Reporting Status HMIS portal Reporting status of Health

Reporting Status - HMIS portal

Reporting status of Health facilities in 2011 -12 : Only half of the facilities are reporting

Health Facility Reporting Status 2011 -12 Apr-11 % % Facilities reporting Sep-11 Facilities reporting Aug-11 Facilities reporting Jul-11 Facilities reporting Jun-11 Facilities reporting District Total Facility May-11 % BPR 49 47 96 48 98 45 92 48 98 CDL 38 31 82 29 76 30 79 29 76 CCP 96 71 74 65 68 58 60 74 77 76 79 SPT 96 90 94 91 95 88 92 85 89 88 92 UKL 58 49 85 50 86 46 79 48 83 43 74 51 88 TML 45 35 78 36 80 35 78 30 67 26 58 IE 97 62 64 66 68 60 62 86 89 87 90 IW 91 82 90 83 91 82 90 TBL 104 85 82 81 78 85 82 84 81 83 80 Manipur 674 552 82 547 81 532 79 571 85 564 84 570 85

Health Facility Reporting Status 2011 -12 48 98 38 28 74 6 16 13 34 13 CCP 96 72 75 55 57 62 65 SPT 96 89 93 86 90 88 UKL 58 36 62 44 76 TML 45 29 64 31 IE 97 77 79 IW 91 82 TBL 104 Manipur 674 Total Facility BPR 49 CDL Mar-12 % Facilities reporting % District Feb-12 Facilities reporting % Jan-12 Facilities reporting % Dec-11 Facilities reporting % Nov-11 Facilities reporting Oct-11 % 48 98 34 18 47 29 76 65 68 92 88 92 87 91 47 81 37 64 29 50 45 78 69 30 67 22 49 25 56 35 78 68 70 67 69 61 63 62 64 64 66 90 83 91 82 90 83 91 81 89 83 80 85 82 82 79 83 80 544 81 504 75 521 77 501 74 500 74 537 80

Data Quality Checks - HMIS portal

Data errors in monthly HMIS report 2011 -12 : District-wise Analysis BPR CDL CCP IE IW SPT TML TBL UKL MNP

Number of Data Errors Financial Year: 2011 -2012 State: Manipur Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12 Mar-12 DISTRICT Total Error BPR 1 2 3 2 1 21 CDL 1 1 1 2 1 1 1 1 13 CCP 0 2 1 3 3 3 4 3 2 2 28 IE 4 2 4 1 4 2 1 4 3 3 3 4 35 IW 0 0 0 0 SPT 6 3 3 3 2 1 1 4 4 3 36 TML 1 1 3 1 2 1 1 15 TBL 1 1 1 1 1 2 1 1 13 2 2 2 1 1 3 2 24 16 14 17 15 18 14 14 13 14 19 16 15 185 UKL Manipur

Reporting pendency - HMIS portal

Stages of Data reporting in HMIS portal Centre State Forward District Draft Block Forward Block Draft 9

Status of Reporting - HMIS portal (2011 -12) District BPR CDL CCP IE IW SPT TML TBL UKL Annual report level 4 level 4 level 4 Quarterly report Qtr-1 Qtr-2 Qtr-3 Qtr-4 level 4 level 1 level 4 level 4 level 2 level 4 level 1 level 4 level 4 level 4 Data committed by state Data committed by District Data uploaded but not committed by District Data not uploaded Level 4 Level 3 Level 2 Level 1

Data Completeness - HMIS portal

Filled % Zero % Sep-11 Zero % Aug-11 Filled % Jul-11 Zero % Jun-11 Filled % May-11 Zero % Apr-11 Filled % Tot. Data Items District Percentage of data filled BPR 230 82 52 83 48 87 53 82 51 82 52 83 48 CDL 230 80 59 79 58 76 56 77 57 77 54 CCP 230 84 45 84 44 85 43 88 47 IE 230 87 58 86 52 85 52 84 50 83 54 88 56 IW 230 86 45 84 47 83 46 85 45 88 47 86 48 SPT 230 84 47 83 45 77 43 75 47 76 50 75 51 TML 230 82 52 79 53 80 53 82 51 81 53 80 52 TBL 230 88 54 86 49 88 54 87 51 89 50 90 50 UKL 230 92 53 91 55 87 50 87 49 93 46 93 51 Manipur 85 52 84 51 84 50 82 49 85 50 85 51

Filled % Zero % Mar-12 Zero % Feb-12 Filled % Jan-12 Zero % Dec-11 Filled % Nov-11 Zero % Oct-11 Filled % Tot. Data Items District Percentage of data filled BPR 230 84 54 86 50 85 54 85 52 86 53 84 55 CDL 230 80 57 81 55 79 58 80 56 80 54 80 57 CCP 230 85 47 85 45 88 50 87 48 86 47 87 47 IE 230 88 51 89 52 89 50 88 53 90 55 87 53 IW 230 84 46 86 48 87 49 85 48 86 47 86 48 SPT 230 78 44 79 45 76 51 76 47 77 43 76 43 TML 230 78 52 78 50 79 51 78 56 80 54 78 54 TBL 230 90 50 90 52 90 49 90 54 90 52 UKL 230 87 58 87 62 84 55 91 52 90 57 91 53 Manipur 84 51 87 51 85 50 86 51 85 51

Data quality issues in HMIS report 2011 -12 1. Under-reporting or no reporting for anemia during pregnancy Hb. Level for ANC Hb level<11 (tested cases) Severe anaemia (Hb<7) BPR CDL CCP IE IW SPT TML TBL 1110 2 429 548 1421 337 34 30 0 10 1 0 55 13 UKL Total 1158 392 5431 5 17 131 2. Measles 2 nd dose reporting is very low in many district BPR CDL CCP Measles 2 nd dose ( No. of children more than 16 months of age ) 9 2 3 IE IW SPT TML TBL UKL Total 29430 0 5378 13 11399 34 46268 3. Low value reporting for birth dose vaccinations BPR CDL CCP IE IW SPT TML TBL UKL Total Live birth reported 1321 1702 4492 3048 16583 4547 933 2088 1462 36176 OPV 0 (Birth Dose) 888 228 123 3342 823 Hep-B 0 (Birth Dose) 10 147 24 6 0 799 381 7 204 410 338 7332 8 0 406

Data quality issues in HMIS report 2011 -12 4. Non - reporting in JE vaccination – a serious concern for Mo. HFW Japanese Encephalitis (JE) vaccination (>16 months) BPR CDL CCP 0 0 0 IE IW SPT TML TBL UKL Total 64 4 0 0 246 0 314 5. Diptheria reporting in Ukhrul district in 2011 -12 Childhood desease BPR CDL Diphtheria 0 0 CCP 0 IE 0 IW 0 SPT TML 0 0 TBL 0 UKL 3 6. Reported distribution of Cenchromen pills by districts (from where ? ? ) Family Planning BPR CDL CCP IE No. of Centchroman pills 76 79 63 232 given IW SPT TML TBL UKL Total 98 189 191 510 65 1503

Data quality issues in HMIS report 2011 -12 7. Discharge within 48 hrs after delivery is high for most district. Moreover, PP check-up within 48 hrs is very low in CCP & IE Total Inst. Delivery (Public + Private) % discharged under 48 hours of delivery % receiving PP check-up within 48 hrs after delivery BPR CDL CCP IE IW SPT TML TBL UKL Total 946 648 3730 2866 16222 1161 486 1194 748 28001 100 75 77 92 62 84 70 99 66 71 131 101 43 12 96 215 88 143 62 88 8. % of C-Section is high in Pvt. Institutions Normal % = 15 BPR CDL CCP IE % of C-section in Public Inst. % of C-section in Pvt. Inst. IW SPT TML TBL UKL Total 0 0 9 6 27 0 0 17 27 17 59 17 46 9. High Abortion rate in some districts Normal % = 10 % of abortion BPR CDL CCP 23 0 22 IE IW 8 40 SPT TML TBL UKL Total 6 2 13 1 16

Data quality issues in HMIS report 2011 -12 10. Under-reporting in line listing of deaths Infant & child deaths Maternal deaths Other deaths BPR CDL CCP IE 3 0 7 5 1 2 3 1 155 2 92 217 IW SPT TML TBL UKL Total 4 18 0 6 13 56 3 4 0 3 3 20 314 77 1 224 81 1163 11. Non-matching of JSY beneficiaries data (quarterly & monthly) 2011 -12 Type Monthly Home JSY Quarterly Monthly Inst. JSY Quarterly BPR CDL CCP IE IW SPT TML TBL UKL Total 112 87 1037 0 220 701 110 898 287 3452 104 238 949 350 220 840 110 850 1029 4690 1699 480 1053 2429 2526 815 213 2298 558 12071 1405 352 1596 2475 2526 824 213 1891 1201 12483 12. False reporting in monthly stock/inventory at district HQ District-wise Details

Data quality issues with HMIS report 2011 -12 14. False reporting of delivery cases in many SCs 15. The process of authentication of monthly reports submitted by health facilities needs to be strengthened at all level. This is lacking in many district. Consequence - validation errors & unrealistic figures in the final district consolidated report. 16. District & block data managers should compulsorily verify & check while uploading health facility reports. 17. Late reporting by districts & blocks hinders the process of data quality checks & timely feedbacks 18. Annual infrastructure report in the HMIS portal needs to be filled & uploaded in 2012 -13. Forms may be downloaded from the download section of the HMIS portal ( http: //nrhmmis. nic. in/Downloads_HMIS. aspx )

Timeliness in Reporting Timely Reporting Districts Late Reporting Districts 1 Bishnupur 1 Chandel 2 Imphal West 2 Senapati 3 Thoubal 3 Ukhrul 4 Churachandpur 4 Imphal East 5 Tamenglong