Health Management Information system in Nigeria Dr AA

Learning objectives • At the end of this lecture you should be able to:

Introduction • Effective and efficient planning, monitoring & evaluation of health services depends on

Definition of HIS • A mechanism for the collection, processing, analysis and transmission of

Historical development of the National Health Management Information System (NHMIS) • Since 1960 s

National HMIS • Operational in 1999 Problems – Data collection forms not accurately &

Focus of the 2004 review of the NHMIS • Review of the NHMIS policy

Focus of the 2004 review of the NHMIS 2 • Revision of routine NHMIS

Focus of the 2004 review of the NHMIS 3 • Community Health information incorporated

Goal of the NHMIS • The establishment of an effective NHMIS by all levels

Objectives of the NHMIS Provision of information: • To assess the health status of

Objectives of the NHMIS 2 • To monitor the progress towards stated goals &

Problems with the NHMIS • • • Finance Shortage of staff Shortage of materials

Revised NHMIS forms A. Routine Data collection summary forms 1. NHMS 000: Community based

Revised NHMIS forms 2 2. NHMIS summary forms 001 A & 001 B Health

Revised NHMIS forms 3 3. NHMIS summary form 001 Health facility based forms –

Revised NHMIS forms 4 4. NHMIS summary form 002 – Used by the LGAs

Slides: 18

Download presentation

Health Management Information system in Nigeria Dr AA Abubakar Department of Community Medicine Ahmadu Bello University Zaria Nigeria

Learning objectives • At the end of this lecture you should be able to: • Define Health Information system (HIS) • Describe the National HMIS in Nigeria

Introduction • Effective and efficient planning, monitoring & evaluation of health services depends on reliable data

Definition of HIS • A mechanism for the collection, processing, analysis and transmission of information required for organizing and operating health services and also for research & training

Historical development of the National Health Management Information System (NHMIS) • Since 1960 s – FMOH medical statistics system in place: Health manpower, Hospital activities, mortality & morbidity data, records of birth & deaths in hospitals used to be published annually or quarterly • 1988 – Reorganization of the civil service led to creation of the Department of Planning, Research & Statistics – Adoption of the first National Health Policy which called for establishment of a national health information system by all levels of government

National HMIS • Operational in 1999 Problems – Data collection forms not accurately & completely filled – Forms were complex & cumbersome • Reviewed in 2004 – Health Sector Reforms highlighted the inadequacies of the NHMIS – NHMIS needed to be repositioned to track the Millennium Development Goals (MDGs)

Focus of the 2004 review of the NHMIS • Review of the NHMIS policy • Agreement as regards to the role & functions of the Technical Working Group that would provide technical assistance to the NHMIS process • Assessment & review of health indicators & health data systems

Focus of the 2004 review of the NHMIS 2 • Revision of routine NHMIS forms, registers & manuals • Donor/Partners resource mobilization • Advocacy & sensitization at all levels of health care delivery • Training of stakeholders on NHMIS • Budgetary line & release of funds by all tiers of government for the NHMIS

Focus of the 2004 review of the NHMIS 3 • Community Health information incorporated into the health facility based Health Information system • PHC information system streamlined into the HMIS to give a unified system

Goal of the NHMIS • The establishment of an effective NHMIS by all levels of government in the Federation to be used as a management tool for informed decision making at all levels

Objectives of the NHMIS Provision of information: • To assess the health status of the population • To identify major health problems • To set priorities at LGA, state & national levels

Objectives of the NHMIS 2 • To monitor the progress towards stated goals & targets of health services • To provide information for decision makers, those who provided data & the general public

Problems with the NHMIS • • • Finance Shortage of staff Shortage of materials Inadequate coordination of data flow Complexity & overlap of data collection instruments • Lack of feedback to peripheral levels • Huge backlog of unprocessed data

Revised NHMIS forms A. Routine Data collection summary forms 1. NHMS 000: Community based summary forms • • used by community Village Health worker to summarize activities at monthly intervals sent to the health facility through the Community Health Extension worker (CHEW)

Revised NHMIS forms 2 2. NHMIS summary forms 001 A & 001 B Health facility community outreach forms – Used by the health facilities to summarize community outreach activities at monthly intervals – Aggregate transferred to health facility form 001

Revised NHMIS forms 3 3. NHMIS summary form 001 Health facility based forms – Used by health facility to summarize activities in the health facility at monthly intervals from a daily register – Sent to the LGA

Revised NHMIS forms 4 4. NHMIS summary form 002 – Used by the LGAs to summarize data from all health facilities in their area at quarterly intervals – Sent to the SMOH, HMIS unit 5. NHMIS summary form 003 – Used by the state to summarize data from all LGAs – Sent to the Federal NHMIS every 6 months

Questions ? ?

Related presentations