injury data

ICT4H TWG of 12 (January 2011) from a Bigger ICT for Health Forum of 100+ members(November 2010)

1.Health Sector Enterprise architecture (EA)2.National Standards for HIS and interoperability framework3.Capacity building framework + minimum competencies required of

health human resources on HI and ICT 4.Compliance framework based on EA and standards for various

HIS to gauge eligibility for adoption at sub-national levels and national health facilities.

Better health outcomes

Better health outcomes

Responsive health system

Responsive health system

Equitable health financing

Equitable health financing

Health FinancingHealth Financing Service DeliveryService Delivery Policy, standards and regulation

Policy, standards and regulationHealth Human

ResourceHealth Human

ResourceHealth

InformationHealth

InformationGovernance for HealthGovernance for Health

Impact/Outcomes

Support Universal Health Care with DOH• Better cooperation or solidarity among

stakeholders in DOH (plans, activities, responsibilities, budgets)

• Significant increase in budget for HIS and ICT– E-Health Framework to support Universal Health Care

1. Enabling structures & resources 2. Mission-Critical Health Application Systems 3. Philippine Health Information System 4. Knowledge Management for Health 5. Telemedicine/mhealth services

– Information Systems Strategic Plan, 2011-2013– Increased adoption of HIS standards – General DOH Data Management guidelines – Clearance system for HIS initiatives

Impact/Outcomes

• Philippine Health Information Network – Better linkages among key stakeholders – Formulation of the joint strategies and priority programs

• Mapping of data sources, and responsible agencies, • Philippine Health Information System Plan• Development and use National Health Data Dictionary v 2• MOA with National Statistics Office to evaluate Civil Registration Systems

• Philippine Network for Injury Data Management - Increased reporting completeness, better data quality and timeliness - Improved prevention and health promotion mechanisms & activities - Strategic positioning for provision of better services

• ICT4H /ICT for Health Forum – Further knowing private sector requirements– Availability of relevant products, tools, capability building, services – Access to free technical expertise

Next steps and key messages

• What steps are being taken to ensure continued impact?– Establish a stronger HIS governance– Further promote and solicit support to collaborate at the

national and sub-national levels – For DOH to initially to lead– Use PPP to push and accelerate improvements in HIS

• Collaboration is difficult, time consuming, lot of work, stressful and expensive, but necessary . – Easier if HIS is part of national agenda, and health sector

reform agenda and requirements are clear– Political will and leadership are essential elements

THANK YOU!