HMIS ADHS HQ Mumbai Important Softwares Subject HMIS
HMIS ADHS, HQ, Mumbai
Important Softwares Subject HMIS Software DHIS 2 - State Specific HMIS Portal – GOI MCTS – GOI Drug Inventory E-Aushadhi – State Specific
DHIS 2 • • HMIS Software State Specific – All Programmes Designed as per Bureau requirement Data Entry for all Institutions (SC/PHC/Hospitals/Other) Reports • GOI Reports for uploading • All types of reports & Programme Specific reports HMIS National Portal Same Facility Master for both Software • GOI FBR – Mandatory • Only report uploading (facility reports generated from DHIS 2) • GOI Evaluation as per National Portal Data
FBR SC Manual Report 1 st of every month PHC 3 -5 th of every month Hospitals/Corp. / Dist. level reports 3 -5 th of every month • • State Software GOI & State Requirement Users -Facility/Dist/Circle/Bureaus Data entry Sets & Reports DHIS 2 Online/Offline Data Entry SC & PHC Online Data Entry Hospitals/Corp/Mcl District level data entry DMO/NPCB
DHIS 2 Facility Level Data entry Complete Validation Check & Report Correction State Specific reports can also be downloaded Downloading Report for GOI Portal & Save
GOI Portal Block Level Block Reporting Status Data Quality Check Validation Errors, Outliers & Critical Data Block Forwarding Facility wise reports
GOI Portal District Stock Entry Dist. Reporting Status Data Quality Check Validation Errors, Outliers & Critical Data District Level District Forwarding (i. e. District Final) District Compilation
Validation Committee Meetings - District / Block / PHC /SC level Sr. No. District Sub-centres PHC Taluka District Total Inst. No. Held % 1 Thane 491 391 80 78 78 100 13 13 100 1 1 100 2 Raigad 288 287 100 52 52 100 15 15 100 1 1 100 3 Ratnagiri 378 100 67 67 100 9 9 100 1 1 100 1157 1056 91 197 100 37 37 100 3 3 100 Thane circle 4 Nashik 577 568 98 103 100 15 15 1000 1 1 100 5 Dhule 232 231 100 41 40 98 4 4 100 1 1 100 6 Nandurbar 290 100 58 58 100 6 6 100 1 1 100 7 Jalgaon 442 431 98 77 77 100 15 15 100 1 1 100 8 A'nagar 555 554 100 96 96 100 14 14 100 1 1 100 2096 2074 99 375 374 100 54 54 100 5 5 100 Nashik circle 9 Pune 539 512 95 96 96 100 13 13 100 1 1 100 10 Solapur 427 100 77 77 100 11 11 100 1 1 100 Pune circle 966 939 97 173 100 24 24 100 2 2 100
Sr. No. District Sub-centres PHC Total No. Inst. Held % Total No. Inst. Held 11 Satara 400 388 97 71 12 Kolhapur 13 Sangli 413 320 405 311 98 97 14 Sindhudurg 248 236 Kolhapur circle 1381 1340 Taluka District % Total Inst. No. Held % 69 97 11 9 82 1 1 100 73 59 68 58 93 98 12 10 100 1 1 100 95 38 38 100 8 8 100 1 1 100 97 241 233 97 41 39 95 4 4 100 15 Aurangabad 279 100 50 50 100 9 9 100 1 1 100 16 Jalna 213 100 40 40 100 8 8 100 1 1 100 17 Parbhani 214 207 97 31 31 100 9 9 100 1 1 100 18 Hingoli Aurangabad circle 19 Latur 132 100 24 24 100 5 5 100 1 1 100 838 831 100 145 100 31 31 100 4 4 100 252 100 46 46 100 10 10 100 1 1 100 20 Osmanabad 206 202 98 42 42 100 8 8 100 1 1 100 21 Beed 280 257 92 50 50 100 11 11 100 1 1 100 22 Nanded 377 371 98 65 65 100 16 16 100 1 1 100 1115 1082 97 203 100 45 45 100 4 4 100 Latur circle
Sub-centres Sr. No. PHC Taluka District Total No. Inst. Held 23 Akola 24 Washim 25 Amravati 26 Yavatmal 27 Buldhana Akola circle 28 Nagpur 29 Wardha 30 Bhandara 31 Gondia 178 174 153 144 332 435 431 280 270 1378 1351 316 181 175 193 238 98 30 94 25 100 56 99 63 96 52 98 226 100 49 97 27 100 33 100 39 30 25 56 61 52 224 49 27 33 39 100 100 97 100 99 100 100 7 6 14 16 13 56 13 8 7 8 100 100 100 1 1 1 1 1 5 1 1 1 1 100 100 100 32 Chandrapur 339 100 58 58 100 15 15 100 1 1 100 33 Gadchiroli 376 352 94 45 45 100 12 12 100 1 1 100 Nagpur circle 1643 1613 98 251 100 63 63 100 6 6 100 State Total 10580 10286 97 1811 1800 99 353 349 99 33 33 100 % Total No. Inst. Held %
Validation Committee Meetings - Hospitals Sr. No RH District SDH WH DH/CS Total Inst. No. Held % 1 1 100 3 3 100 1 Thane 14 10 71 5 4 80 2 Raigad 10 10 100 3 3 100 1 1 100 3 Ratnagiri 8 8 100 3 3 100 1 1 100 Thane circle 32 28 88 11 10 91 5 5 100 1 1 100 4 Nashik 23 23 100 4 4 100 5 Dhule 5 5 100 2 2 100 6 Nandurbar 11 11 100 2 2 100 1 1 100 7 Jalgaon 17 15 88 3 3 100 1 1 100 8 A'nagar 23 22 96 2 2 100 1 1 100 Nashik circle 79 76 96 13 13 100 4 4 100 1 1 100 9 Pune 20 20 100 4 4 100 10 Solapur 13 13 100 3 3 100 Pune circle 33 33 100 7 7 100
Sr. No. RH District 11 Satara 12 Kolhapur 13 Sangli SDH Total No. % Inst. Held 15 13 87 2 2 16 16 100 4 4 13 13 100 2 2 WH 100 100 Total Inst. 1 1 1 No. Held 1 100 100 % Total Inst. No. Held DH/CS % % 14 Sindhudurg 7 7 100 3 3 100 1 1 100 Kolhapur circle 51 49 96 11 11 100 4 4 100 15 Aurangabad 10 10 100 3 3 100 1 1 100 16 Jalna 17 Parbhani 18 Hingoli Aurangabad circle 19 Latur 8 6 3 100 100 1 2 1 100 100 1 1 1 100 100 27 27 100 7 7 100 2 2 100 4 4 100 10 10 100 2 2 100 1 1 100 20 Osmanabad 7 7 100 3 3 100 1 1 100 21 Beed 22 Nanded 10 12 100 2 4 100 100 1 1 1 1 100 39 39 100 11 11 100 4 4 100 Latur circle
RH Sr. No. SDH WH DH/CS District Total No. Inst. Held % Total No. Inst. Held 1 1 % 23 Akola 5 5 100 24 Washim 7 7 100 25 Amravati 26 Yavatmal 27 Buldhana Akola circle 28 Nagpur 29 Wardha 30 Bhandara 31 Gondia 9 13 12 46 9 6 7 9 9 13 10 44 4 3 2 10 2 2 2 1 4 3 2 10 5 7 9 100 83 96 0 83 100 2 2 1 100 100 100 32 Chandrapur 11 11 100 2 2 33 Gadchiroli 9 9 100 3 Nagpur circle 51 41 80 State Total 358 337 94 Total No. Inst. Held 1 1 % 100 Total No. Inst. Held % 1 1 100 1 1 1 5 1 1 1 100 100 100 1 1 100 3 100 1 1 100 12 10 83 2 1 50 6 5 83 82 79 96 11 10 96 33 32 97 1 1 100 2 100 0 1 1 100
2014 -2015 April 2014 Facility Based Reporting Defaulter Facilities
(21/05/2014)
HMIS National Portal 2013 -2014
Year wise Comparison Data Elements Showing Increase Total number of pregnant women Registered for ANC 2013 -14 2012 -13 2, 177, 106 2, 159, 123 % 0. 83 % 1 st Trimester registration to Total ANC Registrations 60. 9 59. 9 1. 0 % Pregnant Woman received 3 ANC check ups to Total ANC Registrations 80. 5 74. 1 8. 6 % Pregnant women given 100 IFA to Total ANC Registration 75. 8 58. 8 17. 0 % SBA attended home deliveries to Total Reported Home Deliveries 75. 5 58. 8 28. 4 37. 7 35. 3 2. 4 14. 9 14. 8 0. 7 16. 5 16 0. 5 9. 3 6. 7 2. 6 14. 6 12 2. 6 14. 5 13. 8 0. 7 42. 4 39. 2 3. 2 115. 5 103. 6 11. 9 % Women discharged in less than 48 hours of delivery to Total Reported Deliveries at public institutions % C-section deliveries (Public + Pvt. ) to reported institutional (Public + Pvt. ) deliveries % Newborns having weight less than 2. 5 kg to Newborns weighed at birth % cases of Pregnant women with Obstetric Complications and attended to reported deliveries % Complicated Pregnancies treated with IV antihypertensive/Magsulph injection to Total Women with Obstetric Complications attended % Post Partum Sterlisations to Total Female Sterilisations % IUCD insertions in public plus private institutions to all family planning methods ( IUCD plus permanent) % Infants 0 to 11 months old who received Measles vaccine to reported live births
Year wise Comparison Data Elements Showing Decrease % Pregnant women received TT 2 or Booster to Total ANC Registration % Pregnant women having severe anaemia (Hb<7) treated at institution to women having hb level<11 2013 -14 2012 -13 % 80 83 -3 2. 6 5. 6 -3. 0 71. 9 81. 9 -10. 0 11. 2 13. 3 -2. 1 60 61. 8 -1. 8 26. 6 33. 2 -6. 6 % Newborns weighed at birth to live birth 94. 2 97. 2 -3. 0 % Newborns breast fed within 1 hour of birth to Total live birth 87. 1 91. 3 -4. 2 % newborns visited within 24 hrs of home delivery to total reported home deliveries 64. 3 73. 9 -9. 6 % Male Sterlisation (Vasectomies) to Total sterilisation 3. 3 3. 4 -0. 1 % AYUSH services provided to Total Patient Services ( Ayush, Dental, Adolscent Counselling) 76. 9 85. 1 -8. 2 % Institutional Deliveries to total ANC registration % C-sections conducted at public facilities to Deliveries conducted at public facilities % Women receiving post partum check-up within 48 hours of delivery to Total Reported Deliveries % Women getting Post Partum Checkup between 48 hours and 14 days to Total Deliveries
Total Number of Pregnant Women Registered for ANC 4 15 15 Decrease compared to last year Increase 0 -10% compared to last year Increase more than 10% Compared to last year Districts Indicating Increase Aurangabad 26. 27 Pune 21. 92 Bhandara 18. 79 Chandrapur 11. 88 Districts Indicating Decrease Nashik Ratnagiri Amravati Brihan Mumbai Raigad -9. 93 -10. 65 -12. 80 -17. 70 -19. 64
Total Number of Pregnant Women Registered for ANC
% Newborns having weight less than 2. 5 kg to Newborns weighed at birth
% Institutional Deliveries to total ANC registration 30, 4 30 18, 3 12, 4 13, 9 10 -10 4, 3 2 1, 59999999 1, 2 2, 90000001 -1, 2 -1, 3 -0, 600000009 -1, 7 -0, 700000003 -2, 80000001 -3, 5 -5, 49999999 -8, 5 -7, 5 -10, 3 -11, 2 -12, 2 -14, 1 -13, 2 -16, 1 -16, 9 -22, 4 -20, 5 -21, 9 -23, 7 -10 -33, 5 -33, 6 -70 -47, 5 -61, 3 _Maharashtra Satara Nanded Jalgaon Osmanabad Bid Yavatmal Washim Latur Parbhani Aurangabad Pune Buldana Jalna Ahmednagar Bhandara Wardha Nashik Gadchiroli Solapur Chandrapur Nagpur Dhule Ratnagiri Mumbai Hingoli Thane Gondiya Sindhudurg Sangli Kolhapur Raigarh Nandurbar Amravati Akola -50 Facility Based reporting Verification
FP Quality Indicator (Critical Data - GOI) – Deaths following Sterilization Operations
AEFI - Abscess Reporting Error (Critical Data - GOI)
AEFI – Deaths (Critical Data - GOI)
(Critical Data - GOI) Childhood Diseases 40 35 34 Diphtheria 28 30 Pertussis 25 22 23 18 20 15 0 al tm va Ya W ar dh pu r a 0 la ln a 0 Ja n lg ao li hi ro 4 3 0 dc M um ba d ba ga an Au r 2 Ja 2 1 Ga 2 i 3 a 0 0 Ak ol 5 6 So 10
S. N. Outlier Death Causes not 1 known 2 AEFI abcess 3 Outliers - 2013 -2014 Month State May 340 August No. of wet mount tests September conducted 4 Diphtheria September No. of mothers paid JSY 5 incentive for Home November deliveries Gynecology 6 November Hysterectomy surgeries 7 NSV At Private facilities December Defaulter district Washim-237 2830 Nashik - 2789 1209 Pune-276, Mumbai- 459, Hingoli-387 67 4367 Gadchiroli-33, Yavatmal-28 Amravati-194, Dhule-199, Nandurbar 479, Nashik-444, Thane- 2331 4374 Bid- 3633, Parbhani-194 225 Buldhana-88, Yavatmal-46 8 Vit A Dose 5 February 310, 391 Ahmednagar-25314 9 Vit A Dose 9 February 314, 784 Ahmednagar-24744 10 Measles February 1163 Hingoli-520
S. N. Outlier No. of children 11 provided free glasses 12 13 14 15 HIV tests Female Non ANC Positive HIV tests Female ANC Positive No. of MTPs conducted at Public Insti. upto 12 weeks of pregnancy No. of complications foll. sterilization MALE No. of complications foll. sterilization FEMALE Outliers - 2013 -2014 Month State February 7001 February 2746 Bid-1661, Thane-589 February 2714 Bid-1923, Jalgaon-129, Yavatmal-121 March Defaulter district Amravati-257, Aurangabad-269, Bhandar 321, Bid-456, Gadchiroli-539, Gondiya-560, Thane-1238, Washim- 1260 Ahmednagar-157, Mumbai-2866, 6751 Klhapur-201, Nagpur- 137, Nashik-273, Pune- 609, Sindhudurg-180 March 10 Jalgaon-8 March 35 Jalgaon-16, Yavatmal-11 17 Tetanus others March 8 Raigad-7 18 Measles March 16 19 In-Patient Head Count at midnight March 1138 Raigad-105, Nandd-80, Jalna-295, 557, 985 Amravati-77310, Bhandara-20665, Mumbai-88278
FBR Performance March 2013 (Reporting - 100%)
IPD - Public Facilities – March 14 DH SDH CHC PHC No of Facilities 61 82 380 1811 Facilities with NIL Performance 10 0 27 252 Overall Average 1426 544 387 52 Maximum 5380 2123 1358 4359 Minimum 162 133 2 1 Facilities Below Average 18 53 321 1113 (9 Cor+1 WH Osm)
IMR & MMR Analysis DHIS 2 and GOI HMIS Portal Indicators Maharashtra DHIS GOI Portal Std. Surveys India Still Birth Rate (Comparison) 14. 83 - - Still Birth Rate (Actual) 14. 58 14. 61 - - 87 178 (SRS 2010 -12) 25 42 (SRS 2013) Maternal Mortality Ratio Infant Mortality Rate 106 16. 93 75. 8 6. 1
Observations – MMR & IMR • Objective – To study the trend in Portal data • Steep decline from April 2013 to Feb 2014. • Sharpest decline – Oct. 13 onwards • Coincides with shifting to FBR in the State • Decline due to low FBR line listing deaths • GOI indicated lower Mortality Reporting
90 80 70 60 50 40 0 Wardha Gondia Hingoli Chandrapur Raigad Akola Satara Sindhudurg Solapur Nagpur Nandurbar Bhandara Dhule Ahmednagar Ratnagiri Washim Gadchiroli Nashik Osmanabad Kolhapur Amravati Beed Jalgaon Sangli Pune Nanded Yavatmal Buldhana Latur Parbhani Aurangabad Thane Jalna Mumbai Line Listing Deaths Reporting % - March 14. More than 50% Wardha Gondia Hingoli Chandrapur Raigad Akola Satara Sindhudurg Solapur 83 81 71 71 69 64 61 61 50 Less than 20% Yavatmal Buldhana Latur Parbhani Aurangabad Thane Jalna Mumbai 19 18 16 15 12 10 7 0 30 20 10
What is to be achieved ? • Strengthening HMIS at all level • Supervision by MO/THO/RCHO/Dist. & Circle level officials • Data Quality improvement • Timely monitoring / correction of Critical Data elements • Finalization of facility / block / district reports in the same reporting month • Emphasis on GOI HMIS Portal data for analysis
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