Upload
aileen-waters
View
213
Download
0
Tags:
Embed Size (px)
Citation preview
Uganda Health Information Strategy
Eddie Mukooyo, MD, MScAssistant Commissioner Health Services
Dublin, Ireland13th September 2010
Presentation Outline
• Health Reforms• Monitoring & Evaluation of Sector
Performance• Categories of Health Information• Challenges• Needs Assessment• Health system strengthening• Key recommendations
Health Reforms
To improve efficiency, effectiveness & address equity and inequality:-
• Decentralisation• Health Policy I, II• Health Sector Strategic Plan I, II, III• Sector Wide Approach in implementation• National Minimum Health Care Package
Monitoring & Evaluation TWG• Sector Performance Monitoring Indicators• HMIS as main source of data/information
CATEGORIES OF HEALTH INFORMATIONON
Information from other data sources
e.g. surveys, special studies…
Logistics and
commodities
Data on individual clients
Resource Management
e.g. inventories
•Health facilities•Equipment inventory•Staff listing
•In-patient information•Laboratory information •X-ray information•Operating theatre information
•Information on referrals•Outpa
•Antenatal care•Maternity services•Child health services•Family planning services etc.
Information on Preventiveservices
Information on curative services
•Stocks of commodities •Supplies like drugs and vaccines.
Issues with HMIS
• Data not timely, complete or reliable• Inadequate funding• Paper – based HMIS• Recording keeping & Data capture by
health workers• HMIS not well appreciated • Poor utilisation of data
Needs Assessment supported by Clover III Project
• Lack of national legislation and policy framework for HIS
• Lack of HMIS skills• Inadequate funding• Inadequate ICT Infrastructure• Lack of records assistants• Inadequate use of Information generated
Health System Strengthening Clover Project III
Based on assessment results, new interventionswere jointly designed by all stakeholders:• Capacity Building• Improvement in ICT Infrastructure • Provision of Health facility databases• Technical support supervision
Health System Strengthening Clover Project III - Interventions
• Training 217 Health workers in electronic data management, & utilisation
• Provision of ICT Infrastructure & connectivity– Procured 39 desktop computers (4 for MoH/RC,
11 for District Health Offices + 24 for the HSDs)• Follow-up hands on support supervision &
maintenance plus trouble shooting• Supported Regional & District evidence-based
Planning meetings• Supporting the review process of the HMIS
Achievements of the Clover Project - 1
• Improved timeliness and completeness of reporting
• Informed decision on effectiveness and appropriateness of eHMIS & wHMIS systems - HMIS Review Process
• Better evidence-based plans & District Performance League Tables)
• Enhanced data capture due to integrated database tools – rather than SILOs
Achievements: Improved timeliness and completeness of HMIS OUTPATIENT reporting
(an average for the CLOVER III districts)
Achievements – Improved timeliness and completeness of HMIS INPATIENT reporting (an
average for the CLOVER III districts)
Achievements of the Clover Project - 2
• Revised HMIS tools and manuals in line with HSSP III
• Increased appreciation, use & demand for information at district level – creation of information department with a budget
• Supported a data validation exercise in 4 CLOVER III districts and 2 NON CLOVER districts to assess the quality of data at district, HSD and selected health facilities.
Proportion of district HMIS reports matching with reports kept at RC – Mid-West Region
100%100% 100%
80%
67%67%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Kiboga Kibaale Mubende
District
%
2008
2009
Challenges - 1• Health Information System (HIS) is
fragmented• Information definitions are not harmonized• Methods of collection vary greatly, and • Rules for data sharing do not exist • Significant duplication of effort at all levels, • As a result use of health information is
curtailed
Challenges - 2
• Inadequate Funding both at national and district level
• Paper – based HMIS for half the districts• Challenges of New Districts – Lack
Capacity, Resources, logistics , etc• A learning process for new
responsibilities
Health Sector Strategic Plan III
• HMIS has been identified in the Health Sector Master Plan as one of the priority areas of health system strengthening for accelerating achievements of the health sector goals & MDGs.
National Ownership - 1
• Alignment and Efficient Utilization of Human and Financial Resources– Alignment of processes and integration within
major vertical programs• Increase Efficiency in community and facility-based
Patient Care for Better Health Outcomes – Strengthen patient referral and facilitating data transfer – Capture community based Interventions (case
management & prevention)– Enhance use of information for decision making for better
health outcomes
National Ownership - 2
• Increase Health Infrastructure Capacity- Linkage of all districts and health units to a functional and efficient electronic health information system for better health outcomes (e-governance initiative & Interoperability – data warehouse)
• Private Sector Engagement–HIS training and other allied health business
opportunities
Immediate Action
• Establishment of a “HIS Steering Committee” for coordinating a harmonized National Health Information System (NHIS)
• Execute national HIS Forum with key partners including the private sector to facilitate donor and stakeholder engagement
• Mobilize immediate/seed/initial technical and financial support for core preparatory activities - NHIS
Key recommendations for the future
• Train health workers and end-users on data Management to ensure a culture of Data-driven decision-making
• Consolidate and roll out gains from the Clover III Project districts to cover all 110 districts
• Integrate existing parallel information systems (SILOs) into one national HIS
• Prepare Resource Centre to provide leadership and coordination
THANK YOU