Health Management Information System HMIS Statistics DivisionHMIS MOHFW

Health Management Information System (HMIS) Statistics Division(HMIS) MOHFW

INTRODUCTION • is a web based management information system launched by MOHFW in 2008 with district level reporting • 2010 -11 onwards facility level reporting was initiated • Around 2, 000 health facilities across all districts of India are uploading data every month • Data analytical & reporting capabilities using SAS platform services • GIS module of HMIS is available in Public domain • HMIS provides ready to use National, State, District and sub-district reports (available in Public domain) • Platform for evaluating the PIP on the basis of services rendered by health facilities https: //nrhm-mis. nic. in

OBJECTIVES OF HMIS § To Monitor the performance & quality of health care services under the National Health Mission § A tool for evidence based health planning § Repository of information on health care indicators and trends § Used for testing the effectiveness, efficiency and coverage of health programs and schemes § To improve availability and access of health care to the population § Developing and monitoring performance based health indicators

HMIS: Formats Annual (Infrastructure) Monthly Quarterly • DH • SDH • CHC • PHC • SC • District HQ • DH • SDH • CHC • PHC • SC • State • District (Service delivery) (Trainings)

Flow of Data in case of Facility Level Reporting (Case-I) SDH Health Worker DH DHQ CHC Enters DHQ and compiles the data to form DC PHC Health Worker Data Entry Operator at Block SC Enters Data for each facility HMIS Portal

Flow of Data in case of Facility Level Reporting (Case-II) DH SDH Enters Data Enters DHQ data and compiles the data to form DC Enters Data Health Worker CHC HMIS Portal Enters Data Health Worker PHC Health Worker SC DHQ

CURRENT COVERAGE OF HMIS Facility Type /No*. Sub. Centre Primary Health Centre Communi ty Health Centre Sub. District Hospital Total 160894 30802 11762 2276 1200 206934 Public 160814 30354 5631 1350 1008 199157 Private 80 448 6131 926 192 7777 Rural 157413 24963 7195 1072 1197 191840 Urban 3481 5839 4567 1207 0 15094 * Equivalent facilities as mapped in HMIS

DATA QUALITY DIMENSIONS & HMIS Technical Checks and Dimensions in built in the HMIS System Data Quality Dimensions a. Relevan ce Cohere nce Comparabili ty Accessibility & Clarity Accurac y All Facility Types have a. Separate Formats b. Variable content c. Data items to suit their categories b. Completeness mainly focus - Under Coverage, Over coverage, Redundancy, Missing values- Data status report and % filling report Timeliness & c. Punctuality Accuracy/correctness through validation rules Completeness d. Consistency of data reporting though comparability with previous month data e. The timeliness- Each facility is supposed to enter the data by 5 th of month for the previous month in case of monthly MIS data and by 30 th April in case of Annual Infrastructure data.

HMIS Reports • • Analytical reports Standard reports CHC Grading PHC Grading Scorecard & Dashboard Factsheet: State & District • Facility monitoring reports: Range wise & Min-Max • Drill Down report • Data item reports • Key indicator reports • RCH performance reports • Data Quality reports ( validation & outlier report) • Data comparison reports (& others) Live reports • • Data reporting Status Data item reports Master’s reports Log reports (& others)

Uses of HMIS Data Ø HMIS data is widely used by States in preparing Program Implementation Plans (PIPs) under NHM. Ø Indicators from HMIS (like Institutional Deliveries, C -Section deliveries, Immunization, IPD, OPD, Surgeries, etc. ) are used to evaluate the States’ performance during National Programme Coordination Committee (NPCC) meetings Ø Facility wise data of PHCs is used for grading the facilities (Grading of PHCs). This grading is also a conditionality incentivisation/decentivisation of funds under NHM Ø Further, CHC Grading & DH Ranking is also being done for

HMIS- Strengths & Constraints Strengths ü Data Flow ü Usability ü Well conversant ü Over the 10 years major ü ü improvements Rationalization of formats Easy to use & upload data (offline as well) Acceptance Facility Level Data Entry Constraints × No API × Daily Reporting not available × No Automation of Analytical reports(Grading/Score Cards/Factsheets) × Dashboard not available × Outdated Software and Hardware Technology Envisioned Requirements for HMIS Revamping Further strengthening the current HMIS System which should include our strengths by overcoming constraints

WAY FORWARD • New HMIS is being developed with technical support from WHO • Real time data entry features • It will have APIs to ensure direct linkages of HMIS portal with Programme –specific information systems at state and national level • Standard DASHBAORD for real-time monitoring • Alerts • Analytics

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