Health Information Management & Financing – 19-the-district-health-information-system
Read the complete lesson in an organized slide-by-slide format. This topic contains 17 learning sections from the source presentation.
LESSON CONTENTS — 17 SECTIONS
The District Health Information System
Health systems Framework
Role and rationale for District Health Information
Complexity and dynamic of health services
Components of DHIS
Current & proposed information systems practices
Conclusion
Session 2: The DHIS
Role of District Health Information-I
Pivotal role well functioning & efficient information system is
Tracking the performance of Health system
Effective management of health services
Restructuring and aligning of health services within the Health system locally and globally
Allows continuous Review and assessment of Health for All as was stated by Alma Ata, 1978
Session 3: Identification of Health Needs
Emphasize the need to explore aspects of both coverage and quality of health care in order to develop a comprehensive district profile Explain how DHIS examines health (who gets sick) & service what services exist) issues
Explore concepts of coverage & quality – brainstorm examples of each (MCWH)
Coverage – who gets sick (Health indicators –)
Quality – what services exist (Service indicators — )
Reinforce – health managers need information on both if they plan to impact on health status
Reinforce importance of good & accurate information for planning resource allocation & programme prioritisation
Role of District Health Information-II
Supports decision making and resource allocation
Informs program designs and needed reforms
Supports feeding information to the users
at community, health facility, district and national level
Session 2: The DHIS
Review the definition of Health Information Systems (HIS)
Reinforce that a number of terms are commonly used
These terms emphasize different aspects of HIS
Health & Management Information Systems
District Health Information Systems
Session 3
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Complexity of Health Service
Session 2: The DHIS
Explore how a DHIS examines both health & service issues
Illustrate with appropriate examples of the components of a DHIS
Emphasize that a DHIS must be population focussed
What is Information system
A system that provides information that supports decision making process at each level of an organization
Integrates data collection, processing, reporting and use for improving health service effectiveness and efficiency
(WHO, 2004)
Session 2: The DHIS
Review the aim of a DHIS
Emphasize the link between health policy and service delivery, thus translation to practice
Most managers and clinicians are concerned with delivery of services
Accountable and efficient service delivery is only possible with effective management
Management requires access to and use of information, thus information is central to all service delivery and management
District health system
PROVINCIAL
DISTRICT
SUB-DISTRICT
FACILITY
7
Session 2: The DHIS
District Health Information System -DHIS
Process of handling data (collect, process, present, interpret & use)
On health issues (status, activities, services – supplies, finance, administration, staff)
For purposes of
monitoring performance (targets reached)
rationalising decision making
planning (priority setting, resource allocation, target setting)
implementation (coordinate, supervise, train, supply, follow-up, monitor)
In order to improve coverage & quality of health services
Session 2: The DHIS
Components of a DHIS
Epidemiological surveillance
monitor common disease patterns (TB, notifiable diseases, STI, HIV/AIDS)
Service reports
monitor utilisation & human resource patterns (headcount, personnel)
Special programmes
monitor coverage & quality of service delivery (maternal health, child health, nutrition)
Administration & finance
monitoring & control (staff working days, training, drugs, supplies)
Population
knowing population numbers & distribution (census, surveys, environment, risk, etc)
Software
Aim of a DHIS
Health information systems provide the mechanisms needed to monitor the translation of health policy into practice – this cascades down from national through provincial, district and facility levels
The DHIS enables districts to assess whether the goals, objectives, indicators and targets, based on both strategic and operational plans are being achieved
Information is central to all service delivery and management
The Primary Health Care Approach Accessible – Appropriate – Acceptable – Affordable
Principles
Focus on prevention
Appropriate technology
Community involvement in health
Inter-sectoral collaboration
Equity
Responsiveness
Elements
Nutrition
Water & sanitation
MCWH
Essential drug use
Treatment of local common conditions
communicable diseases
Housing, education, environment etc
COLLECTION OF DATA
Indicator based essential dataset
Data elements-standard definitions
Data sources & tools defined Data capture streamlined
PROCESSING THE DATA
Collation
Data quality checks (manual)
Data validation (computer)
ANALYSING THE DATA
Indicators
PRESENTING THE DATA
Flow of information
Format of tables, graphs & reports
Feedback mechanisms
INTERPRETING THE DATA
Making sense of information
Possible interpretation
USING THE INFORMATION
Regular review of data
Relate to operational plans
Monitor service coverage & quality
Data flow
Feed back
High speed Connectivity
Information, M&E, Research, Data management etc!
Case based surveillance: Patient level data (Medical Records Plus referral)
Management Dashboards/ Routine Data (Policy & Decision makers)
FS DoH Senior Management
Management Reports
Graphical User Interface (Flexible & User friendly)
Front End view
Back end View
HTTP
Data ware house infrastructure
/ Automated back ups
Central Database/ SQL/Cloud computing
Web-based application architecture /Content Management system
DHIS dbase
PADS (PAADS)
Tier.NET
ETR.Net
MEDITECH
Pharmacy &Other dbase systems
Data capturer
Paper based systems/ & referral
Data security
Access security
User defined queries
Access security: Login
Aspired Information System
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HOME AFFAIRS DATABSE
NDoH
CENTRAL
DATA
Repository
Expected Benefits
Improved healthcare provision in the province based on good quality data
Real-time healthcare data monitoring
Improved case based monitoring of patient through referral facilities and
Improved data/ resource sharing
Improved use of GIS information for planning, disease mapping & informs fiscal/monetary planning
Effective use of ICT infrastructure to support service delivery
Improved patient Information Management systems that enables effective patient care
This supports the FSDoH to move towards a case-based surveillance system
CONCLUSION
Essential component of Health care
Depends heavily on outside factors
Health Information system need to be responsive
Very complex
THANK YOU
Additional Study Notes
This section is separated from the source slides to make the lesson easier to revise.
Supplementary learning: For health information topics, follow the information cycle from data collection and recording to checking, compilation, analysis, interpretation, reporting, storage and use for decision-making. Data quality depends on completeness, accuracy, timeliness and consistency. Patient information must also be handled confidentially.
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