Health Management Information System HMIS A beginning towards

Health Management Information System (HMIS). . . A beginning towards Integration

Genesis Resources utilized towards data compilation rather than Intelligent analysis in the health sector Statutory Reports / Parliament Questions / RTI manually prepared Lack of real-time Monitoring and Evaluation of various projects and programs of the Ministry What we need…. Decision Support System for Policy Making Ø Ø Informed and Improved decision making Timely Interventions / Course Corrections

Journey in the last 2 years. . . (1) �MIS ◦ ◦ Formats Wide discussions with all stakeholders Key aspects of NRHM/RCH-II Sent to States in August, 2006 Key Health indicators integrated in November, 2006 �Flow ◦ ◦ of Data from States Paper form – some through e-mail Formats changed by states Delayed Only 25 States reported data on new form

Journey in the last 2 years. . . (2) � Capacity Building on M&E ◦ M&E Training included in IDHAP Trainings – Oct 2006 to April, 2007 ◦ National Workshop on M&E and FM in May, 2007 ◦ 3 Regional Workshops in July-December, 2007 ◦ World Bank Study on Data Utilisation – June, 2008 ◦ Multi-Dimensional Workshop on M&E – June, 2008 � HMIS, QA, AHS, Concurrent Evaluation, Triangulation � Clearing House on Information � Rationalisation of Formats ◦ Detailed discussions with Programme Divisions ◦ Several Iterations ◦ Final Formats sent to States in September, 2008

Journey in the last 2 years. . . (3) Information Technology interventions Software vendor selected through tendering process � Data Warehousing Solution to be implemented � Web-based application developed in April, 2008 � ◦ Launch delayed due to rationalisation of formats Data Centre: Blade Servers procured and installed at NIC, Delhi � Disaster Recovery: Servers installed at NIC, Hyderabad � Dedicated Web-site for HMIS � http: //nrhm-mis. nic. in � All State Prl Secy (HFW) and MD (NRHM) given dedicated emails

Key Features of HMIS project � Web-based ◦ ◦ Data capturing system Entry at District level to begin with Includes District Level FMRs Facility based performance to be entered Automatic aggregation � Key indicators to be generated for local level use � Intelligent analysis for use at all levels � Standard and Custom Reports ◦ National, State and District Fact Sheets � Integration of health related information across programmes

Highlights of Web Based HMIS

Introduction • • • Formats Reports Data Warehouse Validation through IT, Triangulation etc Training Hardware and Software

MIES Reporting Formats HMIS Formats has three components: • Monthly • Quarterly • Annual

Monthly Format- HMIS

Quarterly Format- HMIS

Annual Format- HMIS

Online Data Entry User Credentials Modules Forms are divided in section Previous Period Data Current Period Entry

Introduction �Formats �Reports �Data Warehouse �Validation through IT, Triangulation etc �Training �Hardware and Software

Analysis / Reports

Reports

Introduction • • • Formats Reports Data Warehouse Validation through IT, Triangulation etc Training Hardware and Software

Triangulation Monitoring/ Performance data Concurrent Evaluation Triangulation Survey Data/ Evaluation studies Community Monitoring 28

Reports / Analysis

Introduction • • • Formats Reports Data Warehouse Validation through IT, Triangulation etc Training Hardware and Software

Training • Training of trainers • Training of data providers at the peripheral levels on how to fill forms • Training of computer operators on the use of the software & hardware • Training of staff at different levels on data utilization

Training (Detailed Plan) Type of Training for Data Providers Training for Data Users Training for Computer Operators Training of Trainers Training Material Contents • Data Dictionary • Manual for Data Providers (separate Manual for each level) List of • Indicators • Formulas • Definitions • Data sources Instructions on how to fill out forms Manual for Data • Data analysis Users • Interpretation (separate Manual for • Utilization each level) Computer Software Detailed instructions (with examples) on User’s Manual how to use the software; troubleshooting Trainer’s Manual Instructions on • How to implement the training programme for data providers and data users • Teaching strategies • Guidelines on the use of the Manual for

Introduction • • • Formats Reports Data Warehouse Validation through IT, Triangulation etc Training Hardware and Software

Hardware & Software • Minimum P-III with 64 MB Ram, 10 GB Hard Disk • Windows 98 and above • NIC Terminal (IDSP etc) Or Internet Connection (Broadband, Cable, Dial-up etc) • Web Browser (Internet Explorer etc. ) • MS Office (For further analysis) …. . Will to Capture and send data Analyze and Use data Send feedback down to data source/aggregation point

Next Steps � Web-based application ready � Awaiting security clearance from NIC � National Launch on 14 th October, 2008 � State Prl Secy & MDs to be sensitised at Puducherry � Hands-on-Training to State MIS officers on 2122 October, 2008 � Regional Workshops in States for District MIS officers

Thank You!