Skip to main content

PST05209 Health Information Management – Complete Full Notes

NTA Level 5 • Semester 2 • PST05209

Health Information Management – Complete Full Notes

Complete educational source text in one page
Completeness safeguard: this page keeps the complete educational module/source wording in one place so learning material is not lost when browsing topic by topic. Presenter/tutor metadata is intentionally excluded.

HMIS NOTES

B.Boy

Session 1: Organization of Health Related Data Using Computer

Packages

Learning Tasks

By the end of this session students are expected to be able to:

• Explain concepts of electronic data storage and arrangement
• Demonstrate electronic filing and application of security to electronic data
• Explain the methods of summarizing data

What is Data Storage

• Data storage

Data storage is the recording (storing) of information (data) in a storage medium.

Numerate four (4) storage media

i. Handwriting
ii. Phonographic recording
iii. Magnetic tape
iv. Optical discs

List four (4) electronic Data storage formats

i. Music
ii. Video
iii. Document
iv. Pictures

HMIS NOTES

B.Boy

List five (5) storage devices

i. CD
ii. DVD
iii. Internal Hard disk
iv. External Hard disk
v. Flash
vi. FDD
vii. Memory card

Numerate Three (3) common type’s data storage

i. Hard drive
ii. USB flash drive
iii. Memory card.

Explanation of each type of Storage

• Hard drive (HD)

o The term "hard drive" is actually short for "hard disk drive."

o The term "hard disk" refers to the actual disks inside the drive.

o The hard drive is a non-volatile memory hardware device that permanently stores and

retrieves data on a computer.

 Non-volatile memory is a term used to describe any memory or storage that is saved

regardless if the power to the computer is on or off.

 The best example of non-volatile memory and storage is a computer hard drive, flash

memory, and ROM.

HMIS NOTES

B.Boy

o A hard drive is a secondary storage device that consists of one or more platters to which

data is written using a magnetic head, all inside of an air-sealed casing.

o A typical hard drive is only slightly larger than a human hand and can hold over 100

GB of data.

• USB flash drive

o A USB flash drive is a device used for data storage that includes a flash memory and an

integrated Universal Serial Bus (USB) interface.

o Most USB flash drives are removable and rewritable.

o Physically, they are small, durable and reliable.

o The larger their storage space, the faster they tend to operate.

o USB flash drives are mechanically very robust because there are no moving parts.

o They derive the power to operate from the device to which they are connected (typically

a computer) via the USB port.

o A USB flash drive may also be known as a flash drive or USB drive.

• Memory card

o A memory card is a type of storage device that is used for storing media and data files.

o It provides a permanent and non-volatile medium to store data and files from the

attached device.

Define the Term Memory Card

Memory cards are commonly used in small, portable devices, such as cameras and phones.

List five (5) most popular forms of memory cards are:

i. Secure Digital (SD) card
ii. Compact Flash (CF) card
iii. Smart Media
iv. Memory Stick
v. Multi Media Card (MMC)

HMIS NOTES

B.Boy

In the healthcare system, data are store in the electronic systems, and these systems are

called electronic health records (EHR) and electronic medical records (EMR)

Define the following Terms

• Electronic Health Records

o An electronic health record (EHR) is a digital version of a patient’s paper chart.

o It contains a patient’s medical history, diagnoses, medications, treatment plans,

immunization dates, allergies, radiology images, and laboratory and test results in

electronic format.

o It is health information that is created and managed by authorized providers in a digital

format capable of being shared with other providers across more than one health care

organization.

• Electronic Medical Records

o Electronic medical records (EMRs) are a digital version of the paper charts in the clinician’s

office.

o EMR contain medical information used by clinicians mostly for diagnosis and treatment..

o An EMR contains the medical and treatment history of the patients in one practice.

o Information in EMRs cannot easily be shared out of the medical practice.

o The patient’s record can easily be printed out and shared with other members of the care

team.

HMIS NOTES

B.Boy

ELECTRONIC FILLING

Filling

A filing system is a plan or method of arranging documents in a prescribed order.

The purpose of filing documents is to enable a quick retrieval of complete information

Whenever it is required.

Requirements of a good filing system

o Simplicity-The filing method must be easy to understand and simple to operate.

o Easy access-Documents should be easily identified and located to enable speedy pulling and

filing.

o Security-Documents should be safely kept and well preserved.

o Tracer system-The whereabouts of documents removed from the storage must be known.

Methods of Filing in Medical Records

There are four common methods of filing patient records used in health facilities

o Alphabetical

o Chronological

o Geographical

o Numerical

HMIS NOTES

B.Boy

Explanation of each method

Alphabetical Filing System

• Alphabetical filing is a very commonly used method for filing in general.
• Examples of alphabetical filing system are, Abdallah, followed by Bakari, then Charles.

Chronological Filing System

Chronological filing means filing in time order.

• It is used in combination with another method.
• Letters for example are usually filed alphabetically according to name or subject and within

each group in date order. Example of chronological filing system is, those patients who are

expected to be admitted on 14th February 2010, Abdallah/14, Bakari/14, Charles/14. The 14 is

a filing position in filing waiting list.

• The waiting list is having filing position from 1 up to 31 according to dates.

Geographical Filing System

Geographical filing is based on geographical units like countries, regions, and town.

• Very often it is used in combination with other method.
• It is a satisfactory method for example in business companies where filing according to places

and customers is needed.

• Geographical filing is not suitable for filing medical records. • Like chronological filing this

method used in combination with other method of filing.

• It can be used for follow-up systems.
• Examples of geographical filing system are

HMIS NOTES

B.Boy

o Temeke district: 00-00-01/Temeke, 00-00-02/Temeke, 00-00-03/Temeke. (Filing is done in

shelves identified for Temeke district).

o Kinondoni district: 00-00-04/Kinondoni, 00-00-05/Kinondoni. (Filing is done in shelves

identified for Kinondoni district).

Numerical Filing System

Numerical and alphabetical filing systems are the most commonly used.

• Unlike the alphabetical method, numerical filing cannot work alone.
• If a number is not known there must be ways of finding it.
• Numerical filing must be supported by an alphabetical index.

Explanation on Numbering Filling

Numbering System in Patient Medical Records

• Health facilities register patients by giving them hospital numbers and file the patients’

medical records according to these numbers.

Types of Numbering Systems

• Serial numbering system

o In serial numbering the patient receives a new number each time he or she is admitted or

treated as a new out-patient case.

o This means that if a patient is admitted three times he or she gets three different numbers and

his medical records are filed in three different places.

• Unit numbering system

o This system is based on the principle that the patient (not the disease episode and a patient) is

the unit and that all notes on one individual patient are kept in one file.

• Annual numbering, monthly numbering

o When serial numbering is used the series of numbers should continue.

HMIS NOTES

B.Boy

o It is quite common in Tanzania to begin new series each year or even each month and to

distinguish the series by a letter and by the last two calendar year digits or the digits for month

and calendar year (Example: F 2345/78, M 6789/4/78).

Patient Records Filing Procedures

Filing Procedure for Patient Records

• Auditing of patient documents

o Critical checking, if there is missing documents from the clinics/departments

• Editing of patient documents

o Arrange documents in a systematically order, for example from registration sheet to

discharge summary Sorting of patients’ file

o Arrange files in a sequence order, from the smallest number to the largest one.

o It facilitates speed in filing

• Filing of patients’ file

o Insert files in the shelf according to the patient registration number or the alphabetic order of

their names

HMIS NOTES

B.Boy

THE TYPES OF FILING

• Paper based system
• Hybrid system
• Electronic record

Explain the types of Filling

o Paper based system

 Filing of all documents that should be part of the complete health records are added to

the discharge record, preferably prior to completion.

 As with the addition of any document to the record, care should be taken to verify the

resident name prior to inserting the document in the record.

o Hybrid system

 The facility policies and procedures should determine which parts of the record will be

paper based and which parts are stored in a data repository.

 This policy should also determine whether or not additional documents should be

added as paper based documents or scanned into the data repository.

 If documents are added to the electronic portion of the record after this has been

completed, these should be added as addendums.

o Electronic record

 The facility policies and procedures should allow for the capture of additional

material for the electronic record through a system of scanning to the file.

 If the record has been determined to be complete and additional paperwork is

discovered, these documents should be added as addendums.

 The electronic system should be able to separate the active from the inactive record

within the data base

HMIS NOTES

B.Boy

APPLICATION OF SECURITY TO DATA

Computer Security

Security is the protection of assets. It deals with the protection of unauthorized actions by users

of a computer system.

OR

Computer Security Is protecting computers and information they contain against unwanted

access, damage, modification or destruction.

Restricted access to the server computer room is present in a form of Physical Security

Main objectives of computer security are

• Confidentiality
• Availability

The three main aspects of Security are:

• Prevention
• Detection
• Re -action

Some differences between traditional security and information security

• Information can be stolen – but you still have it
• Confidential information may be copied and sold – but the theft might not be detected
• The criminals may be on the other side of the world

HMIS NOTES

B.Boy

What features should a computer security system provide?

Confidentiality

The prevention of unauthorized disclosure of information.

Confidentiality is keeping information secret or private.

Confidentiality might be important for military, business or personal reasons.

Integrity

Integrity is the unauthorised writing or modification of information.

Integrity means that there is an external consistency in the system – everything is as it is

expected to be.

Data integrity means that the data stored on a computer is the same as the source documents.

Availability

Information should be accessible and useable upon appropriate demand by an authorised user.

Availability is the prevention of unauthorised withholding of information.

Denial of service attacks are a common form of attack.

Non-repudiation

Non-repudiation is the prevention of either the sender or the receiver denying a transmitted

message.

A system must be able to prove that certain messages were sent and received.

Non-repudiation is often implemented by using digital signatures.

Authentication

Proving that you are who you say you are, where you say you are, at the time you say it is.

HMIS NOTES

B.Boy

Authentication may be obtained by the provision of a password or a scan of your retina.

Access Controls

The limitation and control of access through identification and authentication.

A system needs to be able to identify and authenticate users for access to data, applications and

hardware.

In a large system there may be a complex structure determining which users and applications

have access to which objects.

Accountability

The system managers are accountable to scrutiny from outside.

Audit trails must be selectively kept and protected so that actions affecting security can be

traced back to the responsible party

Security systems

A security system is not just a computer package. It also requires security conscious personnel

who respect the procedures and their role in the system.

Conversely, a good security system should not rely on personnel having security expertise.

Risk Analysis

The disadvantages of a security system are that they are time-consuming, costly, often clumsy,

and impede management and smooth running of the organisation.

Risk analysis is the study of the cost of a particular system against the benefits of the system.

HMIS NOTES

B.Boy

Ways of improve electronic patient data security/ The steps to enforce proper use of

password to keep electronic data secure.

o Do a security risk assessment

 Information security risk assessment is an on-going process of discovering, correcting

and preventing security problems.

 The risk assessment is an integral part of a risk management process designed to

provide appropriate levels of security for information systems.

 Security risk assessments must be performed annually to meet the criteria of the

meaningful use of an HER

o Encrypt data

 Encryption is the process of encoding a message or information in such a way that

only authorized parties can access it and those who are not authorized cannot.

 Patient data should be encrypted whenever possible

 Antivirus programs and firewalls to defend the privacy and security of data should be

installed in the system

 Use password to protect data from being accessed with unauthorized persons

o Control system access

 Access control is a key component of patient data security.

List two main types of access control

i. Physical
ii. Logical.

 Physical access control limits access to buildings, rooms and physical IT assets where

patient data are stored.

 Logical access limits connections to computer networks, system files and health data.

HMIS NOTES

B.Boy

o Authenticate users

 Authentication is the process of recognizing a user’s identity.

 Authentication process can be described in two distinct phases: identification and

actual authentication.

 Identification phase provides a user identity to the security system and this identity is

provided in the form of a user ID.

 An actual user can be mapped to other abstract user object in the system, and

therefore be granted rights and permissions to the user and user must give evidence to

prove his identity to the system.

 The process of determining claimed user identity by checking user-provided evidence

is called authentication and the evidence which is provided by the user during process

of authentication is called a credential.

o Use and scan audit logs

 An audit log is a document that records an event in an information (IT) technology

system.

 It is a security-relevant chronological record, set of records, destination and source of

records that provide documentary evidence of the sequence of activities that have

affected at any time a specific operation, procedure, or event.

 It documents what resources were accessed; audit log entries usually include

destination and source addresses, timestamp and user login information.

 EHRs have audit logs that record which user did what in the EHR and when.

 Most of hospitals that practices EHR were using their audit logs or another feature

designed to prevent people from tampering with the logs to erase the signs of an

intruder.

 EHR practices need software that automatically scans their audit logs to detect

anomalies that might indicate a cyber-attack, such as an unfamiliar user or a known

user logging on at an unusual time of the day.

HMIS NOTES

B.Boy

o Back up data off site

 An offsite backup is a backup process or facility that stores backup data or

applications external to the organization or core IT environment.

 It is similar to a standard backup process, but uses a facility or storage media that is

not physically located within the organization's core infrastructure.

 The institution that practices EHR should have off site backup, both for security

purposes and also for the case of natural disasters.

HMIS NOTES

B.Boy

CYBER SECURITY

Terminologies

Cyber Space (Area)

It’s the term means computer network connected together and connect to the host.

Cyber Crime

It’s the term that referrers to the attack of the computer that its connected to a network system.

Masquerade attack

PASSWORD SECURITY (AUTHENTICATION)

A Security Token

Is a physical or digital device that provide two factor authentication for a user to prove their

identity in a login process

Traditional known as Password

Types of Security Token

i. One Factor Authentication (1FA)
ii. Two Factor Authentication(2FA)
iii. Three Factor Authentication(3FA)

HMIS NOTES

B.Boy

Explanation of the Types of Security Token

One Factor Authentications (1FA)

Use of Random Numbers hence expires after a period of Time.

Two Factor Authentications (2FA)

Use of Numbers and Letters (Alphabets)

Three Factor Authentications (3FA)

Use of Numbers, Letters (Alphabets) and Human recognitions i.e Face recognition, Finger

prints.

BIOMETRIC SECURITY

Definition

Is the use of Software to automatically Recognize people based on their behavioural or

biological characteristics.

Types of Biometric Security Devices

DNA Matching

Eye Iris Recognition

Face Recognition

Hand Geometry Recognition

Typing Recognition

Voice Speaker Identification

HMIS NOTES

B.Boy

List five (5) common cyber-attacks which can be used to damage network

i. Malware
ii. Phishing
iii. Password attacks
iv. DDoS
v. Man in the middle
vi. Drive-by downloads
vii. Malvertising
viii. Rogue software

An ideal password authentication scheme has to withstand a number of attacks.

Describe five of these attacks.

 Denial of Service Attacks

o An attacker can update false verification information of a legal user for the

next login phase. Afterwards, the legal user will not be able to login

successfully anymore.

 Forgery Attacks (Impersonation Attacks)

o An attacker attempts to modify intercepted communications to masquerade the

legal user and login to the system.

 Forward Secrecy

o It has to be ensured that the previously generated passwords in the system are

secure even if the system’s secret key has been revealed in public by accident

or is stolen.

 Server spoofing attacks

o Mutual authentication can help withstand the server spoofing attack where an

attacker pretends to be the server to manipulate sensitive data of the legal

users. Mutual authentication means the user and the server can authenticate

each other. Not only can the server verify the legal users, but the users can

also verify the legal server.

 Parallel Session Attacks

o Without knowing a user’s password, an attacker can masquerade as the legal

user by creating a valid login message out of some eavesdropped

communication between the user and the server.

 Password Guessing Attacks

HMIS NOTES

B.Boy

o Most passwords have such low entropy that they are vulnerable to password

guessing attacks, where an attacker intercepts authentication messages and

stores them locally and then uses a guessed password and seeks verify the

correctness of their guess using these authentication messages.

 Replay Attacks

o Having intercepted previous communications, an attacker can replay the

intercepted messages to impersonate the legal user to login to the system.

SR8. Smart Card Loss Attacks When the smart card is lost or stolen,

unauthorized

List five (5) computer security challenges

i. Security is not simple it requires a lot of research and money
ii. Potential attacks on the security features need to be considered.
iii. Procedures used to provide particular services are often counter-intuitive.
iv. It is necessary to decide where to use the various security mechanisms.
v. Requires constant monitoring.
vi. Security mechanisms typically involve more than a particular algorithm or protocol.
vii. Security is essentially a battle of wits between a perpetrator and the designer.
viii. Little benefit from security investment is perceived until a security failure occurs.
ix. Strong security is often viewed as an impediment to efficient and user-friendly

operation.

What are main security threats to computer system?

i. Spam
ii. Bugs
iii. Denials of service
iv. Malicious software(Virus, Spyware, Adware, Trojan horse e.tc)
v. Hackers and Predators
vi. Phishing

HMIS NOTES

B.Boy

METHODS OF SUMMARIZING DATA/ WAYS OF DATA PRESENTATION

• Table (Tabulation)

o The process of placing classified data into tabular form is known as tabulation

o A table is a symmetric arrangement of statistical data in rows and columns

o Rows are horizontal arrangements whereas columns are vertical arrangements

Table 1: Number of patients admitted at Mount Meru hospital in the year 2011

NUMBER OF PATIENTS

AGE

Below 35 1,280

35-55 1,160

Above 55 300

Total 2,740

HMIS NOTES

B.Boy

Line graph

o A line graph is a graphical tool used to present and compare two variables.

o One variable is represented at X axis and other at Y axis.

o The points given are plotted and are joined together by straight lines.

Figure 1: Annual sales of a particular organization

• Simple Bar chart

o A simple bar chart is used to represents data involving only one variable classified on

spatial, quantitative or temporal basis

Figure 2: Hospital Patients by unit

Hospital Patients by Unit

5000

4000

patients per year

Number of

3000

2000

1000

0

Emergency

Cardiac

Intensive

Surgery

Maternity

Care

Care

HMIS NOTES

B.Boy

• Multiple bar chart

o A two or more sets of inter-related data are represented.

o Multiple bar diagram facilities comparison between more than one phenomena.

Figure 3: The number of Male and Female Cataract at Mwembetogwa ward

THE NUMBER OF MALE & FEMALE CATARACT

SCREENING AT MWEMBETOGWA WARD FROM 1991-1995

14000

12000

10000

NO. Clients

8000 Male

6000 Female

4000

2000

0

1991 1992 1993 1994 1995

Years

HMIS NOTES

B.Boy

• Component bar chart

o Sub-divided or component bar chart is used to represent data in which the total

magnitude is divided into different or components

Figure 4: The Diabetic Tablets produced from 1991-1994

THE DIABETIC TABLETS IN 100 gms/BOX PRODUCED FROM 1991-

1994

120

100

Quantity in 100 gms

80

Glimepiride

Glyburide

60

Glipizide

Chlorpromide

40

20

0

1991 1992 1993 1994

Years

HMIS NOTES

B.Boy

• Percentage component bar chart

o Sub-divided bar chart may be drawn on percentage basis

o This type of chart is useful to make comparison in components holding the difference of

total constant

Figure 5: Inpatient cases at Medical ward-MNH 1991-1994

INPATIENT CASES IN HUNDRED AT MEDICAL WARD-MNH

FROM 1991-1994

100%

90%

Number of Cases in %

80%

70%

60% MTA

50% HIV/AIDS

40% Malaria

30%

20%

10%

0%

1991 1992 1993 1994

Years

HMIS NOTES

B.Boy

• Pie chart

o Pie chart is named so, due to its similarity with pie and its slices.

o Pie chart is a circular chart which is divided into sectors.

o Each sector corresponds to different values of a data.

o In pie charts, the percentage of each number is calculated and then obtained

percentages are plotted at pie chart.

Figure 6: Hospital Patients by Unit

Hospital Patients by Unit

Cardiac

Care

12%

Emergenc

Surgery y

53% 25%

Intensive

Care

Maternity 4%

6%

HMIS NOTES

B.Boy

• Histogram

o A bar graph that displays the data from a frequency distribution

o Horizontal Scale (x-axis) is labeled using CLASS BOUNDARIES or MIDPOINTS

o Vertical Scale (y-axis) is labeled using frequency

o Bars are contiguous (No gaps)

Figure 7: Time to complete blood transfusion

Time to Complete Blood Transfusion

30

Fr 25

eq

ue 20

nc

y 15 Frequenc y

10

5

0

235.5 260.5 285.5 310.5 335.5 360.5

Minutes

HMIS NOTES

B.Boy

• Frequency polygon

o It presented by using Line graph rather than a bar graph.

o It uses class midpoints rather than class boundaries on x-axis

Figure 8: Frequency polygon for Blood pressure data

Frequency Polygon for B.P.

18

16

14

12

Frequency

10

8

6

4

2

0

92.5 106.5 120.5 134.5 148.5 162.5 176.5 190.5 204.5 218.5

Systolic Pressure

HMIS NOTES

B.Boy

• Ogive

o Line graph (rather than a bar graph)

o Uses class boundaries on x-axis

o Uses cumulative frequencies (total as you go) rather than individual class frequencies

o Used to visually represent how many values are below a specified upper class boundary

Figure 9: Blood Pressure of fifty subjects

Blood Pressures of 50 Subjects

60

Cummulative Frequency

50

40

30

20

10

0

99.5 127.5 155.5 183.5 211.5

Systolic Pressure

HMIS NOTES

B.Boy

Evaluation Questions

• What is electronic data storage?

Is the means of storing soft data information in given format like Music, Video, Document or

Pictures in a device which could be a flash disk or rather a hard disk drive

Or Data storage is the collective methods and technologies that capture and retain digital

information on electromagnetic, optical or silicon-based storage media.

• What is data security?

Data security is the practice of protecting digital information from unauthorized access,

corruption, or theft throughout its entire lifecycle

.

• What kind of data presented by using graph?

Discrete and continuous data

• What kind of data presented by using diagram?

Statistical data

HMIS NOTES

B.Boy

• Describe the three main security measures that you can use to mitigate data

management process at pharmacy information system.

o Do a security risk assessment

 Information security risk assessment is an on-going process of discovering, correcting

and preventing security problems.

 The risk assessment is an integral part of a risk management process designed to

provide appropriate levels of security for information systems.

 Security risk assessments must be performed annually to meet the criteria of the

meaningful use of an HER

o Encrypt data

 Encryption is the process of encoding a message or information in such a way that

only authorized parties can access it and those who are not authorized cannot.

 Patient data should be encrypted whenever possible

 Antivirus programs and firewalls to defend the privacy and security of data should be

installed in the system

 Use password to protect data from being accessed with unauthorized persons

o Control system access

 Access control is a key component of patient data security.

 There are two main types of access control: physical and logical.

 Physical access control limits access to buildings, rooms and physical IT assets where

patient data are stored.

 Logical access limits connections to computer networks, system files and health data.

o Authenticate users

 Authentication is the process of recognizing a user’s identity.

 Authentication process can be described in two distinct phases: identification and

actual authentication.

HMIS NOTES

B.Boy

 Identification phase provides a user identity to the security system and this identity is

provided in the form of a user ID.

 An actual user can be mapped to other abstract user object in the system, and

therefore be granted rights and permissions to the user and user must give evidence to

prove his identity to the system.

 The process of determining claimed user identity by checking user-provided evidence

is called authentication and the evidence which is provided by the user during process

of authentication is called a credential.

o Use and scan audit logs

 An audit log is a document that records an event in an information (IT) technology

system.

 It is a security-relevant chronological record, set of records, destination and source of

records that provide documentary evidence of the sequence of activities that have

affected at any time a specific operation, procedure, or event.

 It documents what resources were accessed; audit log entries usually include

destination and source addresses, timestamp and user login information.

 EHRs have audit logs that record which user did what in the EHR and when.

 Most of hospitals that practices EHR were using their audit logs or another feature

designed to prevent people from tampering with the logs to erase the signs of an

intruder.

 EHR practices need software that automatically scans their audit logs to detect

anomalies that might indicate a cyber-attack, such as an unfamiliar user or a known

user logging on at an unusual time of the day.

o Back up data off site

 An offsite backup is a backup process or facility that stores backup data or

applications external to the organization or core IT environment.

 It is similar to a standard backup process, but uses a facility or storage media that is

not physically located within the organization's core infrastructure.

HMIS NOTES

B.Boy

• Explain the mechanism you can use to digitalizing pharmaceutical data at the

hospital setup.

• Hard drive (HD)

o The term "hard drive" is actually short for "hard disk drive."

o The term "hard disk" refers to the actual disks inside the drive.

o The hard drive is a non-volatile memory hardware device that permanently stores and

retrieves data on a computer.

 Non-volatile memory is a term used to describe any memory or storage that is saved

regardless if the power to the computer is on or off.

 The best example of non-volatile memory and storage is a computer hard drive, flash

memory, and ROM.

o A hard drive is a secondary storage device that consists of one or more platters to which

data is written using a magnetic head, all inside of an air-sealed casing.

o A typical hard drive is only slightly larger than a human hand and can hold over 100

GB of data.

• USB flash drive

o A USB flash drive is a device used for data storage that includes a flash memory and an

integrated Universal Serial Bus (USB) interface.

o Most USB flash drives are removable and rewritable.

o Physically, they are small, durable and reliable.

o The larger their storage space, the faster they tend to operate.

o USB flash drives are mechanically very robust because there are no moving parts.

o They derive the power to operate from the device to which they are connected (typically

a computer) via the USB port.

o A USB flash drive may also be known as a flash drive or USB drive.

• Memory card

o A memory card is a type of storage device that is used for storing media and data files.

o It provides a permanent and non-volatile medium to store data and files from the

attached device.

HMIS NOTES

B.Boy

• Describe the merits and demerits of using diagrams and charts during presentation

in health care industry.

Merits

i. Diagrams are easy to understand.
ii. You can represent huge volumes of data in a simplified manner.
iii. They reveal hidden facts.
iv. They quick to grasp and easy to compare.
v. Easy to Track information
vi. Useful for Analysis

Demerits

i. The major disadvantage of using charts and graphs is that these aids may oversimplify

data, which can provide a misleading view of the data.

ii. Attempting to correct this can make charts overly complex, which can make their value

in aiding a presentation less useful

HMIS NOTES

B.Boy

Session 2: Creation of Table from Health Data Using

Spreadsheet

Learning Tasks

By the end of this session students are expected to be able to:

• Explain the structure of Microsoft Excel spreadsheet
• Use Microsoft Excel procedures to open spreadsheet
• Use Microsoft Excel procedures to formatting data
• Use Microsoft Excel procedures to create borders
• Use Microsoft Excel procedures to print a table

The Structure of Microsoft Excel Spreadsheet

Microsoft Excel

• Microsoft Excel is a spreadsheet program that is used to record and analyse numerical

data.

• Spreadsheet is a collection of columns and rows that form a table.
• Alphabetical letters are assigned to columns.
• Numbers are usually assigned to rows.
• The point where a column and a row meet is called a cell.
• The address of a cell is given by the letter representing the column and the number

representing a row.

HMIS NOTES

B.Boy

Parts of Microsoft Excel/ Elements of Microsoft Excel/ Elements of Excel Window

HMIS NOTES

B.Boy

From the Diagram above

Explanations on the Elements found in Excel

i. Cell

Is the Intersection of Row and Column

Each contains the unique value called Address i.e A1, B1

CELLS

ii. Column

Is the Vertical Stock of data or values.

Each column is represented by Alphabets as A, B, C etc

COLUMNS

HMIS NOTES

B.Boy

iii. Row

Is the Horizontal Stock of data or values.

Each column is represented by Alphabets as A, B, C etc

ROWS

iv. Worksheet

Is the collection of sheets that contains data or Information.

By default Office 2007 Spreadsheet comes with 3 sheets

SHEETS

HMIS NOTES

B.Boy

v. Workbook

Is the collection of Worksheet.

It displays on Top As Book means if contains data in sheet thus is Workbook.

Workbook

vi. Active Cell

Is the cell ready for use.

By default when you open Excel its located at cell A1

Active

Cell

HMIS NOTES

B.Boy

vii. Range

Is the collection of Cells.

The separate is (:) between one cell and another

i.e A2:G2

viii. Name box

Is a space that is used to show the name of the active cell.

 The active cell is A1.

 The name box can also be used to rename an active cell.

Active

Cell

HMIS NOTES

B.Boy

ix. Formula bar

It shows the cell contents including formulas or text

 This space shows the contents of a cell.

 It is preceded by the fx symbol as it is also used to search for mathematical functions

that are inbuilt the excel itself.

Formula

Bar

HMIS NOTES

B.Boy

Microsoft Excel Ribbon

• The ribbon provides shortcuts to commands in Excel.
• A command is an action that the user performs.
• An example of a command is creating a new document, printing a documenting.
• Ribbon start button

o It is used to access commands i.e. creating new documents, saving existing work,

printing, accessing the options for customizing Excel.

• Ribbon tabs

o The tabs are used to group similar commands together. The home tab is used for basic

commands such as formatting the data to make it more presentable, sorting and finding

specific data within the spreadsheet.

• Ribbon bar

o The bars are used to group similar commands together. As an example, the Alignment

ribbon bar is used to group all the commands that are used to align data together.

HMIS NOTES

B.Boy

Worksheet and Workbook

• A worksheet is a collection of rows and columns.

o When a row and a column meet, they form a cell.

o Cells are used to record data.

o Each cell is uniquely identified using a cell address.

o Columns are usually labelled with letters while rows are usually numbers.

• A workbook is a collection of worksheets.

o A workbook has three cells in Excel.

o Sheet can be added or deleted to suit the requirements.

o The sheets are named Sheet1, Sheet2 and so on and so forth.

o The sheet can be rename to more meaningful names i.e. Daily Expenses, Monthly

Budget, etc.

Ms Excel data formats

• Number – Stores data as a number
• Currency – Stores data in the form of currency
• Date – Data is stored as dates
• Percentage – Stores numbers as a percentage
• Text Formats – Stores data as string of texts

HMIS NOTES

B.Boy

The Procedures for Opening Microsoft Excel Spreadsheet

Procedures for open Microsoft Excel

• Click on start menu
• Point to all programs
• Point to Microsoft Excel
• Click on Microsoft Excel

Add, Subtract, Multiply, divided in Excel

• Create a folder on computer in my documents folder and name it HIM Excel.
• Open Excel.
• Enter the data in the worksheet.
• Perform the calculations using the respective arithmetic operators.
• When performing calculations in Excel, start with the equal (=) sign.
• Start with the one for addition.
• Write the following formula in E2 Excel (Result column)
= C2+D2
o "=" tells Excel to evaluate whatever follows after the equal sign

o "C2" is the cell address of the first number given by C representing the column letter

and 2 representing the row number

o "D2" is the cell address of the second number given by D representing the column letter

and 2 representing the row number

HMIS NOTES

B.Boy

STEP 4: The Procedures for Formatting Microsoft Excel Data (30 minutes)

Formatting data in Microsoft Excel table

• Use data formatting arithmetic operations

o Bold

o Align serial numbers to the left, center or right

Procedure for make column names bold

• Highlight the cells that have the column names by dragging them.
• Click on the bold button represented by B command.
• The workbook should now appear as follows.

HMIS NOTES

B.Boy

Procedures for align data to the left

• Align the serial numbers to the left
• Highlight all the data in the S/N column
• Click on align left as shown below

HMIS NOTES

B.Boy

The Procedures for Inserting Border in Microsoft Excel Spreadsheet

Procedures for inserting borders

• Highlight all the columns and rows with data
• On the font ribbon bar, click on borders command as shown below

HMIS NOTES

B.Boy

• Follow drop down menu below
• Select the option "All Borders".
• The data should look as follows

HMIS NOTES

B.Boy

The Procedures for Printing a Table From Spreadsheet

Procedure for setting print area, print view, printing and page layout

• The print area is the part of the worksheet that used to print out on paper.
• The quick and easy way of doing it is by using the following shortcut commands

Ctrl + P

• The following print preview will be displayed on the computer screen.

HMIS NOTES

B.Boy

• Press Esc button to exit print preview mode

HMIS NOTES

B.Boy

Evaluation Questions

• What is Microsoft Excel?

Microsoft Excel is a spreadsheet program that is used for Calculations or Inventory and Stock

Management.

• What is ribbon?

Is the strip of buttons and icons located above the work area in Microsoft excel

The ribbon provides shortcuts to commands in Excel.

• What is spreadsheet?

Is program that is used to record and analyse numerical data.

• How many data formats available in Excel?

o Number – Stores data as a number

o Currency – Stores data in the form of currency

o Date – Data is stored as dates

o Percentage – Stores numbers as a percentage

o Text Formats – Stores data as string of texts

HMIS NOTES

B.Boy

Session 3: Creation of Table from Health Data Using

Spreadsheet

Learning Tasks

By the end of this session students are expected to be able to:

• Explain Microsoft Excel formula
• Use Microsoft Excel formulas to analyses data in a table
• Explain Microsoft excel function (function wizard)

The Formulas for Microsoft Excel

Microsoft Excel Formulas

• A formula is an expression made up of cell addresses and arithmetic operators.
• Formulas can also be made up of discrete values i.e. =6*3.
• Excel evaluates the formula to a value.
• An example of a formula looks as follows.
=A2 * D2 / 2

WHERE,

• "=" tells Excel that this is a formula, and it should evaluate it.
• "A2" * D2" makes reference to cell addresses A2 and D2 then multiplies the values found in

these cell addresses.

• "/" is the division arithmetic operator
• "2" is a discrete value

HMIS NOTES

B.Boy

The Analysis of Data Using Microsoft Excel Formulas

Application of Microsoft Formula in analysis of data in the table

PERFORMING MATHEMATICAL TASKS

In Microsoft Excel Mathematical Calculations are done by using two methods

i. Using Formulas or Operators
ii. Using Functions

HMIS NOTES

B.Boy

1. CALCULATION OPERATORS

Operators specify the type of calculation that you want to perform on the elements of a formula.

Microsoft Excel includes four different types of calculation operators: arithmetic, comparison,

text, and reference.

List five Mathematical Operators found in Excel

i. Additional
ii. Subtractions
iii. Multiplication
iv. Division
v. Greater than
vi. Less than

Types of operators

Arithmetic operators To perform basic mathematical operations such as addition,

subtraction, or multiplication; combine numbers; and produce numeric results, use the

following arithmetic operators.

Arithmetic operator Meaning Example Result

+ (plus sign) Addition = (3+3) 6
– (minus sign) Subtraction = (3–1) 2
* (asterisk) Multiplication = (3*3) 9
/ (forward slash) Division =(3/3) 1
% (percent sign) Percent =(20%) 20%
^ (caret) Exponentiation =(3^2) 9

HMIS NOTES

B.Boy

Basic arithmetic operators

Operator Meaning Example

+ Addition =A7+A9
– Subtraction =A7-A9
* Multiplication =A7*A9
/ Division =A7/A9

Example of Excel To shows the Operators

ADDITIONAL

HMIS NOTES

B.Boy

SUBSTRACTION

MULTIPLICATION

HMIS NOTES

B.Boy

DIVISION

HMIS NOTES

B.Boy

2. CALCULATIONS USING FUNCTIONS

List five Functions found in Excel

i. Summation
ii. Average
iii. Maximum
iv. Minimum
v. Count

When applied in Excel Cells has to be with the following Specifications

Basic Functions found in Excel

i. Summation must write SUM
ii. Average must write AVERAGE
iii. Maximum must write MAX
iv. Minimum must write MIN
v. Count must write COUNT

NB: Example

 =SUM(cell range) – adding the numbers in selected cells
 =AVERAGE(cell range) – finds the average value
 =MAX(cell range) – finds the maximum value
 =MIN (cell range) – finds the minimum value
 =COUNT (cell range) – to count the cells that contains values of number.

HMIS NOTES

B.Boy

Example of the cells with corresponding Functions

For Each Mathematical Formula after u select well you must Press Enter to see Answer

SUMMATION

HMIS NOTES

B.Boy

AVERAGE

MAXIMUM

HMIS NOTES

B.Boy

MINIMUM

HMIS NOTES

B.Boy

COUNT

HMIS NOTES

B.Boy

ADVANCED EXCEL FORMULAS

Advanced Functions found in Excel

i. Counta
ii. Concatenate
iii. If
iv. SumIf
v. CountIf
vi. VLookup
vii. Fact
viii. Int
ix. Mean
x. Mode
xi. Median

HMIS NOTES

B.Boy

APPLICATION WITH DIAGRAMS

i. COUNTA

It’s used to count the cells that contain any values it can be number or characters

hence not empty.

HMIS NOTES

B.Boy

After Pressing Enter The Answer will be 3 Means it count also the character a.

HMIS NOTES

B.Boy

ii. CONCATENATE

It’s the formula that it’s used to join more than one value it can be numbers or

characters and display in one sentences.

A. Number to Number

After Pressing Enter the two numbers will Join each other and the answer will be as

follows

HMIS NOTES

B.Boy

B. Word to Word

After pressing Enter the two Characters will Join Each other the answer will be as

follows

HMIS NOTES

B.Boy

C. Word to Number/ Number to Word

After pressing Enter the Character and Number will join the answer will be as follows

HMIS NOTES

B.Boy

Another Example

• Concatenate Function: =CONCATENATE(C4,Text, D4, Text,…)

o Concatenate function is used in excel to connect different segment or text to display as a

single sentence.

o For example, here we want to display text as “NewYork has the highest sale of 12000

dollars”

o For that we will use the formula =CONCATENATE(C4,”has the highest sale

of”,D4,dollar”).

HMIS NOTES

B.Boy

o The formula can execute the following results

HMIS NOTES

B.Boy

iii. IF

It’s the Formula the used to check the Condition if its met, to Return value TRUE if

not met to Return the value as FALSE.

Example

The Door that contains sensors if a person go close to the door then it will open

otherwise the Door will remain closed.

Syntax

IF(logical_test, value_if_true, value_if_false)

Logical_test is any value or expression that can be evaluated to TRUE or FALSE. For

example, A10=100 is a logical expression; if the value in cell A10 is equal to 100, the

expression evaluates to TRUE. Otherwise, the expression evaluates to FALSE.

Value_if_true is the value that is returned if logical_test is TRUE. For example, if this

argument is the text string "Within budget" and the logical_test argument evaluates to TRUE,

then the IF function displays the text "Within budget". If logical_test is TRUE and value_if_true

is blank, this argument returns 0 (zero). To display the word TRUE, use the logical value TRUE

for this argument. Value_if_true can be another formula.

Value_if_false is the value that is returned if logical_test is FALSE. For example, if this

argument is the text string "Over budget" and the logical_test argument evaluates to FALSE,

then the IF function displays the text "Over budget". If logical_test is FALSE and value_if_false

is omitted, (that is, after value_if_true, there is no comma), then the logical value FALSE is

returned. If logical_test is FALSE and value_if_false is blank (that is, after value_if_true, there

is a comma followed by the closing parenthesis), then the value 0 (zero) is returned.

Value_if_false can be another formula.

HMIS NOTES

B.Boy

In simple Example using Spreadsheet

If a certain cell contain the certain value computer should return a certain value if it

doesn’t contain that value must return another value.

A. A cell Contains Number to Return Number

HMIS NOTES

B.Boy

The condition will be if The Cell A2 contains the Value 35 if it’s True the computer

should Write Number 1if it doesn’t contains value 35 computer should write number 2

The formula of If Resemble as

=If (Logical Test, Value If TRUE, Value If FALSE)

HMIS NOTES

B.Boy

Thus means because the Cell A2 contains Value 35, if you press Enter the Answer

will be 1 because the Value is true The answer will be as follows

Then if you change the Value in cell A2 to number different to 35 the answer will

display that of when the value is FALSE

HMIS NOTES

B.Boy

B. A cell Contains Number to Return Characters (Words)

The condition will be if The Cell B2 contains the Value 50 if it’s True the computer

should Write “A” 1if it doesn’t contains value 50 computer should write number “B”

The formula of If Resemble as

=If (Logical Test, Value If TRUE, Value If FALSE)

HMIS NOTES

B.Boy

Thus means because the Cell B2 contains Value 50, if you press Enter the Answer

will be A because the Value is true The answer will be as follows

Then if you change the Value in cell B2 to number different to 50 the answer will

display that of when the value is FALSE

HMIS NOTES

B.Boy

In other Time The FALSE part it can stand as the Correct Answer and the TRUE part

as the Wrong part

Example

The condition will be if The Cell A3 contains the Value 20 if it’s True the computer

should Write “Ukweli” 1if it doesn’t contains value 20 computer should write number

“Uongo”

HMIS NOTES

B.Boy

Thus means because the Cell A3 contains Value 10, if you press Enter the Answer will

be Uongo because the Value is not 20 its 10 The answer will be as follows

HMIS NOTES

B.Boy

C. A cell Contains Number to Return Characters (Words) with Greater than or Less

than Conditions.

For this condition will be using results of one of the student that contains different

scores.

HMIS NOTES

B.Boy

The condition will be IF the Score of the student in any of the subject is below 50 then

the computer should return the value as “FAIL” if the value is above 50 then the

computer should return the value as “PASS”.

HMIS NOTES

B.Boy

Thus means because the Cell B2 contains Value 51 which is greater than 50, if you

press Enter the Answer will be PASS because the Value is Greater than 50 And the if

the value will be Less than 50 then the answer will display FAIL The answer will be

as follows

HMIS NOTES

B.Boy

To get the rest of the Answers you must drag the mouse down the from the first

Answer and the Answer will be as follows.

HMIS NOTES

B.Boy

Another Example 1

The examples below checks if the marks are 50 and above the student must pass the exam

otherwise the student fail the exam.

A B

1 Marks Grade

2 49 =If(A1<=50,"FAIL","PASS")

Then Press ENTER. Put the mouse

at the corner of the cell then drag it

down.

3 51

Another Example 2

A B C D

1 ACTUAL

PREDICTED FORMULAR RESULT

EXPENSIS

2 1500 900 =IF(A2>B2,"Over Budget","OK") Over Budget
3 500 900 =IF(A3>B3,"Over Budget","OK") OK
4 500 925 =IF(A4>B4,"Over Budget","OK") OK

HMIS NOTES

B.Boy

NESTED IF

If you have more than one condition you have to use nested if, nested if checks for the first

condition then comes to the next finally finish by taking the last condition if the previous

condition not met.

Example 3

A B C D

1 Mark

Name Formula to calculate grade Result

s

2 Ahmad 89 =IF(B2>=70,"A",IF(B2>=50,"B",IF(B2>=30,"C","F"))) A

3 Aisha 61 B

4 Omar 42 C

5 Fahima 53 B

6 Kombo 23 F

7 Rabiha 71 A

When you copy the formula using this mouse pointer shape, the formula copy it self and

change according to the cell reference. And the grade will automatically entered as shown in

the result column.

HMIS NOTES

B.Boy

iv. SUMIF

From the formula of SUM thus means to add all given data the some if Formula

comes when you want to add a specified given data that meet a certain condition or

criteria not adding all data.

The Syntax for SUMIF is as follows

=SUMIF (RANGE,CRITERIA,SUM RANGE)

Meaning of those terms

RANGE- Means the collection of all data that were filled in a Table you Highlight them

except Headings and Not Medicine Items (Date, Days).

CRITERIA- Means the Specific Item that you want computer to give you sum of it you

select it

SUM RANGE- Means the Column that indicates the Amount or the values that will be

responsible to give you that Sum your finding.

HMIS NOTES

B.Boy

Example your given a Table that contains a lot of medicine but your told to add a

certain medicine only not all medicine amount

Consider the Table below it contains different medicines your work is to add amount of

Pen V that were collected in the store on date 12/2/2022 and 12/5/2022 only the

Formula to use is SUMIF

HMIS NOTES

B.Boy

For this Example the Range will be Cell B2:C6

Criteria will be the Cell Contains Pen V it can be Cell B2 or Cell B5

Sum range will be Highlighting of Cells in Column C thus Contains Amount

HMIS NOTES

B.Boy

If you Press Enter means the Computer will Add the Amount of Pen V only collected

in the store on date 12/2/2022 and 12/5/2022 and the Answer will be as follows

HMIS NOTES

B.Boy

Another Example

• SUMIF formula = SUMIF (A2:A7,“Items wanted”, D2:D7)

o The Sum IF gives the total number of any items for selected ranges.

o For instance here we want to calculate only the total sales amount for software items, to

do that we will apply the formula as =SUMIF (A2:A7, “software”, D2:D7).

o Here A2 and A7 defines the range for software and same way we can find sales amount

for hardware. (A2:A7, “hardware”, D2:D7).

Software

Hardware

HMIS NOTES

B.Boy

HMIS NOTES

B.Boy

o The total sale amount of hard-ware and soft-ware in the table are as follows:

HMIS NOTES

B.Boy

v. COUNTIF

Is the formula thus used to count number of cells that meet a specific criteria.

From the Function of Count which Count All items in given Table the Count IF means it counts

only the given criteria of items not all.

The Syntax for COUNTIF is as follows

=COUNTIF (RANGE, CRITERIA)

Meaning of those terms

RANGE- Means the collection of all data that were filled in a Table you Highlight them

except Headings only.

CRITERIA- Means the Specific Item that you want computer to give you the answer

about it, you select it.

HMIS NOTES

B.Boy

Example your given a Table that contains a lot of medicine but your told to Count a

certain medicine only not all medicine i.e Resemble how many times that medicine

appears in a given Table.

Consider the Table below it contains different medicines your work is to Count how

many times MSETO were filled in the store on date 12/3/2022 and 12/6/2022 only the

Formula to use is COUNTIF

HMIS NOTES

B.Boy

For this Example the Range will be Cell A2:C6

Criteria will be the Cell Contains MSETO it can be Cell B3 or Cell B6

HMIS NOTES

B.Boy

If you Press Enter means the Computer will Count how many times MSETO only

were filled in the store on date 12/3/2022 and 12/6/2022 and the Answer will be as

follows

HMIS NOTES

B.Boy

Another Example

• COUNTIF Formula: COUNTIF(D2:D7, “Function”)

o COUNTIF function offers wide application.

o Here we have taken a simple example of COUNTIF function, where our motive is to find

the total number of cells whose value is greater than 3000.

o Apply the formula =COUNTIF (D2:D7,”>3000”).

o The total number of cells that has value greater than 3000.

HMIS NOTES

B.Boy

HMIS NOTES

B.Boy

VI. INT FORMULA: INT (THIS NUMBER)

o Int formula is used to remove integer from the number like we have demonstrated over

here in below example.

HMIS NOTES

B.Boy

VII. FACTORIAL FORMULA= FACT(NUMBER)

o Factorial formula will return the factorial of the number.

o To know the factorial number for 3, we use this formula.

o We can use this formula to know the probability for any number

o Here we will have factor 3=3x2x1.

3!

Results of 3!= 6

HMIS NOTES

B.Boy

viii. VLOOKUP

Is the Formula that its used to value of the certain item that meet the given criteria

The Syntax for VLOOKUP is as follows

=VLOOKUP (LOOKUP VALUE, TABLE ARRAY, COLUMN INDEX NUMBER,

RANGE LOOKUP)

Meaning of those terms

LOOKUP VALUE- Means the Specific Item that you want computer to give you the

answer about it, you select it. It’s the same as Criteria

TABLE ARRAY- Means the collection of all data that were filled in a Table you

highlight them except Headings And Non Medicine Items as Date, Days S/N. It’s the

same as Range

.

COLUMN INDEX NUMBER- Means the Number of the column that contains the

answers that your finding Note you must count from the First Column you Highlight on

the Table array to the column that contains those details.

RANGE LOOKUP- It means the Exact match here you write zero so that even if the

answer your looking contains more than one answer must display only one answer.

• VLookup Formula = VLookup (value, range, and get me value in the column, is

my list sorted)

o VLookup formula is used when we know the detail of any object or person and,

retain other formation based on that detail.

HMIS NOTES

B.Boy

Example

Your Employed in One of the Pharmacy and on the first day a patient come to ask for a

medication of ASPRIN and you have to ask the price of the Medicine in the computer using

excel formula of VLOOKUP hence to know the price and tell the patient

Given the Table Below

HMIS NOTES

B.Boy

Thus the medicine were looking for is ASPRIN found in Cell B4 then Cell B2:C6 is

the Table Array or Range then Column Index Number is 2 means the starting point of

Table array was Cell b2 until c6 so the number of columns that were highlighted were

2 last the exactly match is 0 so that the answer will come only 1.

HMIS NOTES

B.Boy

If you Press Enter the Answer will come that that The Price of Asprin is How much so

that you can tell your patient

HMIS NOTES

B.Boy

Another Example

o For example here we have an example of the keyboard, where we know the retail price

of the keyboard but we don’t know how much total sale it made in California by selling

keyboard.

o To know that we will use =VLookup(20,D2:D7,2,False).

o This formula will give us the total sale amount based on the retail price.

o While applying this formula we have to ensure that whatever we are placing as ref, must

be unique, for example looking for any particular employee with its ID number it should

not be allotted to others otherwise it will show an error.

D7 and not E7

HMIS NOTES

B.Boy

o When formula is executed, the total sale amount shown is 2500

HMIS NOTES

B.Boy

The Microsoft Excel Functions (Function Wizard)

Ms Excel Function (Function Wizard)

• A function is a predefined formula.
• Functions allow to use descriptive names and automatically apply formulas for data

analysis.

• Examples of functions include:

o SUM for summation of a range of numbers

o AVERAGE for calculating the average of a given range of numbers

o COUNT for counting the number of items in a given range

The importance of functions

• Functions increase user productivity when working with excel.

o Let's say we would like to get the grand total for the above home supplies budget.

o To make it simpler, we can use a formula to get the grand total.

o Using a formula, we would have to reference the cells E4 through to E8 one by one.

o We would have to use the following formula.

= E4 + E5 + E6 + E7 + E8

o With a function, we would write the above formula as:

=SUM (E4:E8)

o As we can see from the above function used to get the sum of a range of cells, it is much

more efficient to use a function to get the sum than using the formula which will have to

reference a lot of cells.

HMIS NOTES

B.Boy

Common functions

S/ FUNCTION CATEGORY DESCRIPTION USAGE

N

01 SUM Math & Trig Adds all the values =SUM(E4:E8)

in a range of cells

02 MIN Statistical Finds the minimum =MIN(E4:E8)

value in a range of

cells

03 MAX Statistical Finds the maximum =MAX(E4:E8)

value in a range of

cells

04 AVERAGE Statistical Calculates the =AVERAGE(E4:E8

average value in a )

range of cells

05 COUNT Statistical Counts the number =COUNTS(E4:E8)

of cells in a range of

cells

06 LEN Text Returns the number =LEN(B7)

of characters in a

string text

07 SUMIF Math & Trig Adds all the values =SUMIF(D4:D8,"
in a range of cells >=1000",C4:C8)

that meet a specified

HMIS NOTES

B.Boy

criteria

08 AVERAGEI Statistical Calculates the =AVERAGEIF(F4:

F average value in a F8,"Yes",E4:E8)

range of cells that

meet the specified

criteria

09 DAYS Date & Time Returns the number =DAYS(D4,C4)

of days between two

dates

10 NOW Date & Time Returns the current =NOW()

system date and

time

HMIS NOTES

B.Boy

Numeric functions

S/N FUNCTION CATEGORY DESCRIPTION USAGE

1 ISNUMBER Information Returns true if the =ISNUMBER(A3)

supplied value is

numeric and false if

it is not numeric

2 RAND Math & Trig Generates a random =RAND()

number between 0

and 1

3 ROUND Math & Trig Rounds off a decimal =ROUND(3.14455,2)

value to the specified

number of decimal

points

4 MEDIAN Statistical Returns the number =MEDIAN(3,4,5,2,5)

in the middle of the

set of given numbers

5 PI Math & Trig Returns the value if =PI()

Pi

6 POWER Math & Trig Returns the result of =POWER(2,4)

a number raised to a

power

7 MOD Math & Trig Returns the =MOD(10,3)

remainder when you

HMIS NOTES

B.Boy

divide two numbers

8 ROMAN Math & Trig Converts a number =ROMAN(1984)

to roman numerals

Date Time Functions

S/N FUNCTION CATEGORY DESCRIPTION USAGE

1 DATE Date & Time Returns the number =DATE(2015,2,4)

that represents the

date in excel code

2 DAYS Date & Time Find the number of =DAYS(D6,C6)

days between two

dates

3 MONTH Date & Time Returns the month =MONTH("4/2/2015")

from a date value

4 MINUTE Date & Time Returns the minutes =MINUTE("12:31")

from a time value

5 YEAR Date & Time Returns the year =YEAR("04/02/2015")

from a date value

HMIS NOTES

B.Boy

Computation of Mean using Excel functions

• First, open a new spreadsheet.
• Click on a blank cell where you will paste a function to calculate the mean, median or

mode.

• Using the series fill function, enter the series of integer values 1 to 10 in cells A6 to A15.
• Next click on the function wizard button.
• From the drop down list Or select a category, select

Statistical.

• Click on Average to highlight it, then on OK.
• Using the mouse, highlight the cells containing the data

range just entered or you can select data by first

clicking the collapse icons.

These are the collapse icons and are used in

selecting ranges in many Excel dialogues.

Excel previews the result of applying the

function here.

• Click OK.
• The value of the mean will now appear in the blank cell you selected in step 2.

Computation of Median and Mode in the Excel functions

• To calculate the median or mode, follow the same procedure but highlight MEDIAN or

MODE in step 4.

HMIS NOTES

B.Boy

• Alternately you can enter the formulae directly into spreadsheet cells as shown below.
• All the statistical functions are accessed in the same way and have a similar interface.

Using formulae in cells to calculate descriptive statistical measures in Excel

Mode

• The syntax for this computation is:
=Mode (Range)

Median

• The syntax for this computation is:
=Median (Range)

Mean

• There is a built in Excel function that returns the mean as its value
= Average (Range)

Using formulae in cells to calculate Measures of Dispersion in the excel

Range

• The range of a sample is the largest score minus the smallest score.
• This can be calculated using the Excel Formula
= (Max(A1:A10)-(Min(A1:A10)

Variance

• The variance in a population is calculated as follows.
• We won’t build this equation ourselves in Excel during this session.

HMIS NOTES

B.Boy

• The population variance:

 x  x 

2

S 

2

N

• The sample variance:

 x  x 

2

S 

2

N 1

• This formula depends upon first calculating X and N which we have already seen above.
• The Excel function to calculate the variance for a population is:
= varp(range)
• The Excel function for calculating a sample is:
= var(range)
• You can access both from the function wizard or use them by typing formulae in cells.

Standard Deviation Excel functions

• The Standard Deviation is the square root of the deviance.
• You can calculate it with the formula:
=sqrt(var(range))
• Or you can calculate it by using the appropriate functions:
= stdev(range) or stdevp(range)

Computation of Frequency in Excel

HMIS NOTES

B.Boy

• The Excel useful statistical function is Frequency.
• Given a set a data and a set of intervals, Frequency counts how many of the values in the

data occur within each interval.

• The data is called a data array and the interval set is called a bins array.
• The format for the FREQUENCY function is:

o FREQUENCY(DATA,BINS)

 FREQUENCY is an array function.

 This means that the function returns a

set of values rather than just one value.

 To enter an array function, the range

that the array is to occupy must first

be selected and the function must be

entered by pressing

Shift+Ctrl+Enter instead of just Enter or using the mouse.

• The following worksheet contains the examination results for 14 students.
• The numbers in the column headed Score Below is the bins array.
• Before keying in the function, you must select the range of the array for the result.
• In this case it will be F8:F17.

HMIS NOTES

B.Boy

• With this range selected, the following function is keyed into the Formula bar:
=FREQUENCY(C4:C17,E8:E17)
• Press Shift+Ctrl+Enter.
• The array is now filled with data.
• This data shows that no student scored below 30, 1 student scored between 30 and 39, 3

between 40 and 49, 1 between 50 and 59, 3 between 60 and 69, 1 between 70 and 79, 3

between 80 and 89, and 2 scored between 90 and 100.

• If any of the results are changed, the data in the No. In Range column will be updated

automatically.

HMIS NOTES

B.Boy

Evaluation Questions

• What order of operations used to evaluate formulas in Excel?
i. Additional
ii. Subtractions
iii. Division
iv. Multiplication
v. Greater than
vi. Less Than
vii. Quotation marks
viii. Equal signs
• What are the useful functions in Excel?
i. Summation
ii. Average
iii. Count
iv. Maximum
v. Minimum
vi. Concatenate
vii. Counta
viii. If
ix. Sumif
x. Countif
xi. Vlookup

HMIS NOTES

B.Boy

Explain the benefit of using formula in Excel sheet.

i. Functions increase user productivity when working with excel.
ii. Let's say we would like to get the grand total for the above home supplies budget.
iii. To make it simpler, we can use a formula to get the grand total.
iv. Functions allow to use descriptive names and automatically apply formulas for data

analysis.

• What is the pivot table?

o A PivotTable is an interactive way to quickly summarize large amounts of data. You

can use a PivotTable to analyze numerical data in detail, and answer unanticipated

questions about your data. A PivotTable is especially designed for: Querying large

amounts of data in many user-friendly ways.

What is a formula in Ms excel?

o A formula is an expression made up of cell addresses and arithmetic operators.

o A function is a predefined formula.

Procedures of inserting borders and alignment?

o Highlight all the columns and rows with data

o On the font ribbon bar, click on borders command

HMIS NOTES

B.Boy

Session 4: Creation of Chart from Health Data Using

Spreadsheet

Learning Tasks

By the end of this session students are expected to be able to:

• Define a chart as applied in Ms Excel
• Explain types of Ms Excel charts
• Create a chart using Ms Excel principles
• Format data using condition formatting

CHART AS APPLIED IN MICROSOFT EXCEL

• A chart is a visual representative of data in both columns and rows.
• Charts are usually used to analyse trends and patterns in data sets.
• For example, the district hospital pharmacist have been recorded the malaria drugs

inventory figures in Excel for the past three years; using charts, the pharmacist can easily

tell which year had the most consumption of Malaria drugs and which year had the least.

• Charts are used to compare set targets against actual achievements.
• Use the following data for chart practice.

Table 4: Sales of Computer Appliances at AB Computer Shop

Item 2012 2013 2014 2015

Desktop Computer 20 12 13 12

Laptops 34 45 40 39

Monitors 12 10 17 15

Printers 78 13 90 14

HMIS NOTES

B.Boy

A chart is a tool you can use in Excel to communicate data graphically. Charts allow your

audience to see the meaning behind the numbers.

The Types of Microsoft Excel Charts

Types of charts

• Different scenarios require different types of charts.
• Excel provides a number of chart types
• The type of chart depends on the type of data that used during chart design.
• To help simplify things for the users, Excel has an option that analyses data and makes a

recommendation of the chart type used.

List Excel Chart Types

i. Pie
ii. Column
iii. Line
iv. Bar
v. Combo
vi. Scatter

HMIS NOTES

B.Boy

Explanation with Diagrams

The following table shows some of the most commonly used charts

S/N CHART WHEN SHOULD EXAMPLE

TYPE USE IT?

1 Pie Chart When user want

to quantify items

and show them as

percentages.

2 Bar Chart When user want

to compare values

across a few

categories. The

values run

horizontally

HMIS NOTES

B.Boy

3 Colum When user want

chart to compare values

across a few

categories. The

values run

vertically

4 Line chart When user want

to visualize trends

over a period of

time i.e. months,

days, years, etc.

5 Combo When user want

Chart to highlight

different types of

information

HMIS NOTES

B.Boy

The Scatter Chart

The purpose of a Scatter Chart is to observe how the values of two series compares over time

or other category.

HMIS NOTES

B.Boy

PARTS OF EXCEL CHART

i. Chart area
ii. Data marker
iii. Data series
iv. Axis
v. Tick mark
vi. Plot area
vii. Gridlines
viii. Chart text
ix. Legend

HMIS NOTES

B.Boy

Explanation of Each part of the Graph

 Chart area: Everything inside the chart window, including all parts of the chart (labels,

axes, data markers, tick marks, and other elements listed here).

 Data marker: A symbol on the chart that represents a single value in the worksheet. A

data marker (or data point) may be a bar in a bar chart, a pie in a pie chart, or a line on

a line chart. Data markers with the same shape or pattern represent a single data series

in the chart.

 Data series: A group of related values, such as all the values in a single row in the

chart. A chart can have just one data series (shown in a single bar or line), but it usually

has several.

 Axis: A line that serves as a major reference for plotting data in a chart. In two-

dimensional charts there are two axes — the x-axis (horizontal/category) and the y-axis

(vertical/value).

 Tick mark: A small line intersecting an axis. A tick mark indicates a category, scale, or

chart data series. A tick mark can have a label attached.

 Plot area: The area where Excel plots your data, including the axes and all markers that

represent data points.

 Gridlines: Optional lines extending from the tick marks across the plot area, thus

making it easier to view the data values represented by the tick marks.

 Chart text: A label or title that you add to the chart. Attached text is a title or label

linked to an axis such as the Chart Title, Vertical Axis Title, and Horizontal Axis Title

that you can’t move independently of the chart.

 Legend: A key that identifies patterns, colors, or symbols associated with the markers of

a chart data series. The legend shows the data series name corresponding to each data

marker (such as the name of the blue columns in a column chart).

HMIS NOTES

B.Boy

The Procedures of Creating a Chart Using Microsoft Excel

Procedures for creating charts in Excel

• Open Excel
• Enter the data from the sample data table above (Table 4)
• The workbook should now look as follows
• To get the desired chart the user should follow the following steps

HMIS NOTES

B.Boy

• Select the data you want to represent in graph
• Click on INSERT tab from the ribbon
• Click on the Column chart drop down button
• Select the chart type you want
• The user can able to see the following chart

HMIS NOTES

B.Boy

• When you select the chart, the ribbon activates the following tabs:
• Try to apply the different chart styles, and other options presented in your chart.

HMIS NOTES

B.Boy

The Procedures of Using Conditional Format in Microsoft Excel

Conditional Formatting

• Conditional formatting refers to formatting that is only applied when the specified condition

is true.

• Let's say we want to easily fetch the sales figures greater than 30; we can use conditional

formatting to highlight all the sales figures that are greater than 30.

•

Procedures for conditional Formatting

• Highlight all the sales figures as shown below
• Click on Conditional Formatting drop-down menu on the HOME tab

HMIS NOTES

B.Boy

• The user get the following dialogue window when click on “Greater Than”
• The final result should look as follows

HMIS NOTES

B.Boy

Procedures for removing conditional formatting

• Click on conditional formatting button
• Select clear rules
• Select clear rules from the entire sheet

The importance of charts

• It allows visualizing data graphically.
• It's easier to analyses trends and patterns in the charts
• Easy to interpret compared to data in cells

Application of Spreadsheet Software

i. Preparing payrolls – Calculating employees’ salaries i.e. gloss pay, allowances, deductions

and the net pay.

ii. Presenting students performance – to store students information e.g. marks, calculating

total marks, average marks and grading.

iii. Creating and maintaining personal budget- tabulating monthly expenses and calculating

total monthly expenses.

iv. Calculating profit and loss of businesses.
v. Used in laboratory to enter and store data

HMIS NOTES

B.Boy

Printing

 When printing a worksheet you have a few options.

 You can go to “Page Setup” to change the features of your work (the margins, the

paper size, the tabs, etc.) This will affect how your project will be printed.

 You can select “Print Area,” which allows you to only print a highlighted area.

 You can preview your printing job by selecting “Print Preview.”

 Finally, you can print your job by going to the File Menu and selecting “Print,”

or you can use the shortcut button.

HMIS NOTES

B.Boy

Evaluation Questions

• What Ms Excel chart?

A chart is a tool you can use in Excel to communicate data graphically. Charts allow your

audience to see the meaning behind the numbers, and they make showing comparisons and

trends much easier

• What is a conditional formatting?
• A conditional formatting refers to rules that changes the appearance of cells on the

basis of conditions that you specify

Explain the three report formats that are available in Microsoft Excel.

i. Pie
ii. Column
iii. Line
iv. Bar
v. Combo
vi. Scatter

HMIS NOTES

B.Boy

Session 5: Creation of Histogram from Health Data Using

Spreadsheet

Learning Tasks

By the end of this session students are expected to be able to:

• Define Histogram
• Explain Histogram data used in Ms Excel
• Create Histogram using Ms Excel

HISTOGRAM

• A histogram is a column chart that shows frequency data.
• A histogram is "a representation of a frequency distribution by means of rectangles whose

widths represent class intervals and whose areas are proportional to the corresponding

frequencies."

The Histogram Data Used in Microsoft Excel

• To create a histogram in Excel, the designer should provide two types of data:

o The data that required to analyze

o The bin numbers that represent the intervals by which it measures the frequency.

• The user must organize the data in two columns on the worksheet.

o These columns must contain the following data:

List two Types of Data required to create Histogram

 Input data: This is the data that used to analyze by using the Histogram tool.

 Bin numbers: These numbers represent the intervals that the Histogram tool is used

for measuring the input data in the data analysis.

• When user uses the Histogram tool, Excel counts the number of data points in each data

bin.

• A data point is included in a particular bin if the number is greater than the lowest bound

and equal to or less than the greatest bound for the data bin.

HMIS NOTES

B.Boy

• If the user omits the bin range, Excel creates a set of evenly distributed bins between the

minimum and maximum values of the input data.

• The output of the histogram analysis is displayed on a new worksheet or in a new workbook

and shows a histogram table and a column chart that reflects the data in the histogram

table.

The Procedures for Creating Histogram in Microsoft Excel

Creating Histogram using Ms Excel

i. First, enter the bin numbers (upper levels) in the range C3:C7.

HMIS NOTES

B.Boy

ii. On the Data tab, in the Analysis group, click Data Analysis.

NOTE: If you can't find the Data Analysis button; click here to load the Analysis ToolPak add-

in.

iii. Select Histogram and click OK.
iv. Select the range A2:A19.
v. Click in the Bin Range box and select the range C3:C7.
vi. Click the Output Range option button, click in the Output Range box and select cell F3.
viii. Check Chart Output.

HMIS NOTES

B.Boy

viii. Click OK.
• Click the legend on the right side and press Delete.
• Properly label your bins.
• To remove the space between the bars, right click a bar, click Format Data Series and

change the Gap Width to 0%.

• To add borders, right click a bar, click Format Data Series, click the Fill & Line icon, click

Border and select a colour.

• Result:

HMIS NOTES

B.Boy

Evaluation Questions

• What is histogram?

A histogram is a column chart that shows frequency data.

A histogram is "a representation of a frequency distribution by means of rectangles whose

widths represent class intervals and whose areas are proportional to the corresponding

frequencies."

• What is a bin in Excel?

Bin numbers: These numbers represent the intervals that the Histogram tool is used for

measuring the input data in the data analysis.

• What is frequency distribution in Excel?

Frequency Distribution in Excel is an array function used to give an impression of how the

data is spread out.

HMIS NOTES

B.Boy

• Explain the merits and demerits of using Histogram in healthcare data

presentation.

The main advantages of a histogram are its simplicity and versatility.

It can be used in many different situations to offer an insightful look at frequency

distribution. For example, it can be used in sales and marketing to develop the most

effective pricing plans and marketing campaigns

Demerits are:

1) Cannot read exact values because data is grouped into categories.
2) More difficult to compare two data sets.
3) Use only with continuous data
• Explain the different between Ms Excel 2013 and 2016 in creation of

Histogram.

o On a worksheet, type the input data in one column, and the bin numbers in ascending

order in another column. Click Data > Data Analysis > Histogram > OK. Under

Input, select the input range (your data), then select the bin range. … For more

information, see Create a histogram.

o Before creating a histogram chart, there is one more preparation to make – add the

bins in a separate column. Bins are numbers that represent the intervals into which

you want to group the source data (input data). The intervals must be consecutive,

non-overlapping and usually equal size

HMIS NOTES

B.Boy

Session 6: Report and Presentation of Health Related

Information Using Computer Packages

Learning Tasks

By the end of this session students are expected to be able to:

• Explain principles of report writing

REPORT

• Report

o The report is a practical document that describes deals or analyses a situation such that

the reader can take specific actions about the situation.

o The report as a whole asks if there is a problem.

o The conclusion draws the various elements of this question together, typically

acknowledging that there is a problem and breaking it down into its component parts.

o The recommendations suggest the range of options available to solve the problem.

Describe three (3) Types of report

i. Factual report: gathering information that explain or define a situation
ii. Instructional report: gathering information that explain a problem and offer a range of

solutions

iii. Persuasive report: gathering information that explain a problem and recommend a

solution.

HMIS NOTES

B.Boy

Explain the six (6) Basic Principles of Good Report Writing

• Accuracy

o Report factual information, for example “I saw.”

o Report information gained from the physical senses, for example, sight, smell, taste,

auditory, and touch.

o Be aware of feelings that may destroy objective descriptions. Strong feelings can cause

the writer to seek evidence to support her feelings and reject evidence that does not

support them.

o Make distinctions between fact and hearsay, fact and opinion, and fact and conclusions.

o Be clear about the meaning of words; avoid jargon.

o Clarify all abbreviations, such as SOB for shortness of breath.

o Proofread the report and rewrite as needed.

• Completeness

o Completeness is achieved by reporting all the facts discovered during the course of an

investigation or data collection.

o Information that appears irrelevant to the investigator may be relevant to the reviewer.

o In most cases, the only information the reader will have will be the information in the

report.

o Partially stated facts can be misleading and misinterpreted.

o Explain why certain information is lacking or incomplete.

o Provide a detailed explanation of the possible source of additional information and

undeveloped leads.

• Conciseness

o Avoid unrelated, extraneous, incidental, and nonessential information and detail.

o Pay attention to grammar.

o Avoid adjectives, wit, sarcasm, flowery expressions, and repetition. A report is not a

literary or creative writing exercise.

o Use singleness of thought and purpose. A good report will give the reader a clear idea

or picture of the investigation or the information collected.

HMIS NOTES

B.Boy

o Use headings, paragraphing, sentence structure, indentations, underlining, and

capitalization to emphasize and give weight and/or visibility to information the

investigator deems more important.

• Impartiality/Objectivity

o The investigator is a fact finder. Report the material and evidentiary facts without

addition or subtraction.

o Do not conceal or withhold information.

o Do not assume.

o Do not conclude.

o Maintain an unbiased and open mind about the case.

o Avoid formulating preconceived ideas about the guilt of the accused.

o Avoid becoming emotionally involved in the process of seeking information.

• Clarity and Report Formatting

o Arrange the contents of the report in discrete sections to facilitate the reader’s review

and understanding of the report.

o Write in chronological order.

o Avoid ambiguous sentences and vague statements.

o Additional parts of the complete report may include the title page, information on

undeveloped leads, investigator’s conclusions, witness list, and exhibit/evidence list.

• Summarize Succinctly
• The reader should be able to look in both your introduction and your discussion to find

a summary of your report, including the main focus, or problem, and the results of your

investigation.

• While your introduction should include a thorough explanation of the topic and the

reason why your report is important, you may also include a brief description of your

findings. This summary should only be a general statement, without any detail or

explanation. While your introduction should include a thorough explanation of the topic

and the reason why your report is important, you may also include a brief description of

your findings. This summary should only be a general statement, without any detail or

explanation. Once you have explained your results, begin your discussion section with a

reminder of the main topic of your report. Remind the reader of what and why you were

originally investigating before launching into your interpretation of the results.

HMIS NOTES

B.Boy

Methodological of Report Writing

• Typical report structure:

Title page

▼

Contents

▼

Introduction

▼

Methodology

▼

Findings

▼

Conclusion

▼

Recommendations

▼

Bibliography

▼

Appendices

▼

Glossary

HMIS NOTES

B.Boy

Numerate eight (8) Points to consider during report writing:

o Read journals for your subject.

o Remember that each finding should have a conclusion.

o Think about what a report does.

o Check department style and use that.

o Clarify your aims before you start.

o Consider who the reader is.

o Gather information to explain or define a situation.

o Swap with a friend; proof-read each other’s reports.

o Consider what you will need to tell your reader to get them there.

o Proof-read from end to beginning; this disrupts expectations.

HMIS NOTES

B.Boy

Evaluation Questions

• What is report?

The report is a practical document that describes deals or analyses a situation such that the

reader can take specific actions about the situation.

• What are the types of report?

o Factual report: gathering information that explain or define a situation

o Instructional report: gathering information that explain a problem and offer a range of

solutions

o Persuasive report: gathering information that explain a problem and recommend a

solution.

• What are the principles of report writing?
i. Accuracy
ii. Completeness
iii. Conciseness
iv. Impartiality/Objectivity
v. Clarity and Report Formatting
vi. Summarize Succinctly

HMIS NOTES

B.Boy

• What are the components of report?
i. Title page
ii. Contents
iii. Introduction
iv. Methodology
v. Findings
vi. Conclusion
vii. Recommendations
viii. Bibliography
ix. Appendices
x. Glossary

HMIS NOTES

B.Boy

Session 7: Computer Applications for Data Backup, Information

Searching and Learning

Learning Tasks

By the end of this session, students are expected to be able to:

• Define data back up
• Describe importance of backing up data
• Explain causes of data loss
• Classify different type of computer viruses
• Describe the importance of computer ant viruses
• Demonstrate techniques in searching information on the internet

I. DATA BACKUP

What is Data backup?

• A data backup is the result of copying or archiving files and folders for the purpose of being

able to restore them in case of data loss.

• OR is the process storing data or Information for future use hence to be restored in case of

Data Loss.

• Remote backup site sometimes is called Secondary Site
• Backup technique which is most space efficient is Incremental Backup
• Reasons why we Backup Data/ Why we Backing up Pharmaceutical data

o To recover data after its loss, by data deletion or corruption.

o To recover data from an earlier time, according to a user-defined data retention policy

typically configured within a backup application for how long copies of data are required.

o Large File Transfer

o Human Error Eraser

o Virus Protection and Spyware Protections

o Prevent from Hard Disk Failure

o Prevent from Events beyond Human Control

o Free Up Disk Space.

HMIS NOTES

B.Boy

Describe eight (8) Data backup storage media

i. Magnetic tape has long been the most commonly used medium for bulk data storage,

backup, archiving, and interchange.

ii. Hard disk: Hard disks have been improving for many years, making them more

competitive with magnetic tape as a bulk storage medium.

iii. Optical storage: Recordable CDs, DVDs, and Blu-ray Discs are commonly used with

personal computers to store data.

iv. SSD/Solid state storage: flash memory, thumb drives, USB flash

drives, CompactFlash, SmartMedia, Memory Stick, Secure Digital cards are very

convenient for backing up low data volumes.

v. Cloud backup: Backing up via the Internet to a remote location can protect against

events such as fires, floods, or earthquakes which could destroy locally-stored backups.

vi. On-line backup storage is the most accessible type of data storage, which can begin

restore in milliseconds of time.

vii. Near-line storage is less accessible and less expensive than on-line storage, but still

useful for backup data storage.

viii. Off-line storage requires some direct human action to provide access to the storage

media: for example inserting a tape into a tape drive or plugging in a cable.

o Off-site data protection: To protect against a disaster or other site-specific problem, many

people choose to send backup media to an off-site vault.

o The vault can be as simple as a system administrator's home office or as sophisticated as a

disaster-hardened, temperature-controlled, high-security bunker with facilities for backup

media storage.

ix. Backup site: Some organizations have their own data recovery centers that are

equipped for data storage.

HMIS NOTES

B.Boy

Explain the Importance of Backing up Data

• The Human Eraser

o Computers can do a lot of damage in a very short period of time.

o The fastest erasers known consist of a fast computer combined with an unprepared or tired

brain.

o Backup systems can save hours, days or months of trying to reconstruct valuable data.

o Before any important system change, such as adding hardware or software, it is important

to remember to backup all data before installation of the new system.

• Hard disk failure

o MTBFs (Mean Times Between Failure) have improved dramatically in the past several

years for all peripherals.

 This refers to data capacity and the amount of data that can be lost if the disk fails.

 The problem is, nobody knows when a failure will occur.

o According to the Murphy's Law, the loss will occur at the worst possible time.

o Backup systems give immediate and automatic protection from unpredictable disk failures.

• Virus protection and spyware protection

o Some unscrupulous individuals continue to write viruses that innocently hide in shareware

programs and all throughout the Internet.

o These programs have the capability to copy themselves and load into the system along with

the software that we downloaded from the internet.

o Once loaded, they proceed to wreak havoc the system, causing errors, lockups and loss of

data.

o A reliable backup system can restore data lost through virus infection when used in

conjunction with good virus detection software and an earlier backup.

• Free up disk space

o It is not easy to stop the steady growth of application software and related data in the

system.

o The only way of resolve this problem is to offload some of the less-used files from the hard

disk to a secondary storage medium like tape or DVDs.

o Removing those inactive files can open up the hard disk for new programs or growing data

files.

HMIS NOTES

B.Boy

o Inexpensive DVD or tape cartridges are a sure way to archive the programs and data

while still keeping them accessible when needed.

o It can enable to put off buying a larger disk.

• Events beyond the human control

o Both natural and manmade disasters inject a disconcerting variability into any application

that requires large amounts of data storage.

 These include fire, floods, lightning and outright theft.

o After such an occurrence:

 Business will failed to survive.

 Regenerating vital billing or customer information would be very difficult from paper

records, if not impossible.

o Backup systems protect data against such calamity.

 It was advised to do an extra backup weekly and store the backup either in a fireproof

safe or at an offsite location.

 If the system goes, the data stays

 It may mean the difference between business as usual and bankruptcy.

• Large file transfers

o Transferring large volumes of data can be time-consuming.

o Tape backup drives in particular have the capacity for very high data transfer rates

making them ideal for moving large quantities of data between systems.

o Tapes are also compact, inexpensive and have a long shelf life.

 The data are archived and accessible for years to come.

 With a tape backup system a system user can conveniently send a tape cartridge across

the country, through the mail or across the office in a shirt pocket.

HMIS NOTES

B.Boy

Explain the Causes of Data Loss

• Deleting files accidentally

o The top risk of losing data is deleting files or parts of texts without having any backups

available.

o Updating files or deleting them is very common activities and we do them almost every

day.

o No wonder if we accidentally delete wrong files or overwrite the parts we did not intend.

o We often lose data simply because we do not have proper workflow procedures and backup

strategies.

o More efficient procedures for saving our work and making backups regularly will

definitely save a lot of time for us.

• Viruses and damaging malware

o There are numerous new viruses which attack computers every day.

o Being connected to worldwide network has many advantages; however, it opens computers

to many serious risks.

o Damages may differ greatly but the majority of viruses affects operational software,

misuses Internet connection and damages stored data.

o There are many different types of viruses and, often, data loss is just a side effect of some

larger damage done to operational system.

o The most dangerous are the attacks targeted to steal and damage business data.

 Imagine the value of client databases, technical inventions, patient health information

essential for treatment and medication or financial transactions' history of the health

organization are destructed/ damaged with viruses.

• Mechanical damages of hard drive

o Hard drives of computers are the most fragile parts of computers; they break down more

often than any other device connected to computing.

o There are so many moving parts inside of hard drives that it is no wonder they break down

so easily.

o Once the serious problem occurs in the hard drive, there is no way even a professional

services provider can totally recover the important data in the drive.

o Memory devices are also often damaged when computers are accidentally dropped.

o Regular backups really help in case of hardware troubles.

HMIS NOTES

B.Boy

• Power failures

o There are two adversary effects of power failures.

 When you are halfway through writing a long article and you have not saved it yet, then

in case of power going out you lose your data.

 Another, even deeper problem may arise when power failures affect operation systems

or hardware of computers; shutting computer down suddenly without proper shutdown

procedures may cause problems with rebooting operation system later, these operation

system problems cause chain reaction and data might not be accessible any more.

o Sudden changes in voltage may damage many different computer parts.

 Most problems can be solved by changing power supply unit but there are also a great

possibility for damaging other hardware elements of computer, e.g. hard drives and

other parts which are very sensitive to changes in voltage and strong magnetic fields.

o Having automatic backups enables to recover from any accidents caused by power

failures.

• Theft of computer

o It is a real tragedy to lose both computer and data at the same time.

o There is always the danger of burglars breaking the offices and stealing electronic devices.

o While traveling passengers leave the laptop in a bus/car, airport, conference centers,

coffee shops or any other crowded place.

o New computers cost some money, but very often the data saved to hard disks is even more

expensive.

o Even if there is no particular monetary value involved, personal memories, family pictures

or other heirlooms are certainly important and very valuable to any person who use

computer.

o Losing computer may be less painful, if a computer user use proper data backup strategy

and keep data in safe storage.

• Spilling coffee, and other water damages

o Since laptop usage has been growing during past few years, the damages caused by

spilling drinks on to the computers have become more often as well.

o Average laptop does not have extra covers to protect internal parts from getting soaked.

o Liquids cause short circuit of important electronic components and they are really hard to

recover afterwards.

o Hard drives are usually placed in protective case and may be still used after getting a little

wet.

o However, harder soaking makes hard drives inaccessible.

o Another risk of the same category is dropping computer into water.

HMIS NOTES

B.Boy

o If the computer is completely immersed into water, it is really hard to fix anything

afterwards.

o Maybe visiting a repairman really quickly can save some parts of the computer appliances

otherwise it will be a useless computer.

o Also, if computer was not switched on at the moment of falling into water, the damage may

be less severe.

o Water accidents usually cause the loss of data saved to the hard drive.

• Fire accidents and explosions

o Explosions happen rarely but fire most probably completely destroys both a computer and

data saved on it.

o Fire is also dangerous to the backups that are stored in the same house.

o For example, having weekly backups stored on an external hard drive which is kept in

same building does not help much if the building burns down.

o In this case, both computer and backup drive will be destroyed and data will be completely

lost.

o The safest practice against fire is to make regular backups and keep them in other

(different) locations.

Mention eight 8 application software for Data backups

i. Drop box
ii. Google photo
iii. Google Drive
iv. Ultimate Backups
v. Titanium backups
vi. Sync droid
vii. Tunes GO
viii. SMS Backups and Restore

HMIS NOTES

B.Boy

II. COMPUTER VIRUS

HMIS NOTES

B.Boy

What is Computer Virus?

• Computer virus refers to a program which damages computer systems and/or destroys

or erases data files

• A true virus is capable of self replication on a machine

Symptoms of Virus Attack

• Computer runs slower than usual
• Computer no longer boots up
• Screen sometimes flicker
• PC speaker beeps periodically
• System crashes for no reason
• Files/directories sometimes disappear
• Denial of Service (DoS)

Types of Computer Virus

• Time Bomb
• Logical Bomb
• Worm
• Boot Sector Virus
• Macros Virus
• Script Virus
• Trojan Horse

HMIS NOTES

B.Boy

Explanation of Each Type of Virus

o A time bomb

• A time bomb is a virus program that performs an activity on a particular date

o A logical bomb

• A logical bomb is a destructive program that performs an activity when a certain action

has occurred.

o A worm

• A worm is also a destructive program that fills a computer system with self-replicating

information, clogging the system so that its operations are slowed down or stopped

o A boot sector virus

• A boot sector virus infects boot sector of computers. During system boot, boot sector

virus is loaded into main memory and destroys data stored in hard disk

o A macro virus

• A macro virus is associated with application software like word and excel. When

opening the infected document, macro virus is loaded into main memory and destroys

the data stored in hard disk

o Script Virus

• Script Virus Commonly found script viruses are written using the Visual Basic Scripting

edition (VBS) and the JavaScript programming languages

o Trojan Horse

• Trojan Horse is a destructive program. It usually pretends as computer games or

application software. If executed, computer system will be damaged.

• Trojan Horse usually comes with monitoring tools and key loggers

Blended Threat

• Added into the mix, we also have what is called a blended threat.
• A blended threat is a more sophisticated attack that bundles some of the worst aspects of

viruses, worms, Trojan horses and malicious code into one single threat.

• Blended threats can use server and Internet vulnerabilities to initiate, then transmit and also

spread an attack.

HMIS NOTES

B.Boy

Characteristics of blended threats are:

o It causes harm to the infected system or network

o It propagates using multiple methods

o The attack can come from multiple points

o The threats also exploit vulnerabilities

What is Spyware or Adware or Malware?

o Are illegal programs that come onto computer through browsing from internet

o It can slow the computer

List five (5) types of Malware

i. Trojan Horse
ii. Worm
iii. Spyware
iv. Root kit
v. Adware
vi. Macros
vii. Runsomware

Actions to prevent Computer from virus infection

i. Always update your anti-virus software at least weekly.
ii. Back up your important files and ensure that they can be restored.
iii. Don't share Drive C: with other programs.
iv. Empty your Recycle bin
v. Clear your Internet Cache
vi. Clear Temporary Files
vii. Run Disk Fragmentation
viii. Do not open Unexpected Emails

HMIS NOTES

B.Boy

III. COMPUTER ANTIVIRUS

The Program designed to protect computer from Virus Infections.

List Five 5 Common Exapmle of Antivirus program

i. NORTON
ii. KASPER SKY
iii. AVG
iv. AVAST
v. SMATDAV
vi. BIT DEFENDER
vii. MACAFEE
viii. ADWARE
ix. ANTIVIRA

Importance of Computer Ant viruses

(Write this points If the Questions asked on Short answer, if it’s on Essay then use Benefits

as Importance)

• Protect computer from incoming threat
• Keep your data from being corrupted
• Antivirus can speed up your computer
• Protect your shared network from virus attacks such as Trojan horse.

HMIS NOTES

B.Boy

The benefits of using antivirus software in the computer system

• Protection from Viruses and Spyware

o Antivirus has the primary job of detecting any sought of viruses, spyware, malware and

other unknown threats and removing the same before they can do any harm to the data

present in a computer system.

• Protection from Phishing Attacks

Define Phishing

o Phishing is termed as an unauthorized attempt by any third person or hacker to access the

data present in the system, with the intention of stealing the same or infect the data so that

it can’t be usable to the user.

• Provides Robust Web Protection

o With the increased use of the internet, various online cyber threats are affecting the data

security of the computer.

o Antivirus software takes control of the web activities limiting unauthorized access of any

online threat.

• Provides quick scan of removable device

o Antivirus Software provides the advantage of quick scanning of any removable device

connect to the computer system and scans it for any unknown threats.

o The external drives are opened automatically after complete scanning of the removable

devices and removing any unknown threats present in it.

• Two-Way Firewall

Define Firewall

Isa Network Security device that monitor Incoming and Outgoing Network traffic and decide

whether to allow or block specific traffic based on a defined set of security rules.

A firewall it can be hardware, software or both.

Firewall acts as a barriers between

HMIS NOTES

B.Boy

o Antivirus Software provides two-way firewall protection which puts a check in every

incoming and outgoing data/mail through the internet and blocks the same if it finds

something suspicious during transmission.

Enlist type of Firewall Solutions

i. Packet Filters
ii. Stateful/ Inspection Firewall
iii. Proxy Server Firewall
• Block Ads and Spam Website

o At present, most of the viruses and spam attacks are executed from the pop-up ads and

other spam website whose original intention is to steal confidential information from user’s

computer which could result in big financial losses.

• Provides Password Protection

o Some significant antivirus software provides the feature of password protection which

protects them from getting stolen by any third person or hackers.

• Speed up the computer system

o Nowadays, antivirus software developed in such a way that they don’t hamper the system

performance.

o Rather they come with built in modules which automatically deleted unwanted files and

folders from the computer system, thus increasing its performance speed.

Disadvantages of Ant viruses

i. System Slow down
ii. No complete protection
iii. Security Holes
iv. Limited detection Techniques
v. Frequency advertisement
vi. No customer Support

HMIS NOTES

B.Boy

IV. INTERNET

 By definition Internet refers to huge number of computer that shares resources and

information through network.

OR

 Is the collection of massive number of computer that share resources and information

through network.

 Internet can be accessed different multi medias.

Network is the protocol/ algorithm that allow communication between electronic devices.

Protocol means rules/ principles that guides electronic devices.

i.e http-Hyper Text Transfer Protocol

FTP-File Transfer Protocol

DSL-Digital Subscriber Line

ISP- Internet Services provider

IP- Internet Protocol

SMTP-Simple Mail Transfer Protocol

IMAP- Internet Message Access Control

INTRANET

Is a relatively smaller private Network that uses the Internet Protocol and connectivity.

EXTRANET

It is a private Network uses Internet Technology to share a part of the business Information and

operations with Suppliers and Customers

It can be part of Intranet that provides access to the users outside the Company.

HMIS NOTES

B.Boy

What are the Importance of Internet to the society?/ Explain uses of Internet and the

Web

i. Entertainment e.g Streaming videos
ii. Communication e.g calls, chatting
iii. Shopping e.g Amazon, Ebay
iv. Education or e-leaning
v. Transportation e.g Uber, Mwendokasi
vi. Searching.
vii. Research

TERMINOLOGIES FOUND ON INTERNET

 Web

 Website

 Webpage

 Web browser

 Search Engine

HMIS NOTES

B.Boy

Web

Is the Multimedia Interface of the resources available on Internet.

Nowadays it use machine Learning to display Information on Internet.

HMIS NOTES

B.Boy

Website

Is the massive collection of Information found on Internet hence set as the Home page of WWW

(World Wide Web)

HMIS NOTES

B.Boy

Web page

Is the sheet that display materials found on the website.

HMIS NOTES

B.Boy

Web browser/ Internet Navigator

Is the software designed to display web pages.

List examples of Commonly used Web browser.

i. Google Chrome
ii. Microsoft Edge Internet Explorer
iii. Opera min
iv. Safari
v. Mozilla Fire Fox
vi. Netscape Navigator
vii. UC Browser
viii. Vidmate

HMIS NOTES

B.Boy

Search Engines

 The software programs designed to locate user for searching different Information on

Internet.

OR

 Are Websites through which users can search internet contents.

List examples of Commonly used Search Engine.

i. Google
ii. Yahoo
iii. Teamo
iv. BING
v. MSN
vi. ASK.Com
vii. Alta Vista
viii. Northern Light
ix. HotBoot

HMIS NOTES

B.Boy

Enlist The four(4) top medical information search engine websites

i. Webmd
ii. Pubmed
iii. Healthline
iv. Healthfinder

HMIS NOTES

B.Boy

URL (UNIFORM RESOURCES LOCATOR)

Is the pathname to display resources available on internet

List the parts of URL

i. Protocol name
ii. Host part
iii. Document name

o Protocol

Protocols are rules for exchanging data between computers. The protocol http:// is the

most widely used Web protocol.

o Domain name (top level domain)

It is the name of the server where the resource is located. www.mtv.com is an example

of Server (Many URLs have additional parts specifying directory paths, file names, and

pointers.) The last part of the domain name following the dot (.) is the domain code. It

identifies the type of organization. For example, .com indicates a commercial site. The

URL http:// www.mtv.com connects your computer to a computer that provides

information about MTV.

o Domain code (example com)

Example

http://www.kiccohas.ac.tz/Login.index.html

Protocol Host Name Document Name

Name

HMIS NOTES

B.Boy

DOMAIN NAME

• A domain name is the name of a computer, including the organization name, type of

organization and the country in which the organization is located.

• Servers or host computers are arranged according to geographical location.
• All countries in the word have a country suffix, except the USA.
• For example, Tanzania’s country suffix is ‘’tz’’

Domain name of a host computer includes

i. Server name
ii. Organization name
iii. Type of organization
iv. Country name

Example

www.kiccohas.ac.tz

Server Name Organization Type of Country Name

Name Organization

HMIS NOTES

B.Boy

Common Abbreviations in URLs

Abbreviations Meanings

Ac Academic

Co Company

Com Commercial

Edu Educational

Gov /go Government

mil Military

Org/ or Non Profit Organization

List five Internet Communications

i. E- Mail
ii. Instant Messages
iii. Group Discussion i.e Forum example Jamii Forum
iv. Video Chatting i.e IMO, WatsupVideo Calling
v. Video Conferencing i.e Zoom,Skype

HMIS NOTES

B.Boy

Explanations on Internet Connections

1. E-MAIL

 Definition Email is the transmission of electronic messages from sender to

receiver through Internet

 One way that people communicate with each other on the internet is by using electronic

mail

 It is like writing a real letter only typed an then transmitted over the internet.

Email message consists of five parts

i. To: Who the message will be sent to
ii. Cc: Who will get a copy of the message
iii. Subject: What the message is about
iv. Body: The content of the message
v. Signature: The name of the person sending the message
vi. BCC: Blind Carbon Copy

E-MAIL ADDRESSES

 Each email user has a name(Called a username or user account) and a server that holds

their email.

 The username and server name are joined together to make your email address.

 They are joined using the @sign, which distinguishes it from a web address.

 For example: kosialucas14@Hotmail.com

HMIS NOTES

B.Boy

Advantages of email

i. High speed delivery
ii. Low cost
iii. File transfer
iv. Flexibility
v. Time zone friendly.
vi. Reliability
vii. Security

Disadvantages of email

i. Spam
ii. Viruses
iii. Hacking

i.e Spamming is the process of sending insolated bulk message over an Email.

Mentions the Steps Required to Send Certain Document on Email (Practical)

i. Scan the Document you want to send
ii. Open the Web browser i.e Mozilla Fire fox or Google Chrome
iii. Write www. Gmail.com on the writing panel
iv. Write your credential i.e User name and Password
v. Then Open the Gmail Account
vi. Then Click Compose then Attachment to select the scanned document and write the

email you want to send it to the Click Send to send.

HMIS NOTES

B.Boy

2. INSTANT MESSAGE (IM)

o Instant messaging (IM) is an extension of e-mail that allows two or more people

to contact each other via direct, live communication.

o To use instant messaging, you specify a list of friends (also known as buddies or

contacts) and register with an instant messaging server.

o Whenever you connect to the Internet, special software informs your messaging

server that you are online.

o In response, the server will notify you if any of your contacts are online.

o At the same time, it notifies your contacts that you are online.

o You can then send messages directly back and forth to one another.

o Many new instant messaging programs also include videoconferencing

features, file sharing, and remote assistance.

o To see how Instant Messaging works, visit us at www.olearyseries.com/CE06

and select Animations.

o The most widely used instant messaging services are AOLs Instant Messenger,

Microsoft's MSN Messenger, and Yahoo Messenger.

o One limitation, however, is that many instant messaging services do not support

communication with other services.

HMIS NOTES

B.Boy

3. DISCUSSION GROUPS

o You can also use e-mail to communicate in discussion groups with people you

do not know but with whom you wish to share ideas and interests.

o You can participate in forums and debates that range from general topics like

current events and movies to specialized forums like computer troubleshooting

and Hollywood animations. Discussion groups include mailing lists, news-

groups, and chat groups.

 Mailing lists

• This allows members to communicate by sending messages to a list address.
• Each message is then copied and sent via e-mail to every member of the mailing

list.

• To participate in a mailing list, you must first subscribe by sending an e-mail

request to the mailing list subscription address.

Figure 7: Below is the Popular Mailing List:

DESCRIPTION SUBSCRIPTIONADDRESS

Music and bands dbird@netinfo.com.au

Movies moviereview@cuenet.com

Jokes Jokeaday.com

Travel tourbus@listserv.aol.com

Source: T. J, O’Leary, L. I, 2006
• Once you are a member of a list, you can expect to receive e-mail from others on

the list.

• You may find the number of messages to be overwhelming.
• If you want to cancel a mailing list, send an e-mail request to "unsubscribe" to the

subscription address.

HMIS NOTES

B.Boy

 Newsgroups

• Unlike mailing lists, use a special network of computers called the UseNet.
• Each of these computers maintains the news group listing.
• There are over 10,000 different newsgroups organized into major topic areas that

are further subdivided into subtopics.

• Contributions to a particular newsgroup are sent to one of the computers on the

UseNet.

• This computer saves the messages on its system and periodically shares all its

recent messages with the other computers on the UseNet.

• Unlike mailing lists, a copy of each message is not sent to each member of a list.
• Rather, interested individuals check contributions to a particular newsgroup,

reading only those of interest.

• There are thousands of news- groups covering a wide variety of topic areas.

Figure 8: Popular Newsgroups

Description Newsgroups

aerobics fitness Misc.ftness.aerobic

Cinema Rec.arts.movies

Mountain biking Rec.bicycles.off-road

Music Rec.misic.hip-hop

Clip art Alt.binaries.cli-art

Source: T. J, O’Leary, L. I, 2006

HMIS NOTES

B.Boy

 Chat groups

• Like IM, allow direct live communication.
• Unlike IM, chat groups typically connect individuals who have never met face-to-

face.

• To participate, you join a chat group, select a channel or topic, and communicate

live with others by typing words on your computer.

• Other members of your channel immediately see those words on their computers

and can respond in the same manner.

• One popular chat service is called Internet Relay Chat (IRC).
• This software is available free from several locations on the Internet.
• Using the chat-client software, you log on to the server, select a channel or topic

in which you are interested, and begin chatting.

• To participate, you need access to a server or computer that supports IRC. This is

done using special chat-client software.

• Before you submit a contribution to a discussion group, it is recommended that you

observe or read the communications from others.

• This is called LURKING. By lurking, you can learn about the culture of a

discussion group.

• For example, you can observe the level and style of the discussions.
• You may decide that a particular discussion group is not what you were looking

for-in which case, unsubscribe.

• If the discussions are appropriate and you wish to participate, try to fit into the

prevailing culture.

HMIS NOTES

B.Boy

List five Internet Connections

i. Wireless
ii. Digital Subscriber Line
iii. Cellular Connection
iv. Satellite Connection
v. Dial Up Connection

INTERNET SERVICES

LIST 3 CATEGORIES OF INTERNET SERVICES

i. ELECTRONIC COMMUNICATION
ii. INFORMATION SERVICES
iii. INFORMATION RETRIEVAL

List the ways that the Pharmaceutical Science students uses Internet

i. Searching Materials
ii. Sending and Receiving Notes
iii. Charting with other college students
iv. Video Conferencing Example Watsup Calling

HMIS NOTES

B.Boy

DISSEMINATING OF PHARMACEUTICAL INFORMATION

Importance of Internet in disseminating pharmaceutical information

• Advertisement
• Learning
• Updating of drugs
• Improve patient compliance
• Researches

List Electronic Media used to disseminate Pharmaceutical Information

i. Telephone
ii. Radio
iii. Television
iv. Smart watch
v. Internet
vi. Website

List Printed Media used to disseminate Pharmaceutical Information

i. Newspapers
ii. Magazines
iii. Brochures
iv. Fliers
v. Journals
vi. Banners
vii. Coupons

HMIS NOTES

B.Boy

V. TECHNIQUES OF SEARCHING INFORMATION ON THE INTERNET

HMIS NOTES

B.Boy

Search Strategies/ Ways of Searching Information on Internet

i. Keyword Searching
ii. Boolean
iii. Question
iv. Boolean terms (and, or , not)
v. Phrase (quotes)
vi. Field search(allows searches for special fields on a web page)
vii. Case sensitivity (apply case as appropriate)

HMIS NOTES

B.Boy

Explanation for Each type of Searching Technique

Keyword Searching

• Enter terms to search
• Use quotation marks to search as a phrase and keep the words linked together
• Common words are ignored (that, to, which, a, the, …)
• + and – can be used to include or exclude a word

HMIS NOTES

B.Boy

Boolean Searching

It’s the kind of Search that uses the words as AND,OR and NOT

Boolean Searching – AND

• Enter words connect with AND – it will include sites where both words are found
• Uses: joining different topics

(ie. “global warming” AND California

HMIS NOTES

B.Boy

Boolean Searching – OR

• Enter words connect with OR – requires at least one of the terms is found
• Uses: join similar or synonymous topics

(ie. “global warming” OR “greenhouse effect”)

HMIS NOTES

B.Boy

Boolean Searching – NOT

• Enter words connect with NOT – searches for the first term and excludes sites that have

the second term

• Uses: join similar or synonymous topics

(ie. Washington NOT school)

How to Use Boolean Logic

• I need information about cats:

o Search: cats OR felines

o Search: cats felines

• I’m interested in dyslexia in adults:

o Search: dyslexia AND adults

o Search: +dyslexia +adults

• I’m interested in radiation, but not nuclear radiation:

o Search: radiation NOT nuclear

o Search: radiation -nuclear

• I want to learn about cat behavior:

o Search: (cats OR felines) AND behavior

o Search: cats felines +behavior

• Use of parentheses in the search is know as “forcing the order of processing.”

HMIS NOTES

B.Boy

Question Searching

• A question may be entered in the search field of a search engine.
• Ask Jeeves is a search engine that encourages the use of question searching

Phrase Searching

• Using quotation marks around a phrase can narrow down a search.

o Use quotation marks when the words should stay together in the order you typed

them.

• Examples:

o Search: “Abraham Lincoln” will find results with the president’s name. If you

just search abraham lincoln, you will get results that include any abraham and

any lincoln.

o Search: “math lesson plans”

o Search: “space shuttle”

• Some search engines allow ‘natural speech’ questions.

Case Sensitivity Searching

• Many Search Engines are case sensitive. That means that capitalizing a word will

command the engine to only look for a proper noun, thus narrowing your search.

CAPITALIZATION- Bill, bill, Gates, gates, Digital, digital, Lotus, lotus

HMIS NOTES

B.Boy

Field Searching

• A FIELD is a place on a web site. For example, the title of the site is in a field, the

address of the site has a field, a picture has a field, etc.

• You can search a field if you are looking for something very specific. If you know the

name of the web site for example, or if you are just looking for pictures of tigers…

• In the search box type…

o title:welcome to Adobe Golive

o image:tiger

o anchor:click for HyperStudio stacks

• An anchor is any command that might be found on a web site. This search will give you

all the sites that have this command somewhere on them. This example will enable you

to find many HyperStudio stacks.

HMIS NOTES

B.Boy

Procedures of searching information on the internet

• Google is the most popular search engine in the world.
• But while so many people use it, few actually get formal instructions on how to search with

Google.

• Below are steps on how to search on Google.

Step 1: Go to Google (But Which Google?)

• To search Google, user should have to go to Google.
• The user should have knowledge of various ways to reach the site.
• In fact, that there are even different Google web sites.

Figure 10: Google Search

• Go directly to Google.com by typing in http://google.com into the web browser; that will take

the user to the main Google web site, which is designed to serve the world in general.

• The user can prefer to go to the version of Google designed for the own country.
• The user can find a list of country-specific versions of Google shown on this page.

Step 2: Go To Google via a Toolbar

• A faster way to use Google is to enter a search into the search box that’s built into most

popular browsers.

HMIS NOTES

B.Boy

• With the Google’s Chrome browser, type the search content right into the same box
• Enter search term in the omnibox, for example a “car”.

Figure 11: Omnibox

Step 3: Enter Search Terms

• Using a toolbar, as you type, you may see words begin to appear below the toolbar’s search

box.

• These are suggestions that Google thinks may match what you’re interested in.
• Google calls this “Google Suggest” or “Autocomplete.”
• You can ignore the suggestions, but if one seems useful, select it to save some typing.

Figure 12: Search box

HMIS NOTES

B.Boy

Step 4: Review Search Results

• After searched, the page will have a full of results.
• Some of these will be matching pages from across the web.
• Some of these will be matching content from those subject-specific versions of Google.

Figure 13: Search results

HMIS NOTES

B.Boy

Step 5: Preview Answers

• As you review results, you’ll wonder if some of the listed sites are the best answer to what

you’re looking for.

• Google provides a way to quickly check on this.
• It’s called Google Instant Previews.
• Next to the web page listings, you’ll see a magnifying glass symbol appear:
• Click on this, and you’ll make a preview of the page for that listing appear:

Step 6: Refine the Google Search

• Google doesn’t know exactly what you want, when you enter a search, so the results you get

are its best guess.

• There are ways you can help it make better guesses.
• For one, Google provides a variety of ways to refine your searches, to narrow them down.
• For examples: search for DVD players:

HMIS NOTES

B.Boy

Evaluation Questions

• What is the difference between virus and antivirus?

Computer virus refers to a program which damages computer systems and/or destroys or

erases data files

While

Antivirus are programs that’s designed to protect computer from virus Infectiions.

• What are the merits of using computer antivirus?
• Protection from Viruses and Spyware

o Antivirus has the primary job of detecting any sought of viruses, spyware, malware and

other unknown threats and removing the same before they can do any harm to the data

present in a computer system.

• Protection from Phishing Attacks

Define Phishing

o Phishing is termed as an unauthorized attempt by any third person or hacker to access the

data present in the system, with the intention of stealing the same or infect the data so that

it can’t be usable to the user.

• Provides Robust Web Protection

o With the increased use of the internet, various online cyber threats are affecting the data

security of the computer.

o Antivirus software takes control of the web activities limiting unauthorized access of any

online threat.

• Provides quick scan of removable device

o Antivirus Software provides the advantage of quick scanning of any removable device

connect to the computer system and scans it for any unknown threats.

o The external drives are opened automatically after complete scanning of the removable

devices and removing any unknown threats present in it.

HMIS NOTES

B.Boy

• Two-Way Firewall

Define Firewall

Isa Network Security device that monitor Incoming and Outgoing Network traffic and decide

whether to allow or block specific traffic based on a defined set of security rules.

A firewall it can be hardware, software or both.

Firewall acts as a barriers between

o Antivirus Software provides two-way firewall protection which puts a check in every

incoming and outgoing data/mail through the internet and blocks the same if it finds

something suspicious during transmission.

Enlist type of Firewall Solutions

iv. Packet Filters
v. Stateful/ Inspection Firewall
vi. Proxy Server Firewall
• Block Ads and Spam Website

o At present, most of the viruses and spam attacks are executed from the pop-up ads and

other spam website whose original intention is to steal confidential information from user’s

computer which could result in big financial losses.

• Provides Password Protection

o Some significant antivirus software provides the feature of password protection which

protects them from getting stolen by any third person or hackers.

• Speed up the computer system

o Nowadays, antivirus software developed in such a way that they don’t hamper the system

performance.

o Rather they come with built in modules which automatically deleted unwanted files and

folders from the computer system, thus increasing its performance speed.

HMIS NOTES

B.Boy

• What are the factors caused data loss in the computer system?
• Deleting files accidentally

o The top risk of losing data is deleting files or parts of texts without having any backups

available.

o Updating files or deleting them is very common activities and we do them almost every

day.

o No wonder if we accidentally delete wrong files or overwrite the parts we did not intend.

o We often lose data simply because we do not have proper workflow procedures and backup

strategies.

o More efficient procedures for saving our work and making backups regularly will

definitely save a lot of time for us.

• Viruses and damaging malware

o There are numerous new viruses which attack computers every day.

o Being connected to worldwide network has many advantages; however, it opens computers

to many serious risks.

o Damages may differ greatly but the majority of viruses affects operational software,

misuses Internet connection and damages stored data.

o There are many different types of viruses and, often, data loss is just a side effect of some

larger damage done to operational system.

o The most dangerous are the attacks targeted to steal and damage business data.

 Imagine the value of client databases, technical inventions, patient health information

essential for treatment and medication or financial transactions' history of the health

organization are destructed/ damaged with viruses.

• Mechanical damages of hard drive

o Hard drives of computers are the most fragile parts of computers; they break down more

often than any other device connected to computing.

o There are so many moving parts inside of hard drives that it is no wonder they break down

so easily.

o Once the serious problem occurs in the hard drive, there is no way even a professional

services provider can totally recover the important data in the drive.

o Memory devices are also often damaged when computers are accidentally dropped.

o Regular backups really help in case of hardware troubles.

HMIS NOTES

B.Boy

• Power failures

o There are two adversary effects of power failures.

 When you are halfway through writing a long article and you have not saved it yet, then

in case of power going out you lose your data.

 Another, even deeper problem may arise when power failures affect operation systems

or hardware of computers; shutting computer down suddenly without proper shutdown

procedures may cause problems with rebooting operation system later, these operation

system problems cause chain reaction and data might not be accessible any more.

o Sudden changes in voltage may damage many different computer parts.

 Most problems can be solved by changing power supply unit but there are also a great

possibility for damaging other hardware elements of computer, e.g. hard drives and

other parts which are very sensitive to changes in voltage and strong magnetic fields.

o Having automatic backups enables to recover from any accidents caused by power

failures.

• Theft of computer

o It is a real tragedy to lose both computer and data at the same time.

o There is always the danger of burglars breaking the offices and stealing electronic devices.

o While traveling passengers leave the laptop in a bus/car, airport, conference centers,

coffee shops or any other crowded place.

o New computers cost some money, but very often the data saved to hard disks is even more

expensive.

o Even if there is no particular monetary value involved, personal memories, family pictures

or other heirlooms are certainly important and very valuable to any person who use

computer.

o Losing computer may be less painful, if a computer user use proper data backup strategy

and keep data in safe storage.

• Spilling coffee, and other water damages

o Since laptop usage has been growing during past few years, the damages caused by

spilling drinks on to the computers have become more often as well.

o Average laptop does not have extra covers to protect internal parts from getting soaked.

o Liquids cause short circuit of important electronic components and they are really hard to

recover afterwards.

o Hard drives are usually placed in protective case and may be still used after getting a little

wet.

o However, harder soaking makes hard drives inaccessible.

o Another risk of the same category is dropping computer into water.

HMIS NOTES

B.Boy

o If the computer is completely immersed into water, it is really hard to fix anything

afterwards.

o Maybe visiting a repairman really quickly can save some parts of the computer appliances

otherwise it will be a useless computer.

o Also, if computer was not switched on at the moment of falling into water, the damage may

be less severe.

o Water accidents usually cause the loss of data saved to the hard drive.

• Fire accidents and explosions

o Explosions happen rarely but fire most probably completely destroys both a computer and

data saved on it.

o Fire is also dangerous to the backups that are stored in the same house.

o For example, having weekly backups stored on an external hard drive which is kept in

same building does not help much if the building burns down.

o In this case, both computer and backup drive will be destroyed and data will be completely

lost.

o The safest practice against fire is to make regular backups and keep them in other

(different) locations.

• What is data backup?

A data backup is the result of copying or archiving files and folders for the purpose of being

able to restore them in case of data loss.

OR is the process storing data or Information for future use hence to be restored in case of

Data Loss.

• What are the reasons for data backup?
• To recover data after its loss, by data deletion or corruption.
• To recover data from an earlier time, according to a user-defined data retention policy

typically configured within a backup application for how long copies of data are required.

• Large File Transfer
• Human Error Eraser
• Virus Protection and Spyware Protections
• Prevent from Hard Disk Failure
• Prevent from Events beyond Human Control
• Free Up Disk Space.

HMIS NOTES

B.Boy

• Mention types of computer virus and anti-virus.

Types of Computer Virus

• Time Bomb
• Logical Bomb
• Worm
• Boot Sector Virus
• Macros Virus
• Script Virus
• Trojan Horse

Types of Anti Virus

i. NORTON
ii. KASPER SKY
iii. AVG
iv. AVAST
v. SMATDAV
vi. BIT DEFENDER
vii. MACAFEE
viii. ADWARE
ix. ANTIVIRA

HMIS NOTES

B.Boy

Session 8: Utilization of Computer Packages in Ordering,

Invoicing, Dispensing, Selling and Inventory Management

Learning Tasks

By the end of this session, students are expected to be able to:

• List common inventory management applications
• Demonstrate procedures for electronic ordering
• Demonstrate procedures for electronic invoicing
• Demonstrate procedures for electronic dispensing
• Demonstrate procedures for electronic selling
• Carry out inventory management functions using computer (PRACTICAL)

HMIS NOTES

B.Boy

Terminologies Found in Electronic – Commerce

• Electronic Inventory Management Software/Application (EIMS)

o It is software installed on the computer systems that enables a firm (in this case a

pharmacy) to keep a check on the inventory levels by performing the automatic

counting of inventories, recording withdrawals and revising the stock balance.

• Electronic Invoicing(e-Invoicing )

o This is an act of electronically exchanging of the invoice document between supplier

and a buyer in an integrated electronic format.

Enlist two types of formats Allowed for an e-Invoice

i. Structured invoice data issued in Electronic Data Interchange (EDL) or XML formats
ii. Structured Invoice data Issued using standard Internet based web forms

Note: true definition of an electronic invoice is that it should contain data from the supplier in

a format that can be entered (integrated) into the buyers Account Payable (AP) system without

requiring any data input from buyers AP administrator.

• Ordering

o Give an authoritative direction or instruction to do something

o Any of a number of categories of relations that permit at least some members of their

domain to be placed in order

o Request (something) to be made, supplied, or served

HMIS NOTES

B.Boy

Demonstrate Procedures for Electronic Ordering and Invoicing

Electronic Ordering Captured from eLMIS

• The first step is to login
• Enter role of Buyer supply chain planner

o Click order management menu , from the order management menu click create

order

o Click inside the ship to my site box and type the first few characters of your site.

The system will automatically match the ship to sites, selected and list of that site

will appear in the box below. Then select your site from the list.

o Using the procedure described in step2, select vendor, ship from, vendor site

o Using the date button and the time button, select the req. delivery date and

req.ship date

• Add lines

HMIS NOTES

B.Boy

o Click adds line to add lines to the purchase order.

o Chose product group

o Click on product group button, select product group and click search. Select your

product then click ok.

o Click save option or submit option.

o Click on approve for order and for confirmation order will go to a new status.

• Electronic Dispensing

o A good example is that of an Electronic Dispensing Tool (EDL) for which is a software

program that helps pharmacy staff efficiently manage both patients and their

antiretroviral.

o it contains fields in which you fill relevant data that is used to monitor patient

adherence, trace dispensing history, show therapy regimen and status changes also

appointment keeping, inventory management, and early indicators of HIV medicine

resistance to antiretroviral.

o After a patient is identified it takes less time to attend to them.

HMIS NOTES

B.Boy

• Electronic Selling

o Also referred to as e-commerce is the buying and selling of goods and services over an

electronic network, primarily the internet.

o Types of transactions that occur

o Business to business (B2B)

o Consumer to consumer (C2C)

o Business to Consumer (B2C)

o Consumer to Business (C2B)

HMIS NOTES

B.Boy

List Common Inventory Management Applications Software

• What are examples of inventory management software

o Electronic Logistic Management Information System (eLMIS)

Is a revolutionary and cost-effective system of health data management that

ensures greater commodity security and better health outcomes for people in a

given locality like say Tanzania.

o District Health Information Software 2 (DHIS2)

is a free and open source health management data platform used by multiple

organizations, and governments worldwide. Since DHIS2's release in 2006,

NGOs and national governments in 60 countries have deployed DHIS2 for

health-related projects, including patient health monitoring, improving disease

surveillance and pinpointing outbreaks, and speeding up health data access.

o Zoho Inventory

Popular inventory management solution for small and large companies, used to

automate their order and inventory management, and to keep track of delivery in

order to make smarter business decisions. It also includes a powerful analytic

and reporting kit, and out-of-the-box features such as inventory replenishment for

avoiding stock-outs.

o Cin7

A complete, automated point-of-sales package and inventory management suite

created to cater to the needs different business sizes and industries. Completely

cloud-based, this platform offers top-of-the-line features that let you sell and

distribute your products more quickly and efficiently.

o TradeGecko

A top-listed inventory specialists’ choice for cloud based and automated delivery

of asset management services. Ideal for multi-channel and multiregional

wholesalers and distributors who find it handy to manage sales, supply chains,

and customer relationships from a single location.

HMIS NOTES

B.Boy

o Brightpearl

Another recommended multi-channel retail management system that is a solid

TradeGecko alternative and helps businesses handle orders, inventory, customer

data, accounting and reporting. It offers an advanced sales management kit, and

integrates with all popular marketplaces and payment gateways.

o SellerCloud

An eCommerce and inventory management solution used to manage the full scope

of multi-channel selling. From inventory and warehouse management, publishing

listing to marketplaces, to order processing and shipping, as well as accounting

integration, this Zoho Inventory alternative does all the work needed.

o Logiwa

A cloud-based warehouse management software that caters specifically to small

and medium-sized businesses in the retail and e-commerce industries, giving

them a user-friendly platform that comes with all the core capabilities and

features to address their complex needs and requirements.

HMIS NOTES

B.Boy

Mention five (8) inventory management application

• Services Management
• Ordering management
• Product Identification
• Assets tracking
• Inventory optimization
• Manufacturing of products
• Tracking Inventory management
• Order sales and delivery

HMIS NOTES

B.Boy

Explain eight (8) Importance or Benefits of Cloud Inventory Management

• Cut down hardware Expenses
• Fast deployment
• Easy Integration
• Enhance efficiency
• Improved coordination
• Synchronize real time Inventory data
• Managing application efficiency
• Reduce down time
• Saves time.
• Usability
• Accessibility
• Cost saving.

HMIS NOTES

B.Boy

Evaluation Questions

• What is Electronic ordering/selling/dispensing/invoicing?
• Ordering

o Give an authoritative direction or instruction to do something

o Any of a number of categories of relations that permit at least some members of their

domain to be placed in order

o Request (something) to be made, supplied, or served

• Electronic Selling

o Also referred to as e-commerce is the buying and selling of goods and services over an

electronic network, primarily the internet.

• Electronic Dispensing

o A good example is that of an Electronic Dispensing Tool (EDL) for which is a software

program that helps pharmacy staff efficiently manage both patients and their

antiretroviral.

o it contains fields in which you fill relevant data that is used to monitor patient

adherence, trace dispensing history, show therapy regimen and status changes also

appointment keeping, inventory management, and early indicators of HIV medicine

resistance to antiretroviral.

• Electronic Invoicing(e-Invoicing )

o This is an act of electronically exchanging of the invoice document between supplier

and a buyer in an integrated electronic format.

HMIS NOTES

B.Boy

• What are the examples for applications used in inventory management?

o Electronic Logistic Management Information System (eLMIS)

o District Health Information Software 2 (DHIS2)

o Zoho Inventory

o Cin7

o TradeGecko

o Brightpearl

o SellerCloud

o Logiwa

• What are the benefits for an Electronic Dispensing Tool?

o it contains fields in which you fill relevant data that is used to monitor patient

adherence, trace dispensing history, show therapy regimen and status changes also

appointment keeping, inventory management, and early indicators of HIV medicine

resistance to antiretroviral.

o After a patient is identified it takes less time to attend to them.

• What are the legit format types of an electronic Invoice?

o Structured invoice data issued in Electronic Data Interchange (EDL) or XML formats

o Structured Invoice data Issued using standard Internet based web forms

HMIS NOTES

B.Boy

Session 9: Components of WHO Health Management

Information System

Learning Tasks

By the end of this session, students are expected to be able to:

• Define health management information system
• List components of the WHO health management information system
• Explain the importance of health management information system
• List key performance indicators of health management information system

HMIS NOTES

B.Boy

World Health Organization (WHO) is the Organization that deals with giving the

Guidelines to all Health Institutions and Hospitals on different ways to deals with diseases the

medications for different disease the way to handle Physiotherapy issues the Foods required for

different patients and billing for medications.

Terminologies Found in World Health Organization (WHO)

• System

A collection of components that work together to achieve a common objective.

• An information system (IS)

is an organized system with interrelated components used for the collection, organization,

storage and communication of information.

• Health information systems (HIS)

capture, store, manage, or transmit information related to the health of individuals or the

activities of an organization that work within the health sector

• Health information management (HIM)

deals largely with patient or individual health-related data.

• Health Management Information System (HMIS)

Is a data collection system specifically designed to support planning, management, and

decision making in health facilities and organizations.

HMIS NOTES

B.Boy

When WHO Guideline Book Sent to any Country Example Tanzania will reach to the

Department of Heath for Check up and other decision making, during their checkups the

factors or kind of Information that they will be looking are as follows

• Health planners and decision-makers need different kinds of information including:

o Health determinants:

In this part they look for the following issues

Socioeconomic factors

For social Economic Factor means Availability of resources to meet daily needs as

 Job Opportunities

 Living wages

 Health Foods

 Poverty

 Quality of Schools

 Transportations

Environmental factor

 Exposure to Toxic or Hazards

 Physical barriers for people with disabilities

Behavioural factors

 Diet

 Physical Activities

 Alcohols

 Cigarette

 Hand washings

Genetic Factors

 Heritage diseases

 Age

 Sex

 HIV Status

 Haemophilic

and the contextual environments within which the health system operates.

HMIS NOTES

B.Boy

o Inputs to the health system and related processes

 Policy and organization

 Health infrastructure

 facilities and equipment

 Costs

 Human and financial resources

 and health information systems.

o The performance or outputs of the health system

 Availability

 Accessibility

 Quality and use of health information and services

 Responsiveness of the system to user needs

 And financial risk protection.

o Health outcomes

 Mortality

 Morbidity

 Disease outbreaks

 Health status

 Disability

 And wellbeing.

o Health inequities

 Determinants

 Coverage of use of services

 Health outcomes

 And including key stratifies such as sex, socioeconomic status, ethnic group

 And geographical location.

• A good health information system brings together all relevant partners to ensure that users

of health information have access to reliable, authoritative, usable, understandable and

comparative data.

HMIS NOTES

B.Boy

Components of WHO Health Management Information System

• There is clear value in defining what constitutes a health information system and how its

components interact with one another to produce better information for better decisions and

better health.

• HMIS is build-up with six components and these components are further grouped into three

elements which are: inputs, processes, and outputs.

• Inputs refer to resources.
• Processes touch on how indicators and data sources are selected and data are collected and

managed.

• Outputs deal with the production, dissemination, and use of information.

Describe the six components of a health information system / WHO

The main components are three (Input, processing and Output)

Explanation of the Components

• Inputs

In the Input Component of WHO it deals with Resources of Health Information System

Define Health information system resources

It’s one of the Component of WHO that deals with regulatory, planning frameworks required to

ensure a fully functioning health information system, and the resources.

List five (5) kind of Health information system resources

i. Personnel
ii. Financing
iii. Logistics support
iv. Information and communications technology (ICT)
v. And coordinating mechanisms within and among the six components.

HMIS NOTES

B.Boy

• Processes

In the Processes Component of WHO it deals with Indicators, Data sources and Data

Managements.

o Indicators.

• A core set of indicators and related targets for the three domains of health

information is the basis for a plan and strategy for a health information system.

 Indicators need to encompass determinants of health; health system inputs, outputs,

and outcomes; and health status.

o Data sources

Mention two main categories of Data Sources:

i. Population-based approaches: censuses, civil registration, and population surveys
ii. Institution-based data: individual records, service records, and resource records.

o Data management.

• This covers all aspects of data handling: collection, storage, quality-assurance,

flow, processing, compilation, and analysis.

• Outputs

o Information products.

• Data must be transformed into information that will become the basis for

evidence and knowledge to shape health action.

o Dissemination and use.

• The value of health information can be enhanced by making it readily accessible

to decision makers (giving due attention to behavioural and organizational

constraints) and by providing incentives for information use.

HMIS NOTES

B.Boy

List six Components of HMIS/ WHO/ HMS

i. Health information system resources
ii. Indicators
iii. Data sources
iv. Data management.
v. Information products
vi. Dissemination and use.

List five (5) Key performance indicators of health management system/ WHO/ HMIS

i. Output indicator
ii. Input indicator
iii. Efficient Indicator
iv. Process indicator
v. Agency level indicator

List eight (8) Key performance indicators of health management system/ WHO/ HMIS

i. Health information system resources
ii. Indicators
iii. Data sources
iv. Data management.
v. Information products
vi. Dissemination and use.
vii. Efficient Indicator
viii. Agency level indicator

HMIS NOTES

B.Boy

The Performance Indicators of Health Management Information System

• Indicators of country health information system performance can be categorized

into two types:

o Indicators related to data generation using core sources and methods:

 Health surveys

 Civil registration

 Census

 Facility reporting

 And health system resource tracking.

 These reflect country capacity to collect relevant data at appropriate intervals and

use the most appropriate data sources.

 Benchmarks include periodicity, timeliness, and contents of data collection tools and

availability of data on key indicators.

o Indicators related to country capacities for synthesis, analysis and validation of data.

 These measure key dimensions of the institutional frameworks needed to ensure data

quality, including independence, transparency and access.

 Benchmarks include the availability of independent coordination mechanisms and

the availability of micro-data and metadata.

HMIS NOTES

B.Boy

The Importance of Health Management Information System

• Monitoring Performance

o Any project or programme in the health sectors has goals to be met within a specific

period of time.

o In order to monitor if the goal is being reached, or has been reached, information is

required.

o Similarly, the Ministry of Health including vertical programme needs information to

monitor improvement of health care delivery.

o In order to obtain this information, there is need of having a health information system,

which will ensure that information is obtained in the manner required by the planners

and mangers.

• Planning

o In order to utilize limited resources adequately one needs to plan.

o How can one know that project A needs more funding than project B, it is only through

an adequate health information system that can be able to determine this.

o Allocation of human and non-human resources in health sector needs data.

o Formulation of health policies in health sector needs accurate and adequate data from

health facilities and communities.

• Coordinating

o In order to coordinate activities carried out by various national health programmes and

Non-Governmental organization, there is a need of having a Health Information System.

o Through HIS, the Ministry of health can be able to determine if the programmes and

Non- Governmental Organization `s are performing their roles as expected.

• Management of Patient Statistical Data

HMIS NOTES

B.Boy

Evaluation Questions

• An information system (IS)

is an organized system with interrelated components used for the collection, organization,

storage and communication of information.

• Health information systems (HIS)

capture, store, manage, or transmit information related to the health of individuals or the

activities of an organization that work within the health sector

• Health information management (HIM)

deals largely with patient or individual health-related data.

• Health Management Information System (HMIS)

Is a data collection system specifically designed to support planning, management, and

decision making in health facilities and organizations.

HMIS NOTES

B.Boy

Session 10: Utilization of HMIS (MTUHA) Database in

Capturing and Managing Pharmaceutical Data

Learning Tasks

By the end of this session, students are expected to be able to:

• Define HMIS (MTUHA)
• List commonly used HMIS (MTUHA) tools
• Capture and process data using (HMIS) MTUHA database software (PRACTICAL)-DHIS

2 Software

• Generate reports from (HMIS) MTUHA database (PRACTICAL)- DHIS 2 Software

HMIS NOTES

B.Boy

HMIS/MTUHA

• MFUMO WA TAARIFA ZA UENDESHAJI WA HUDUMA ZA AFYA

The system is categorized into two parts

i. The Books parts and the departments that are involved in filling MTUHA
ii. The database part or the system usage part

The purposes of HMIS

• To gain the knowledge on how to use HMIS
• How to store data
• How to report data
• How to access
• How to share
• How to use data available in HMIS

MTUHA have 20 books were specific are 16 and 4 additional

HMIS NOTES

B.Boy

Explanation for Part one on BOOKS/ DEPARTMENTS

BOOK 1; GUIDELINES

It contains the following contents

o Definition of HMIS

o The background of HMIS

o Source of HMIS data

o Key issues in HMIS

o HMIS Tools

o Challenges in HMIS

o Explain the five groups of HMIS books

Definition of HMIS

• HMIS is a decentralized, integrated and functional system.

Background of HMIS

• Introduction to HMIS started mid 1980s. By 1994 first version of HMIS was full role out

countrywide

• In 1997 HMIS there were major revision whereby the second version was role out

countrywide

• The third version was revised in 2010 and piloted in Pwani region in 2011
• By 2013 it was role out countrywide

HMIS NOTES

B.Boy

Source of MTUHA data

HMIS data will be extracted from the following main areas:

• Outpatient department (including dental and eye clinics)
• Inpatient department (IPD)
• Diagnostics services (laboratory and Radiology)
• Reproductive and Child Health (RCH) services
• Pharmacy
• Pathology department
• Medical records department
• Administration
• Accounts
• Information from the Community as per Book 3
• Procurement and supplies department

Key Issues in HMIS

• Confidentiality
• Health facility management
• Tools and equipment
• Quality of health care

HMIS NOTES

B.Boy

Explanation of Key Issues

Confidentiality

• All service providers using HMIS are subjected to confidentiality regarding HMIS data.
• All health facility Patients/Client records are strictly confidential and should not be

handled by or exposed to unauthorized person.

Mention the Audiences of MTUHA Data.

Authorized persons include the following groups:

i. Health personnel who is under employment in the hospital and whose duties

require the handling of patient/client records.

ii. Health personnel of the District Medical Office.
iii. Health personnel of the Regional Medical Office.
iv. Health personnel of Ministry of Health and Social Welfare institutions and

programmes.

v. Officials of the MoHCDGEC headquarters.
vi. Any other person officially designated by the Government of the United Republic

of Tanzania (e.g., Government, Parliament, the judiciary and executives)

vii. The MoHCDGEC emphasizes that the Responsibility of maintaining patient/client

confidentiality is on the administrative authority of the facility in question.

Serious disciplinary steps will be taken where there is proof of negligence on this

issue of confidentiality.

HMIS NOTES

B.Boy

Health Facility Management

HMIS facilitates good management of a health facility through:

• Monitoring the staff: Number of staff, work stations, and work schedule
• Monitoring workloads: Determining proper allocation of the staff based on workloads
• Monitoring income and expenditure of resources to ensure appropriate provisions are

available and disbursements for service improvement, maintenance and repairs of

buildings, equipment and salaries are made

• Monitoring and discussing problems, ideas for improvement, special events in staff

meetings and further actions as needed

Information on Tools and equipment

Tools and equipment in the context of the HMIS are used to meet the following goals:

• To meet the cost of trainings and repair of essential equipment
• To ensure availability of medicine and supplies used routinely

Quality of Health Care

HMIS facilitates improvement of the quality of health care provided through:

• Improving coverage and quality of preventive services
• Lowering the morbidity and mortality in served population
• Improve community services such as outreach activities

HMIS NOTES

B.Boy

HMIS Tools

HMIS uses three main tools in collection, analysis, storage, management, and reporting of

data:

• Books/registers
• Tally sheet forms
• Monthly report forms

HMIS books/register

o Book 1: HMIS Guidelines

o Book 2: Health Facility information Book

o Book 3: Community book

o Book 4: Ledger book

o Book 5: Out-patient register

o Book 6: Antenatal care register

o Book 7: Child register

o Book 8: Family planning register

o Book 9: Diarrhoea treatment corner

o Book 10: Facility annual Report book

o Book 11: Dental and oral health register

o Book 12: Labour & Delivery book

o Book 13: Postnatal Register

o Book 14: In-patient Department Register

o Book 15: Human Resource Register

o Book 16: Eye Register

Currently HMIS (MTUHA) has added other registers which are yet to be numbered, these

are:

o Malaria laboratory investigation register

o Dispensing register

o Monthly Tracer medicine register

o Death notification form/register

HMIS NOTES

B.Boy

• HMIS (MTUHA) Departmental registers used to collect data at hospital level:

o Laboratory register

o Physiotherapy register

o Mortuary register

• HMIS books are subdivided into five (5) main groups:
i. HMIS Guideline
ii. Data Collection Books
iii. Tally Sheet Forms
iv. Monthly Report Forms
v. Annual Report Book

Explanation of HMIS books groups.

• HMIS Guideline

o This is Book No. 1. It is used as an instruction manual and reference to other

books/registers, i.e., Books No. 2–16.

o Each facility should have at least one copy.

o The HMIS Programme will ascertain that each division in each health service delivery

facility obtains at least one copy.

• Data collection books/registers

o These books are used to collect data on different aspects of health (Books No. 2, 3, 4, 5,

6, 7, 8, 9, 11, 12, 13, 14, 15 and 16).

o New books and registers have been added to this list.

 They include the malaria laboratory investigations register, dispensing register, monthly

tracer medicine register and death notification form/register.

• Tally sheet forms

o These forms are used to track data for analysis.

o This is then used in report writing.

o Each HMIS register/book should have a tally sheet which will be used jointly with

some register/book for collecting data

HMIS NOTES

B.Boy

• Monthly report forms

o The HMIS uses monthly report forms to collect data each month.

o These forms are in duplicate: one copy is sent to the district while the other is kept at

the health facility

• Annual report book

o The HMIS annual book is used to summarize data from the Facility health information

register (book 2) and community register (book 3)

HMIS NOTES

B.Boy

BOOK 2; HEALTH FACILITY

By the end of this session, participants are expected to able to:

• Explain health facility information book
• Describe the structure of health facility information book

Introduction of Health Facility Information Book

The Ministry of Health, Community Development, Gender, Elders and Children, through this

book describes health areas required to be reported annually apply: supervision visits

meetings, staff absences, procurement of buildings, transport facilities, fixed assets, building

renovation or maintenance, transport facilities and fixed assets repairs/ maintenance, unit

number of blood in the blood bank, radiology services and pathology services.

This book is divided into eight main sections.

The sections are:

Section 1: Reports of supervision visits meetings information

Section 2: Reports information of staff absences at work

Section 3: Reports of purchase/ procurement of building, transport facilities or fixed

assets

Section 4: Reports of information for construction or rehabilitation of buildings

Section 5: Reports of information on maintenance of transportation facilities or fixed

assets

Section 6: Reports of information of blood bank

Section 7: Reports of information of radiology services

Section 8: Report of information of pathology services

HMIS NOTES

B.Boy

BOOK 3; COMMUNITY HEALTH

Learning Objectives

By the end of this session, participants are expected to able to:

• Explain background information of community health data
• Describe community health data book

Background information

• Community heath data book Collects health data from the community and sent to the

nearest health facility using the official laid down procedures of the MoHCDGEC for

further analysis and action

• It is one of the important HMIS book which is used to collect information of the

community which surrounds the health facility

Importance of Community Health Book

i. Helps to capture data on health events that is happening at the community level
ii. Enhance the community to identify health problems happening within, also to report to

the health facility in order to lay strategy on how to intervene health problems.

iii. Helps to know the information of various development projects being implemented in the

village/street

iv. It is important in enhancing the design of strategic plan in the village/street

HMIS NOTES

B.Boy

BOOK 4; HMIS LEDGER REGISTER

Learning Objectives

By the end of this session, participants are expected to able to:

• Explain the ledger register
• Describe the structure of ledger register

Introduction to ledger Register

This ledger is intended mainly for store keeper and any other staff who is responsible for

keeping, monitoring and issuing of medicines and medical supplies from the store.

• It concerned with medicines and medical supplies received in the health facility including

all medicines available in the medicine kit, vaccines, family planning commodities,

different client’s cards, HMIS forms and medicines and medical supplies available through

other channels apart from medicine kit and supplies.

HMIS NOTES

B.Boy

BOOK 5: HMIS OUT-PATIENT REGISTER TOOL

Learning Objectives

By the end of this session, students are expected to able to:

• Identify three Out Patient Department tools
• Identify parts of OPD register
• Explain Important terminologies used in OPD tools
• Describe the structure of Out Patient Department tools
• Describe how to fill the Out Patient Department tools by using guidelines

Parts of OPD register

OPD register has two important parts

i. Part one contains record of normal diseases
ii. Part records notifiable diseases (Epidemics) as guided by MoHCDGEC
• Part that records normal diseases is at the front part and the part which records

notifiable disease is at the end of the register

• Notifiable part has two more variables; Date of commencement of the disease and Status

of immunization

HMIS NOTES

B.Boy

Out Patient Department (OPD) Important Terminologies

• First Attendance:

o The visit by a patient to the OPD for the first time is referred to as ‘First Attendance’.

Each first attendance is given a number beginning each month with number ‘1’. The

total number of first attendances determines the workload at the OPD.

• Diagnoses:

o “Diagnosis” is the problem identified by a doctor from the patient whether confirmed

in the laboratory or not. This problem may be an actual disease or related to another

disease.

• Long illness:

o A patient’s visit to a facility for the first time in a year, even with a long illness,

should be regarded as first attendance. Subsequent visits, in that year, are referred to

as return visits.

• Return-visits:

o Patients carrying on with long term treatment (for example for management of

tuberculosis or hypertension, chronic diarrhoea or Diabetes mellitus)

All return-visits will be tallied in the tally sheet as return visit

HMIS NOTES

B.Boy

Out Patient Department (OPD) Tools

• Tally Sheet Form: This form is used concurrently with the OPD Register to ensure that

information for OPD patients, which is reported at higher levels, is classified correctly

and summed-up easily for purposes of reporting.

• OPD Register: This register records data for clients at the Out-Patient Department.

NB: The register should be filled out concurrently with the Tally Sheet Forms for

accuracy of data. Start with the Tally Sheet Form.

• OPD Monthly Report Form: This form is filled out during the first week of the month

following the reporting month. It is sent to the district but a copy remains at the facility.

HMIS NOTES

B.Boy

BOOK 6; HMIS ANTENATAL CARE (ANC) TOOLS

Learning Objectives

By the end of this session, students are expected to able to:

• Identify three ANC tools
• Describe the structure of ANC tools

HMIS ANC Tools

Services provided to pregnant women are recorded in three tools:

• Tally Sheet Form: This form is used alongside the register to ensure that information

for pregnant women required to be reported at higher levels is classified correctly and

later totalled in an easy manner to aid report-writing.

• ANC Register: This register is used to track information about the pregnancy from the

first day at the clinic to the day of delivery.

• NB: Fill-out the register concurrently with the tally-sheet form for accuracy. Start

with the Tally Sheet Form.

• Monthly Report Form for ANC: This form is filled out during the first week of the

month following the reporting month. The original form is sent to the district while the

copy remains at the facility.

HMIS NOTES

B.Boy

BOOK 7;REPRODUCTIVE AND CHILD HEALTH TOOLS

Learning Objectives

At the end of this session, participants will be able to:

• Explain reproductive and child health services
• Identify different sources of data/information from RCH Services
• Explain different types of information cards used in RCH Services

HMIS NOTES

B.Boy

Reproductive and child health Services

Reproductive and Child Health (RCH) has been defined as a state in which “People have the

ability to reproduce and regulate their fertility; women are able to go through pregnancy and

childbirth safely, the outcome of pregnancy is successful in terms of maternal and infant

survival and wellbeing; and couples are able to have sexual relations free of the fear of

pregnancy and contract diseases”.

Different sources of data/information from RCH Services

• Antenatal Care (ANC)
• Labour and Delivery Care
• Child Health
• Family Planning (FP)
• Postnatal Care
• Diarrhoea Treatment Corner (DTC)
• Prevention of Mother-to-Child Transmission of HIV (PMTCT)
• Malaria testing and prevention services
• Testing for syphilis
• Testing for breast and cervical cancers

HMIS NOTES

B.Boy

Different types of information cards used in RCH Services

i. Child Health Card: This is issued during the child’s first visit to the health care facility.

It is used to track development and growth of the infant until the age of 5 years. The

card has information on weight, height, vaccination/immunisation and diseases.

ii. Antenatal Care (ANC) Card: The card is issued to expectant women on their first visit

to the clinic. It is used to track development of the woman during pregnancy, during

delivery and after delivery.

iii. Tetanus Vaccination Card: This is given to all women of reproductive age or pregnant

women who receive the vaccine for the first time, for records of tetanus vaccines

received by the woman.

iv. Family Planning (FP) Card: This card is used to register information of clients who

receives FP services. It contains all counselling and information provided to the client

with respect to FP services. The card is maintained at the clinic.

HMIS NOTES

B.Boy

BOOK 8; HMIS FAMILY PLANNING TOOLS

Learning Objectives

By the end of this session, participants are expected to able to:

• Identify three Family Planning tools
• Describe the structure of Family Planning Tools

HMIS Family Planning tools

• Tally-Sheet Form: This form is used concurrently with the register to ensure that

information required at higher levels on clients seeking family planning services is

classified correctly and later totalled easily.

• FP Register: it track information on family planning services provided to clients on

each visit to the clinic.

• Monthly FP Report Form: This monthly form is filled out during the first week of the

month following the reporting month. The original is sent to the district while the copy

remains at the facility

HMIS NOTES

B.Boy

BOOK 9; HMIS DIARRHOEA TREATMENT CORNER (DTC) TOOLS

Learning Objectives

By the end of this session, participants are expected to able to:

Identify three DTC tools

Describe the structure of DTC Tools

Describe how to fill the DTC Tools

DTC tools

• Tally Sheet Form: This form is completed alongside the register to ensure that

information on patients with diarrhoea, which needs to be reported at higher levels, is

classified accordingly and totalled easily.

• DTC Register: This register is used to track information for DTC patients who are

under 5 years of age.

• Monthly Report Form for DTC: This form is filled out and completed at the first week

of the month following the reporting month the original is sent to the district while the

copy remains (in the book) at the health facility.

HMIS NOTES

B.Boy

BOOK 10; HMIS FACILITY ANNUAL REPORT BOOK

Learning Objectives

By the end of this session, participants are expected to be able to:

• Explain Annual health facility report book
• Identify types of data compiled in the annual facility report book

Introduction of Health Facility report book

• This book summaries data from HMIS book 2 which captures facility and hospital health

related data and HMIS book 3 which captures data from the community

• Health components that will be annually covered by this report include: population

served by the health facility, health facility administration data, other health services

practitioners in the village/street, report on deaths occurred in the village/ street,

environmental sanitation data in the village/street and occupational diseases and

accidents

• It is filled with forms that are required to be reported annually. These forms in duplicate

to enable a copy to remain in the book. This book should be filled every first week of the

New Year and sent immediately to the DMO.

HMIS NOTES

B.Boy

BOOK 11; DENTAL AND ORAL HEALTH TOOLS

Learning Objectives

By the end of this session, participants are expected to able to:

• Identify three Dental and oral health tools
• Describe the structure Dental and oral health tools

Dental and oral health Tools

Dental and oral health services are captured in three tools:

• Tally Sheet Form: This form is used concurrently with Dental and oral health Register

to ensure that information for Dental patients, which is reported at higher levels, is

classified correctly and summed-up easily for purposes of reporting.

• Dental and oral health Register: This register records data for clients at the Dental and

oral health Department.

o Note: The register should be filled out concurrently with the Tally Sheet Forms

for accuracy of data. Start with the Tally Sheet Form.

• Dental Monthly Report Form: This form is filled out during the first week of the month

following the reporting month. It is sent to the district but a copy remains at the facility

HMIS NOTES

B.Boy

BOOK 12; HMIS LABOUR AND DELIVERY TOOLS

Learning Objectives

By the end of this session, participants are expected to be able to:

• Identify Labour and Delivery tools
• Describe the structure of Labour and Delivery Tools

Labour and Delivery tools

Labour and delivery services are recorded in 3 tools

• Tally Sheet Form: This form is used concurrently with the register to ensure that

information for pregnant women, which is required at higher levels, is classified

correctly and later totalled easily.

• Labour and Delivery Register: This register records information of services provided to

women and child during and after delivery. It has been designed to be useable at both

maternity wards and in smaller delivery rooms.

• Monthly Report Form for Delivery: This form is filled out and completed at the first

week of the month following the reporting month. The original is sent to the district

while the copy remains (in the book) at the health facility

HMIS NOTES

B.Boy

BOOK 13; HMIS POST NATAL TOOLS

Learning Objectives

By the end of this session, participants are expected to able to:

• Identify three Post natal tools
• Describe the structure of Post natal tools

Post natal tools

Postnatal services are captured in three tools:

• Tally Sheet Form: This form is used simultaneously with the register to ensure that

information for postnatal mothers, which is reported at higher levels, is classified

correctly and summed easily.

• Postnatal Register: This register is used to track information relating to the postnatal

mother and the new-born child from the day of delivery up to 6 weeks or 42 days.

o NB: The register should be filled out concurrently with the tally form for

accuracy. Begin with the Tally Sheet Form.

• Postnatal Monthly Report Form: This form is filled out during the first week of the

month following the reporting month. The original form is sent to the district and a

clean copy remains at the facility

HMIS NOTES

B.Boy

BOOK 14; IN PATIENTS DEPARTMENT (IPD) TOOLS

Learning Objectives

By the end of this session, participants are expected to be able to:

• Identify three In patient department tools
• Describe the structure of Inpatient department Tools

In patient department tools

In-patient Department services are recorded in three tools

• Tally Sheet Form: used simultaneously with the register to ensure that

information on in-patients that needs to be reported at higher levels is classified

correctly and later totalled easily for purposes of reporting.

• IPD Register: used to track information on in-patients from the day of admission

up to that of discharge (whether by discharge, death, referral or absconding from

facility).

NB: Fill out the Register concurrently with the Tally Sheet Form for accuracy

of data. Begin with the Tally Sheet Form.

• IPD Monthly Report Form: This form is filled out during the first week of the

month following the reporting month. The original form is sent to the district

while a copy remains at the facility.

HMIS NOTES

B.Boy

BOOK 16; EYE DEPARTMENT TOOLS

 Learning Objectives

By the end of this session, participants are expected to be able to:

• Identify three Eye department tools
• Describe the structure of Eye department Tools

Eye department tools

Eye Department services are recorded in three tools:

• Eye health Tally Sheet Form: This form is used simultaneously with the register to

ensure that information on Eye service that needs to be reported at higher levels is

classified correctly and later totalled easily for purposes of reporting.

• EYE health Register: This register is used to track information on Eye services on the

daily basis. It is also called HMIS book 16

 NB: Fill out the Register concurrently with the Tally Sheet Form for

accuracy of data. Begin with the Tally Sheet Form.

• Eye health monthly report form: This form is filled out during the first week of the month

following the reporting month. The original form is sent to the district while a copy

remains at the facility.

HMIS NOTES

B.Boy

HMIS TRACER MEDICINE FORMS

By the end of this session, participants are expected to be able to:

 Identify HMIS Tracer Medicine forms

 Describe the structure of Tracer Medicine forms

Tracer Medicine Forms

 This form is used to monitor indicator on availability of essential health commodities

(Essential Medicines, Medical devices, Vaccines and Laboratory commodities) at

facility.

 For each tracer line, ‘availability’ is defined as continuous supply of the specified item

or therapeutic equivalent. If the required service or treatment was provided to clients

and patients of all age groups throughout the month, then the tracer line is defined as

available

HMIS NOTES

B.Boy

PART TWO; DATABASE PART

 In Database also its Divided into two parts

i. MTUHA part
ii. Microsoft Access part

I. MTUHA PART

Definitions of Different Terminologies

• · Data: It is a collection of raw facts, which can be processed to create useful

information.

o It can be used by the managers to perform effective and successful operations of

management.

o It provides a view of past activities related to performance of an organization or

activity (e.g. research or evaluation) and it enables the user to make better decision

for future.

o Data is very useful for generating reports, graphs and statistics.

o The manipulated and processed form of data is called information.

o § For example: Data collected from census may be used to generate different types

of information. The government can use some of it to determine the literacy rate in

the country. This information is very important in decision making on how to

improve literacy rate.

HMIS NOTES

B.Boy

• Data analysis: It is a process of inspecting, cleaning, transforming, and modeling of

data with the goal of highlighting useful information and suggesting conclusions.

• Interpretation: It is a statement that makes something comprehensible by describing the

relevant structure or circumstances.

o It is the power to internalize analyzed data quarrel in relation to the real pertaining

situation.

• Data Utilization: It is the use of data in daily life for planning, decision making,

improvement and or just getting informed on an existing event or situation.

• Primary site is where the data is collected from a physical encounter e.g. information

directly from a patient/client, a person in a community or from a health facility itself

Importance of data analysis

i. Helps in decision making
ii. Set strategies to achieve certain goal
iii. Staff workload reduce
iv. Management commodities
v. Disease outbreak REDUCED
vi. Characteristics of population served I.E Morbidity and Mortality

HMIS NOTES

B.Boy

Methods of Summarizing HMIS (MTUHA) Data

i. · Tally Sheets: Forms used in summarizing or collecting data of different sources. It is

used to summarize data from HMIS (MTUHA) books and registers. It may be used to

capture data directly from the primary site

ii. · Frequency Table: A table that depicts a number of occurrences of an event in a certain

series of observations. The importance of it is to show trends in data

iii. · Pie Chart: A circular chart divided into sections, each section shows the relative size

of each value.

iv. · Histogram: Graphical display of tabulated frequencies, events or occurrences shown

in continuous bars. It shows a pattern of events into each of the categories. Diagram

which represents the class interval and frequency in the form of a rectangle. There will

be as many adjoining rectangles as there are class intervals

v. Line Graph

HMIS NOTES

B.Boy

Capture and Process Data Using HMIS (MTUHA) Database Software

In order to get Access to the system there are kind of applications that you might apply

namely

 Service Applications: They are used to collect data, validate, analyze and report

processed information

 Maintenance Applications: They're used for system maintenance such as revision of

paper tools, indicators, changes in organization units, improving system performance

and other operations

NOTE: after you Get access to Use either MTUHA or DHIS 2 Software the Password

for the first time is GUEST

Figure 15: Logging Out

HMIS NOTES

B.Boy

List the Requirements for Accessing DHIS 2 Software for data entry process

• Each user need the following to access DHIS2
i. Device e.g. laptop
ii. Internet access
iii. Internet browser e.g. Google chrome, Firefox
iv. URL: https://dhis.moh.go.tz/
v. DHIS2 account (username and password)

Figure 11: Components of DHIS 2 Software

DHIS 2 User Account

• Required details
i. Full name
ii. Active email address
iii. Phone (optional)
iv. Duty Post

Mention 6 six features of DHIS

• GIS

• Pivot tables
• Charts
• Routine data
• Events
• Tracking

HMIS NOTES

B.Boy

Data Set: DHIS 2 Data Entry Procedures

HMIS NOTES

B.Boy

Vertical programs integrated into DHIS 2

i. National Malaria Control Program (NMCP)
ii. National TB and Leprosy Control Program (NTLP)
iii. National AIDS Control Program (NACP)
iv. Administration & HR Management Department

Data elements

Explains what we collect and analyse

o For example, "Malaria new cases", "Total Population", "1st ANC visits", "Measles

doses given“; Idadi ya Wajawazito Waliotegemewa wa umri chini ya miaka 20 (ANC

form)

• Sometimes referred to as Indicators in other contexts

o In DHIS 2 data elements and indicators are not the same

• It describes the raw data, e.g. the counts and not the coverage
• It can be further disaggregated using categories, e.g. "Measles doses given" + <1y / >1y.
• Routine Data Element: is data that is collected at regular intervals through mechanisms

designed to meet predictable information needs: Such as Total OPD cases / total delivery

in a month.

• Semi-permanent Data Element: is data that changes at after relatively longer intervals of

time (say annually) as compared with routine health data. For example, data on

population in a district

Generation of Reports from HMIS (MTUHA) Database Software

Reporting Periods are organized by types/frequencies;

o Monthly, Quarterly, Six-monthly, Yearly

o Most data is collected monthly

o IDSR weekly, HR quarterly, Population yearly

o Reports can be monthly or aggregated to

o Bi-Monthly, Quarterly, Six-monthly, or Yearly (and cumulative throughout the year)

• Fixed periods

HMIS NOTES

B.Boy

DHIS 2 Software Indicators

• Indicator: a reflection of tracked data elements or situation in terms of a numeral count,

ratio factions, percentages etc.

• Ratio/Fraction indicators:
• Used to express an indicator as a fraction of two sets of data elements

HMIS (MTUHA) Data Feedback Mechanism/ Ministry of Health Organization

Units.

HMIS NOTES

B.Boy

HMIS (MTUHA) Reports

• HMIS (MTUHA) report is a description of analyzed summary data at different levels

including health delivery unit, facility level, district level, regional level or national level

o A good report describes levels of performances

o Includes success or failure, strength and constraints, recommendation for

solutions on problems observed and advocates for the way forward

The audiences of HMIS (MTUHA) report are

i. Health managers
ii. Program officers
iii. Services providers
iv. Decision/policy makers
v. Implementation partners
vi. Financial supporting agencies
vii. Researchers
viii. Public

HMIS NOTES

B.Boy

Components of HMIS (MTUHA) Reports

i. Title page
ii. Acknowledgement
iii. Abstract
iv. Table of contents
v. List of figures
vi. Executive summary
vii. Introduction
viii. Body
ix. Conclusion
x. Reference
xi. Appendix

HMIS NOTES

B.Boy

II. MICROSOFT ACCESS PART

At the end of the lesson student must understand

• Definition of Microsoft Access
• Database
• Database Management System
• Record
• Data
• Information
• The database objects
• The general properties, Field and Data types
• Types of database
• Application of Database in the real world

HMIS NOTES

B.Boy

Definition of Terms

• Microsoft Access is the package of Microsoft office used for creating or designing

a database.

• Database is the collection of related information served for the specific task.
• Database management system is the process of maintaining the data or

information hence to make them accessible and secure

• Record is the collection of fields
• Data is the unprocessed facts
• Information is the processed facts

HMIS NOTES

B.Boy

The database objects/the components of Database

• Table
• Form
• Queries
• Report

HMIS NOTES

B.Boy

Explanation for Each Object

• Table is the collection of information with their corresponding fields served for

the specific task

• Form is the simplification of data from the database.

HMIS NOTES

B.Boy

• Query is the question to the database Or is the request for the information from

the database.

• Report is the printed document from the database using the specific layout.

HMIS NOTES

B.Boy

Database Models

• Each model structures, organizes and uses data differently.
• The model underlining the design of the database program influences or limits the searching

permitted.

• It also influences the maintenance of the database.

List four (4) Models of database

i. Hierarchical models
ii. Network model
iii. Relational Model
iv. Object Oriented Model
v. Distributed Model

Explanations for Models of Database

i. Hierarchical models
• This is like or organizational chart.
• During searching, the program searches sequentially each root and branch and checks for a

match.

• This is commonly called traversing the tree.
• Some common terms associated with model are root, parent, and siblings.
• When designing the database, each child in the hierarchical model can have only one parent.
ii. Network model
• The network was developed to solve problems caused by the hierarchical model’s inability to

store certain types of data easily.

• The network model permits more than one parent per child.
• However, it requires multiple links to the various fields, making it much more difficult to

revise or edit.

HMIS NOTES

B.Boy

iii. Relational Model
• This relies on ‘flat tables’ for its structure.
• Designers use only one data element per field.
• This means that tables must be reduced to their simplest form.
• The term used for this process of reduction is normalizing the table.
• For example, a parent with two children would become two tables that link on a common

field.

iv. Object Oriented Model

The terminologies in Database/The general properties in Database

i. Field
ii. Data types
iii. Description
iv. Primary key
v. Views

HMIS NOTES

B.Boy

Explanation on the Properties of Database

1. Field

It describes the kind of data to be filled in a table.

s/n Name Signature

1 Mkuu Br

2. List Five Data type Found in Spreadsheet

It illustrate the kind of data with the corresponding field to be filled in a table

Number Number

Alphabets Text

Date or time Date/Time

Comments or alphabets and number all Memo

at once

Automatic numbering Auto number

Money Currency

Dropdown list Lookup wizard

HMIS NOTES

B.Boy

3. Description

Is the explanation of the abbreviation.

DOB Date of Birth

KW Kula wali

5. Primary key

Is the unique key identifier.

s/n

id

Patient number

Views displays

There are two kind Views

i. Design view
ii. Datasheet view

HMIS NOTES

B.Boy

DESIGN VIEW

The View that displays when you design a Table.

DATASHEET VIEW

The View thus Display already designed Table ready for feeling data.

HMIS NOTES

B.Boy

Advantages of Databases

• A reduction in data redundancy (duplicate data in a variety of places)
• A reduction in data inconsistency (data stored differently in the same file)
• Increased data access
• Data security (i.e. patient confidentiality)
• Easy to find patient records
• Produces timely and accurate reports
• Variety of reports can be produced from same data
• Transportation and transfer of data is easy
• Standardized methods of data collecting and reporting
• Easier to manage than paper files
• Create permanent records

Various application of database in the real world

• Stock trading system
• Fight reservation system
• Computerized library system
• Super market product inventory system
• Credit card/credit limit check system

What are the five (5) functions of Database

• Data Dictionary Management,
• Data Storage Management,
• Data Transformation and Presentation,
• Security Management,
• Multi-User Access Control,
• Backup and Recovery Management,
• Data Integrity Management,
• Database Access Languages and Application Interface,
• Database Communication Interface.

HMIS NOTES

B.Boy

Introduction to

Microsoft Access 2007 (PRACTICAL)

Creating a Database

1) Start Access
2) Select Blank Database
3) In the File Name field enter a name for the database
4) Click Create

HMIS NOTES

B.Boy

Microsoft Access automatically creates a new table in the database called

Table1. This is a temporary name until the table is saved.

Microsoft Access Work to Transform the data or Information that its in Paper mode to

a computer mode, So how its created will perform the as your using a paper method to

record your Data or Information.

When you open Microsoft Access i.e Database on the Menu Bar you will find the

following items below

One of the Items it says Create means to design what we want in the Database.

Comparing to Paper based method Lets take Example the new office its opened and in

that office there is Gate that if someone want to enter must pass through that gate and

on the Gate there is a Police man standing there in order to Enter you must register

yourself there. On the first day the Police man be given a new Exercise Book were will

HMIS NOTES

B.Boy

be given a task by the owner of the office to Design a book for people to register before

they enter to the office in order to know how many people enter and they come for

what purpose.

So the First Work of the police man is to Design the Book by drawing the Lines and

writes the Fields he want anyone who came to write Example Name, Date, Signature

etc Thus Why in Computer there is one Item Called Create means to Design and the

First thing to Design is Table.

When you click Create you will find all the Objects of Database then you must Start

with Table.

HMIS NOTES

B.Boy

A. TABLE

After clicking Table Design will reach to a Design View where here you will design

your Table with Fields and Corresponding Data Types

HMIS NOTES

B.Boy

Before proceeding, it is important to understand common Microsoft Access Data

Types. (Explained in the table below)

HMIS NOTES

B.Boy

To Enter Fields in a Table:

1) Type a name for the first field in the table
2) Press Enter
3) Select a data type
4) Press Enter
5) Type a description for the field
6) Press Enter

Continue this until all necessary fields have been entered into the table.

Note: The order that you enter the field names is the order the fields will

appear in the table and on a form.

HMIS NOTES

B.Boy

To View the Datasheet:

Click the View button on the Ribbon

Setting a Primary Key

The Primary Key is the unique identifier for each record in a table. Access will

not allow duplicate entries in a Primary Key field. By default, Access sets the first

field in the table as the Primary Key field. An example of a Primary Key would be

your Social Security Number. This is something unique about you and should

not be duplicated.

To Set a Primary Key:

1) Switch to Design View
2) Position your cursor in the field you wish to set

HMIS NOTES

B.Boy

To View the Datasheet:

Click the View button on the Ribbon

Setting a Primary Key

The Primary Key is the unique identifier for each record in a table. Access will

not allow duplicate entries in a Primary Key field. By default, Access sets the first

field in the table as the Primary Key field. An example of a Primary Key would be

your Social Security Number. This is something unique about you and should

not be duplicated.

To Set a Primary Key:

1) Switch to Design View
2) Position your cursor in the field you wish to set as the Primary Key
3) Click the Primary Key button on the Ribbon

To Switch Back to Datasheet View to Enter your Records:

Click the View button on the Ribbon.

Entering Data in a Table

Once you have entered the fields and set the data types it is now time to enter

the records in a table.

To Enter Data in a Table:

1) Make sure you are in Datasheet View
2) Enter the data into the table by pressing the tab key to move from one cell

to another

3) When you have completed the record (row), press Enter

When inputting data into the table, Access automatically saves the data after

each new record.

HMIS NOTES

B.Boy

Navigating Records

Use the arrows at the bottom of the table to navigate among records.

You are able to navigate from the first record, previous record, next record, last

record, and create a new record (as shown in the picture below).

Notice that the total number of records in the table is shown at the right end of

the navigation arrows.

Sorting Records in a Table

By sorting your records in a table, you are easily able to view/locate records in

your table.

To Sort Records in a Table:

1) Position your cursor in the field that you wish to sort by, by clicking on any

record in that field.

2) Click either the Sort Ascending or Sort Descending icon

Notice, the table above has been sorted by the Last Name field in ascending

order.

HMIS NOTES

B.Boy

B. FORM

Creating a Form Using the Forms Wizard

A form is a database object that is used to enter or display data in a database.

To Create a Form Using the Wizard:

1) Navigate to the table you want to base the form on
2) Click Create on the Ribbon
3) Click Forms

You are able to navigate using the navigation arrows at the bottom of the form.

Note: The form feeds the table. If you edit a record on the form, or create a

new record, that data will be passed to the table it is associated with.

To Enter a Record on the Form:

1) Click the View button on the Ribbon to switch from Layout View to Form

View

2) Enter the data for each field in the record, pressing the Enter key to move

to the next field

3) Press Enter after you have entered data for the last field

This will send the record to the table.

HMIS NOTES

B.Boy

C. QUERIES

You use Queries to view, change, and analyze data in different ways. You can

also use them as a source of records for forms and reports.

To Create a Query:

1) Click the Create tab on the Ribbon
2) Click Query Design icon
3) Double-click Create Query in Design View
4) Select the table that you would like to base your Query on
5) Click Add
6) Close the Show Table window

The table(s) will now be displayed in the upper part of the Query Design Screen

by boxes containing the tables’ fields.

7) Double click on the field names in the field list window which you would

like to include in the Query

HMIS NOTES

B.Boy

Defining Criteria in the Query

In order to control which records are displayed, you must define criteria in a

Query. The most common type of Query is the Select Records Query which will

be discussed below.

To Define Criteria for your Query:

1) Position your cursor in the criteria row in the field for which you wish to

define the criteria for

2) Enter the criteria

Example: To find all people it the table who live in Edison:

• Position your cursor in the criteria row of the City field
• Type Edison
• Click the Run Query button

Below is a picture of the results of the above query:

HMIS NOTES

B.Boy

The result of a query is called a record set. A record set can be sorted, printed or

filtered in the same manner as a table.

To Save the Query:

1) Click the Save Icon
2) Enter a name for the Query
3) Click OK

Note: When saving a select Query, you are saving the question that you are

asking, not the results that you see when you run the Query.

HMIS NOTES

B.Boy

D. REPORTS

Reports can be based on tables or queries and can be made with the Report

Wizard.

To Create a Report Using the Report Wizard:

1) Click the Create tab on the Ribbon
2) Click the Report Wizard icon
3) Select the table or query upon which the report will be based
4) Select the fields that you want to include on the report by double clicking

on them

5) Click Next
6) If you would like to add grouping to your report, select the field you wish to

group by double clicking on it (Example: City)

7) Click Next
8) Select a style for the report
9) Click Next
10) Type a title for the report
11) Click Finish

HMIS NOTES

B.Boy

To Print a Report

1) Open the report by double clicking on the object in the Navigation Pane
2) By default, the report opens in Print Preview.

To Adjust the Orientation:

Click the portrait or landscape icon on the Print Preview Ribbon

To Adjust the Margins

1) Click them Margins icon on the Print Preview Ribbon
2) Select a margin size

To Print the Report

1) Click the Print Icon on the Print Preview Ribbon
2) Select the Printer
3) Click OK

HMIS NOTES

B.Boy

Evaluation Questions

• What is a Tanzania HMIS (MTUHA)?

HMIS is a decentralized, integrated and functional system.

• Which register is used as a HMIS guideline?

BOOK NUMBER ONE

• Which register is used to summarize other HMIS data collection tools?

BOOK NUMBER 10

• What is DHIS 2?
• The Tanzania HMIS (MTUHA) database software is called DHIS 2
• DHIS 2 is platform independent
• DHIS 2 can run on both on-line (with the internet) and offline (without the internet)

modes.

DHIS 2 Software

• DHIS2 provides a powerful set of tools for data collection, validation, reporting and

analysis, but the contents of the database.

For example:-

 What to collect,

 Who should collect it

 On what format; it depends on the context of use

HMIS NOTES

B.Boy

Session 11: Analysis of Data Using HMIS (MTUHA) Database

(PRACTICAL)

Learning Tasks

By the end of this session, students are expected to be able to:

• Establish trends of pharmaceutical services from HMIS (MTUHA) database
• Identify pharmaceutical services problems from analyzed data
• Prepare reports

Establish Trends of Pharmaceutical Services from HMIS (MTUHA) Database

List three trends of Pharmaceutical Service while using inventory program tools

i. HMIS
ii. LMIS
iii. DHIS

Explanation of Pharmaceutical trends using Inventory Tools

HMIS

• Health management information systems (HMIS) collect, aggregate, and use service data

from health facilities

• Logistics management information systems (LMIS) collect and use commodity supply

data from health and storage facilities

• A HMIS collects and reports program information, such as incidence of disease,

client/patient information, and health services rendered.

• HMIS data can be used to determine disease patterns or to track health services use,

as well as to monitor and evaluate health service delivery.

• DHIS2 is the most widely used application in LMISs, and is optimized for data

reporting.

HMIS NOTES

B.Boy

LMIS

• A LMIS is a system that is used to collect, organizes, and present logistics data

gathered from all levels of the health system.

• An LMIS enables logisticians to collect the data needed to make informed decisions

that will ultimately improve product availability and patient treatment.

• One immediate decision that is made based on logistics data is the quantities of

products that should be resupplied to health facilities.

• An LMIS provides data needed to operate a supply chain.

o It collects data about health products such as quantities consumed, stock on hand,

losses and adjustment.

o It collects data from stores, dispensing records area.

DHIS 2

• The Tanzania HMIS (MTUHA) database software is called DHIS 2
• DHIS 2 is platform independent
• DHIS 2 can run on both on-line (with the internet) and offline (without the internet)

modes.

DHIS 2 Software

• DHIS2 provides a powerful set of tools for data collection, validation, reporting and

analysis, but the contents of the database.

For example:-

 What to collect,

 Who should collect it

 On what format; it depends on the context of use

• it is used for Capturing, managing, and analysing of data
• Highly flexible and configurable platform with a wide variety of use cases
• Free and open source software
• Extensible through Web APIs and other applications

HMIS NOTES

B.Boy

LMIS

A LMIS is a system that is used to collect, organizes, and present logistics data gathered

from all levels of the health system.

It’s the system used by Pharmacists to order medicines to MSD it uses the Database called

eLMIS (Electronic Management Information System)

Who created eLMIS?

• The electronic Management Information System (eLMIS) is an ordering and reporting

system built by Ministry of Health Community Development, Gender, Elderly and

Children (MOHCDGEC) in Tanzania

• eLMIS is a web-based application which computerizes existing paper-based logistics

management information systems (LMIS) and it collects, organizes and manages,

logistics data. The goal of eLMIS is to improve health logistics data collection,

aggregation and presentation.

HMIS NOTES

B.Boy

In eLMIS the form thus its used to do requesting and Reporting its called R&R Form

In eLMIS medicines are order after every 3 months

The Categories to Order Medicine are as follows

• ILS

• ARV/ IO

• Lab Supplies

• TB/ IVD

Where do R&Rs go?

HMIS NOTES

B.Boy

HMIS NOTES

B.Boy

HMIS NOTES

B.Boy

Features and functionality of LMIS in relation to pharmaceutical services

Explanation for features of LMIS

• Requisitions and Ordering

o Create, authorize, approve report and requisitions, both regular, based on

configured processing periods, and emergency.

o Supports offline data capture on key screens.

o Executes complex and configurable approval hierarchies.

o Calculates order amounts based on average consumption and max policies.

o Complex data validations to support quality data capture.

o Generate orders for external fulfillment based on approved requisitions.

• Setup and Customization

o Manage system users, role assignments, programs, facilities, orderable and

associations with bulk upload and administrative screens.

o Configure the system to match your processing and reorder periods, policies and

facility hierarchy.

• Stock Management

o Record transactions and view electronic stock cards (supports lot info)

o Perform physical inventory & adjustments

o Track ins/outs of stock – send and receive stock

HMIS NOTES

B.Boy

Linking HMIS and LMIS in Tanzania

HMIS LMIS

System used DHIS 2 eLMIS

Data collected Services (Patient, Product used for

cases) that service

Where data comes Services records Stores and

from dispensing records

area

Frequency of data Monthly Quarterly

reporting from

facilities

Who enters data District HMIS focal District pharmacist

electronically in person

the system

Differentiate between the following

Pull system Push system

Request order Receive order

Customer demands Supplier demands

Good communication Poor communication

Consume much time Consume less time

HMIS NOTES

B.Boy

Evaluation Questions

• What are the common trends for data collection?

Establish Trends of Pharmaceutical Services from HMIS (MTUHA) Database

List three trends of Pharmaceutical Service while using inventory program tools

i. HMIS
ii. LMIS
iii. DHIS
• What is data analyzing?

Data analysis: It is a process of inspecting, cleaning, transforming, and modeling of

data with the goal of highlighting useful information and suggesting conclusions.

• What is the importance of data analyzing?
• Helps in decision making
• Set strategies to achieve certain goal
• Staff workload reduce
• Management commodities
• Disease outbreak REDUCES
• Characteristics of population served I.E Morbidity and Mortality.

HMIS NOTES

B.Boy

Session 12:Management of Pharmaceutical Information in

Vertical Program

Learning Tasks

By the end of this session, students are expected to be able to:

• Define the term vertical programme
• Mention vertical programme existing in the country
• Explain the importance of pharmaceutical information management in vertical programmes

HMIS NOTES

B.Boy

Introduction

 Health services (curative and preventive) can be provided using two modes of delivery:

o horizontal and vertical programmes.

 By horizontal delivery, services are delivered through public financed health systems

and are commonly referred as comprehensive primary care (WHO 1978).

 Vertical delivery of health services implies a selective targeting of specific interventions

not fully integrated in health systems

o This focus on one particular disease or group of diseases e.g. HIV or TB.

 Horizontal programs are the oldest of the two modes of delivery – they were derived

from Primary Health Care (PHC), originated as part of the WHO/UNICEF declaration

in Alma Ata in 1978 (WHO 1978).

 In the 80s, the concepts behind the design of PHC systems in most countries focused on

the health crisis that a country faced at a particular time.

 With emergence of communicable diseases such as drug-resistant Tuberculosis (TB),

Ebola, drug-resistant Malaria, HIV/AIDS, challenges facing most health systems in

developing countries have been paramount.

 Selectivity and prioritization of interventions, particularly in resource limited settings

are important issues for consideration for health planners.

 As most of the diseases are global public goods, selectivity is done at the country and

global levels – with the latter increasingly packaged in international initiatives with

specific goals – such as “Health for All by 2000”, and “Millennium Development

Goals”.

 Country-specific health crises were prioritized in PHC systems, but cost and efficiency

in delivering health services drove the nature of the PHC design (WHO 1978).

HMIS NOTES

B.Boy

 Efficiency and effectiveness of delivering health services are important contributors to

the attainment of international health goals at all levels.

 In most settings, this implies the ability 3 to identify and to reach poor people. In

addition, this requires a multi-sectoral approach in delivering health services.

 At the launch of the World Health Organization initiative of ‘Health for All by 2000’, the

strategy to attain the set goals was a comprehensive primary health care based on a

horizontal mode of delivery of abasic services (WHO 1978).

 A few years of implementation of the initiative proved to be too difficult to attain the set

goals (Banerji, 1984).

 Failure to control malaria in India during the early 80s is one example. This recognition

led to a change in the strategy of delivery of services from horizontal to vertical

programs.

In short Horizontal Programme is the Programme thus designed to deal with more than one

disease. It can be program for eradicating a couple of Disease as Millenium Targets as (Long

Term Plan)

Example

• Eradicate Poverty and Hunger
• Promote Gender equality
• Reduce child mortality
• Combats HIV/AIDS and Malaria
• Environmental Stability

o A horizontal program might focus on all tropical diseases, or in fact all diseases.

o A horizontal approach might consist of equipping a clinic to treat every kind of disease

and health problem in the region.

HMIS NOTES

B.Boy

Vertical programme

• A vertical programme is a programme which targets one particular disease.
• A vertical program might focus on malaria from the bottom where members of community

leave and go on up to the level where planners, evaluators and decision makers making

decision of a particular case.

• Vertical programme deals with removing the places where mosquitoes breed, protecting the

houses where the people live, educating people about how to avoid malaria, establishing

clinics where malaria can be diagnosed and treated, and finally, finding medications to cure

the disease, and so on.

• It is one system all focused on the same disease.
• It's vertical because it goes from the ground; where people who have the disease leave, up to

the level where the doctors and scientists try to develop new cures.

The Vertical Programmes Existing in the Country

Tanzania vertical health programmes:

• Reproductive Health Program
• National Aids Control Program
• National Immunization Program
• National TB / Leprosy Program

HMIS NOTES

B.Boy

The Importance of Pharmaceutical Information Management in Vertical Programmes

o The integration strengthened Vertical Programs services likewise lowered the

operations costs of programs and resulted into increase the availability of VP

Medicines, Medical Supplies and Laboratory Reagents to the health facilities.

o A good PMIS provides the necessary information to make sound decisions in the

pharmaceutical sector.

o Effective pharmaceutical management requires policymakers, program managers, and

health care providers to monitor information related to patient adherence, drug

resistance, availability of medicines and laboratory supplies, patient safety, post-market

intelligence, product registration, product quality, financing and program management,

among other issues.

o Coordinating the elements of a pharmaceutical supply system requires

relevant, accurate, and timely information.

o Increased funding for HIV/AIDS, tuberculosis, and immunization programs has

contributed to the need for accurate and timely information on a variety of parameters

that affect the ability to conduct accurate quantification, procurement planning,

budgeting, resource mobilization and program management.

The perceived advantage of a vertical programme are:

o strong central technical and financial control.

o Better ability to monitor restricted output

o Operational planning is focused & easy to deliver

o Efficient & effective delivery

o the ability to respond to changing circumstances and the identification of new

strategies.

o focused objectives, achievable in a limited time-frame; and the appeal to external

donors.

HMIS NOTES

B.Boy

Enlist The integration functions of MSD to Vertical Prrogramming

o Coordination of procurement, Storage and Distribution of program medicines, Medical

Supplies and Laboratory Reagents.

o Managing receipts of all Medicines, Medical Supplies and Laboratory Reagents

supplied by different programs and development Partners (Global Fund, UNICEF,

World Health Organization and USAID).

o Give timely report to the programs on stock status to programs and development

Evaluation Questions

• What is a vertical health programs?

o A vertical programme is a programme which targets one particular disease.

o A vertical program might focus on malaria from the bottom where members of

community leave and go on up to the level where planners, evaluators and decision

makers making decision of a particular case.

• What is the main vertical health programmes found in Tanzania?

Tanzania vertical health programmes:

• Reproductive Health Program
• National Aids Control Program
• National Immunization Program
• National TB / Leprosy Program

HMIS NOTES

B.Boy

Session 13: Networking Programmes in Dissemination of

Pharmaceutical Information

Learning Tasks

By the end of this session, students are expected to be able to:

• Explain the importance of networking in dissemination of pharmaceutical information
• Explain the networking programmes used in dissemination of pharmaceutical information
• Disseminate pharmaceutical information (PRACTICAL)

HMIS NOTES

B.Boy

Networking

 Network is the computer that is connected through protocol that works together

 A network, in computing, is a group of two or more devices that can communicate.

• The scale can range from a single PC sharing out basic peripherals to massive data centers

located around the World, to the Internet itself.

• All networks allow computers and/or individuals to share information and resources.
• Computer networks serve a number of purposes, some of which include:

o Communications such as email, instant messaging, chat rooms, etc.

o Shared hardware such as printers and input devices

o Shared data and information through the use of shared storage devices

o Shared software, which is achieved by running applications on remote computers

Importance of networking technology in pharmaceutical health information system

• Using computer networking technology in pharmacy is very useful for the

pharmaceutical profession.

• The following are the benefits of pharmaceutical networking technology in healthcare

industry:

o It improves the pharmacists work, especially in acquisition of consumable and non-

consumable medical materials, deliveries of pharmaceutical materials, stock and

inventory control.

o It gives them more time to help the customers in the service area.

o It reduces client waiting time, pharmaceutical expenditure and the manpower

requirement for any kind of pharmaceutical work.

o It facilitates sharing of information with other service area within the health facility

• Networking computers helps to run business operations efficiently

o They make it easier to handle the business tasks such as recording drugs, requesting

consumable and non-consumable medical items, tracking and paying drugs and

medication bills from insurance company, client/patients and other service user.

o It helps to improve patient safety, provide quality of care, monitoring efficacy and safety

of medicine in use.

o It gives updates of prices and other pharmaceutical product information online.

o It is used in online and e-prescribing of medication.

HMIS NOTES

B.Boy

The Networking Programs Used in Disseminating Pharmaceutical Information

• There are several different types of computer networks used in information communication.
• Computer networks can be characterized by their size as well as their purpose.
• Networks based on size are:

o Personal area network (PAN): a computer network organized around an individual

person within a single building like small office.

o Local area network (LAN): used for single sites where people need to share resources

among themselves but not with the rest of the outside world.

o Metropolitan area network (MAN): a computer network across an entire city, college

campus or small region.

o Wide area network (WAN): occupies a very large area, such as an entire country or the

entire world.

• Networks based on their main purpose are:

o Storage area network (SAN): a high-speed sub network of shared storage devices.

o Enterprise private network (EPN): a computer network built by a business to

interconnect its various company sites (such as production sites, offices and shops) in

order to share computer resources.

o Virtual private network (VPN)

 An encrypted connection over the Internet from a device to a network.

 The encrypted connection helps ensure that sensitive data is safely transmitted.

 It prevents unauthorized people from eavesdropping on the traffic and allows the user

to conduct work remotely.

HMIS NOTES

B.Boy

Network can be divided in to two main categories:

• Peer-to-peer.
• Server – based.

Explanation on Categories of Network

• In peer-to-peer networking there are no dedicated servers among the computers. All of

the computers are equal and therefore known as peers. Normally each computer serves

as Client/Server and there is no one assigned to be an administrator responsible for the

entire network.

• The client/server network is the most efficient way to provide:
• The client/server model is basically an implementation of distributed or cooperative

processing.

• The entire function may execute in either the PC or server.

HMIS NOTES

B.Boy

HMIS NOTES

B.Boy

Network Devices

Net work Cables

• In the network you will commonly find three types of cables used these are the, coaxial

cable, fiber optic and twisted pair.

Coaxial Cable

• This type cable is usually yellow in color and used in what is called thicknets, and has

two conductors. This coax can be used in 500-meter lengths. The cable itself is made up

of a solid center wire with a braided metal shield and plastic sheathing protecting the

rest of the wire.

Fiber Optic Cable

• As we all know fiber optics are pretty darn cool and not cheap. This cable is smaller and

can carry a vast amount of information fast and over long distances.

Twisted Pair Cables

• These come in two flavors of unshielded and shielded.
I) Shielded Twisted Pair (STP)
• Is more common in high-speed networks. Now you know about cables we need to know

about connectors. This is pretty important and you will most likely need the RJ-45

connector.

II) Unshielded Twisted Pair (UTP)
• This is the most popular form of cables in the network and the cheapest form that you

can go with. The UTP has four pairs of wires and all inside plastic sheathing. The

biggest reason that we call it Twisted Pair is to protect the wires from interference from

themselves.

HMIS NOTES

B.Boy

HMIS NOTES

B.Boy

• Network Interface Cards

Network interface cards, commonly referred to as NICs, and are used to connect a PC to a

network. The NIC provides a physical connection between the networking cable and the

computer's internal bus.

NICs come in three basic varieties: 8-bit, 16-bit, and 32- bit. The larger the number of bits

that can be transferred to the NIC, the faster the NIC can transfer data to the network

cable.

HMIS NOTES

B.Boy

Hubs/Repeaters:

• Hubs/repeaters are used to connect together two or more Ethernet segments of any

media type.

• In larger designs, signal quality begins to deteriorate as segments exceed their

maximum length. Hubs provide the signal amplification required to allow a segment to

be extended a greater distance. A hub takes any incoming signal and repeats it out all

ports.

• If the hub is attached to a backbone, then all computers at the end of the twisted pair

segments can communicate with all the hosts on the backbone.

Ethernet Switches:

• Ethernet switches are an expansion of the concept in Ethernet bridging. LAN switches

can link four, six, ten or more networks together.

Routers:

The router is a piece of network hardware that connects a local network to the

Internet. A router is a networking device that forwards data packets between computer

networks.

Fiber Distributed Data Interface (FDDI)

Contains Fiber wires hence are in smaller size and carry a vast amount of Information fast

over long distance. (10millibitis/sec) or 1000mbps

NETWORK TOPOLOGIES

HMIS NOTES

B.Boy

HMIS NOTES

B.Boy

HMIS NOTES

B.Boy

HMIS NOTES

B.Boy

HMIS NOTES

B.Boy

HMIS NOTES

B.Boy

HMIS NOTES

B.Boy

Explain about Health information systems (HIS) that’s used to disseminating/ sharing

pharmaceutical information through networking system

o Pharmacy information system (PIS)

o Computerized Physician Order Entry (CPOE) system

o HL 7 (Health Level Seven)

I. Pharmacy Information System (PIS)

Is the system that supports the distribution and management of medicines hence create

inventory.

List five (5) functions of pharmacy Information System

i. Supports the distribution and management of medicines
ii. Determine the amount of inventory
iii. Improving the accessibility of information and evaluates side effects of drugs
iv. Help clinical decision making by alerting users on the impacts of drugs
v. Reports and manage the cost of medicines
II. Computer physician order entry (CPOE) system

CPOE is the process of a medical professional entering medication orders or

other physician instructions electronically instead of on paper charts.

List five (5) functions of Computer physician order entry (CPOE) system

i. It can help reduce errors related to poor handwriting or transcription of

medication orders.

ii. Handle order of medicines
iii. Reduce paper work/ hand writings
iv. Provide electronically medication order to lab, radiology or referrals.
v. Help in clinical decision support
vi. Improve medication safety and quality care and reduce cost of care

HMIS NOTES

B.Boy

III. HL 7 (Health Level Seven)

Health Level Seven (HL7) It’s the system that allows computer systems to send and receive

pharmaceutical information to each other in secure way

List five (5) functions of Health Level Seven (HL7)

Allows send and Receive of Pharmaceutical Information

Allow sharing of Information between the pharmacies, physical facilities electronically.

Name first five (5) layers of Network OSI Model

a. Physical Layer

b. Data Link Layer

c. Network Layer
d. Transport Layer

e. Session Layer

f. Presentation Layer

g. Application Layer

HMIS NOTES

B.Boy

Evaluation Questions

• What is networking?

 Network is the computer that is connected through protocol that works together

 A network, in computing, is a group of two or more devices that can communicate.

• What is the difference between CPOE and PIS?
I. Pharmacy Information System (PIS)

Is the system that supports the distribution and management of medicines hence create

inventory.

List five (5) functions of pharmacy Information System

vi. Supports the distribution and management of medicines
vii. Determine the amount of inventory
viii. Improving the accessibility of information and evaluates side effects of drugs
ix. Help clinical decision making by alerting users on the impacts of drugs
x. Reports and manage the cost of medicines
II. Computer physician order entry (CPOE) system

CPOE is the process of a medical professional entering medication orders or

other physician instructions electronically instead of on paper charts.

List five (5) functions of Computer physician order entry (CPOE) system

vii. It can help reduce errors related to poor handwriting or transcription of

medication orders.

viii. Handle order of medicines
ix. Reduce paper work/ hand writings
x. Provide electronically medication order to lab, radiology or referrals.
xi. Help in clinical decision support
xii. Improve medication safety and quality care and reduce cost of care

HMIS NOTES

B.Boy

• What is interoperability?

The process of Electronic devices to share data or Information through networking system

Interoperability in healthcare refers to the technologies used in patient care to enable the

sharing of data to meet the goals of delivering personalized care and effective population

health management

HMIS NOTES

B.Boy

PRACTICALS

Demonstration on PowerPoint Basics

Power Point is computer software created by Microsoft which allows the user to create slides

with recordings, narrations, transitions and other features in order to present information. An

example of PowerPoint is presentation software made by Microsoft.

Microsoft PowerPoint, part of the Office suite, is a presentation graphics application.

 A PowerPoint presentation is a collection of electronic slides that can have text,

pictures, graphics, tables, sound and video.

 This collection can run automatically or can be controlled by a presenter

 Presentation software allows you to create slides, handouts, notes, and outlines.

EXAMPLE OF PRESENTATION

Gather Your Tools

 Container

 Fertilizer

Container Gardening

 Soil

Starr City Garden Club  Water Hose

 Spade

 Bedding Plants

By: Maxine Greene

HMIS NOTES

B.Boy

Components of the Power Point Window

List Elements of Power Point /Parts of the PowerPoint Window/Elements of Power Point

Window

i. Title Bar – displays the document name followed by a program name
ii. Menu Bar – contains a list of options to manage and customize documents
iii. Standard Toolbar – contains shortcut buttons for the most popular commands
iv. Formatting Toolbar – contains buttons used for formatting
v. Status Bar – displays slide position and the type of design in PowerPoint
vi. Drawing Toolbar – contains tools for drawing lines, shapes and objects
vii. Task Pane – located on the right side of the computer screen, this pane allows you to

select tasks in different categories and allows you to quickly enhance your slides in a

few steps. It provides quick access to the most common actions and features in

PowerPoint

HMIS NOTES

B.Boy

viii. Outline and Slides Tabbed Pane – allows the user to easily view the presentation in

outline format (text), as well as a list of all the slides in the presentation (with visuals)

ix. Help – provides quick access to Help topics

List five Presentation Views found in Power Point

i. Normal View
ii. Slide Sorter
iii. Note Page
iv. Slide Show
v. Slide Master
vi. Handout Master
vii. Notes Master

HMIS NOTES

B.Boy

Explanations of Views

i. Normal view is the default view
ii. Slide Sorter displays all the slides in consecutive order as thumbnails.
iii. Notes Page is similar to the normal view except the slides are reduced in size and

located in the upper portion of the screen with the lower portion of the screen being

allocated for adding notes to the slide.

iv. Slide show is the presentation where the slides are enlarged to fit the entire screen.

PowerPoint Ribbon

 During this presentation, we will refer to the PowerPoint “Ribbon” in terms of

navigating the program.

 The Ribbon is the strip of buttons across the top of the main window.

 Users can access anything the program has to offer through the Ribbon.

HMIS NOTES

B.Boy

Creating a Blank Presentation

Create a New Presentation

 Select “File” then “New”

 Shortcut: Hold the Control button, then press ‘N’ for “New”

HMIS NOTES

B.Boy

Open an Existing Presentation

• Select “File” then “Open”
• Shortcut: Hold the Control button, then press ‘O’ for “Open”

HMIS NOTES

B.Boy

Saving a Presentation

 Select “File” then “Save As”

 Shortcut: Press f12 to Save the file with a new name

HMIS NOTES

B.Boy

Demonstration on Enhancing PowerPoint Presentation

FORMATTING TEXT

Formatting text

 Change Font Typeface and Size

 To change the font typeface:

 Click the arrow next to the font name and choose a font.

HMIS NOTES

B.Boy

Change Text Color

 To change the text color:

 Select the text and click the Colors button included on the Font Group of the

Ribbon, or

 Highlight the text and right click and choose the colors tool.

 Select the color by clicking the down arrow next to the font color button.

HMIS NOTES

B.Boy

Change Paragraph Alignment

 The paragraph alignment allows you to set how you want text to appear. To change the

alignment:

 Click the Home Tab

 Choose the appropriate button for alignment on the Paragraph Group.

 Align Left: the text is aligned with your left margin

 Center: The text is centered within your margins

 Align Right: Aligns text with the right margin

 Justify: Aligns text to both the left and right margins.

Indent Paragraphs

 To indent paragraphs, you can do the following:

 Click the Indent buttons to control the indent.

 Click the Indent button repeated times to increase the size of the indent.

HMIS NOTES

B.Boy

Text Direction

 To change the text direction:

 Select the text

 Click the Text Direction button on the Home tab

 Click the selection

HMIS NOTES

B.Boy

Bulleted and Numbered Lists

 Bulleted lists have bullet points, numbered lists have numbers, and outline lists combine

numbers and letters depending on the organization of the list.

 To add a list to existing text:

 Select the text you wish to make a list

 Click the Bulleted or Numbered Lists button

HMIS NOTES

B.Boy

Insert Pictures from Files

List Steps to Insert Picture from file In Power Point

i. Go to the “Insert” ribbon then select “Picture”
ii. Locate the image file from the folder to where it is saved.
iii. Select “Insert” from the dialog box.

HMIS NOTES

B.Boy

OR

You can use other method To Insert Picture as follows

When you have a blank slide (or parts of a blank slide), you can also click on options within

these blank compartments to insert pictures

HMIS NOTES

B.Boy

Insert Clip Art

List Steps to Insert Picture from file In Power Point

i. Go to the “Insert” ribbon then select “Clip Art”
ii. Enter search terms in Clip Art search pane on the right and select image

HMIS NOTES

B.Boy

Format Pictures

 To resize the image, click on the picture to surround the image with a blue box.

 Drag the corner dot away from the center to make it larger and toward the center to

make it smaller.

HMIS NOTES

B.Boy

Insert a Header and Footer

List Steps to Insert a Header and Footer In Power Point

 Go to “Insert” then “Header and Footer”

 This dialog box allows you to add a date and time on the slide.

Insert Date and Time

List Steps to Insert Date and Time In Power Point

 Go to “Insert” then “Date & Time”

 Select on Check box for Include Date and Time and Slide Number

 Click Apply to all Slide

HMIS NOTES

B.Boy

Click

Here

Insert a Hyperlink

• Go to the “Insert” ribbon then hover over “Links” then select “Hyperlink”
• Copy and Paste the Link from the website into the “Link” box.

HMIS NOTES

B.Boy

Insert Tables

 Go to the “Insert” ribbon then select “Table”

 Move the mouse over the table illustration to select the size of the table you would like to

use.

HMIS NOTES

B.Boy

OR

You can use other method To Insert Table as follows

When you have a blank slide (or parts of a blank slide), you can also click on options w/n

these blank compartments to insert tables

HMIS NOTES

B.Boy

Insert Charts

• Go to the “Insert” ribbon then select the “Chart” button.
• Option to choose from Area, Bar, Line, Pie and several other Chart Options.

HMIS NOTES

B.Boy

OR

You can use other method To Insert Charts as follows

When you have a blank slide (or parts of a blank slide), you can also click on options within

these blank compartments to insert charts

HMIS NOTES

B.Boy

Demonstration on Creating PowerPoint Slide Show

OPEN NEW SLIDE

• After opening MS PowerPoint 2007/2010, select “Blank Presentation” and click

on Create.

• You should get something that looks like this:

HMIS NOTES

B.Boy

Inserting a Slide

• To insert a new slide…
– From the Home tab, select “New Slide

Click

here

‐ As well, you can right‐click between any 2 slides in the preview frame located on the left‐hand

side of the Normal view and select “New Slide”

Click

Here

HMIS NOTES

B.Boy

Deleting a Slide

• To delete a slide…
– Select the slide you’d like to delete (eg. by highlighting it) and selecting

“Delete” from the Home tab

Click Here

– As well, you can right‐click on any slide in the preview frame located on the

left‐hand side of the Normal view and select “Delete Slide”

Click Here

HMIS NOTES

B.Boy

Add a Slide

• Go to the “Home” ribbon and select the “New Slide” button
• Select the Slide Pane and press “Enter”

HMIS NOTES

B.Boy

Add a Slide Theme from Gallery (DESIGNS)

 Go to the “Design” ribbon

 Select a design theme from the Theme toolbar

HMIS NOTES

B.Boy

ANIMATIONS

• All sorts Animation Effects can be added to your slides and the best way to find out

what works best for your presentation is to play around and experiment with all the

different options.

• But first, a cautionary note. Many bad presentations will overly rely on animations (and

other stylistic effects) to keep the audience interested (probably because the

presentation itself was less than riveting). The best presentations are the ones that

effectively use animations as an aid in presenting information, rather than distracting

from it. In short, a good rule of thumb to remember would be “Less is more.”

Animating objects on a slide…

1. Go to the Animations tab.

2. Select/Highlight an object on the slide (this could be the title, the main body of text, a

textbox, a picture, a shape, a chart, a table, a bullet point, etc…

3. Click on “Custom Animation”

HMIS NOTES

B.Boy

4. The custom animation box will pop up.

5. Click on “Add Effect”

6. Select the type of animation you’d like for this object / component.

7. Select the specific animation that you’d like for this object / component

HMIS NOTES

B.Boy

Animation Example

Please note that if these notes are presented as a .pdf file, then this animation example will not

work

Also note that this slide is a fun example of what can be done and is not intended to contradict

HMIS NOTES

B.Boy

SLIDE TRANSITIONS

• A transition is an entrance animation that is applied to a slide as a whole when that

slide is displayed

• Transitions can be accessed from the Animations tab.
• Adding transitions is easy, simply…
– View the slide you want to add a transition to
– From the Animations tab click on the appropriate transition
• You can adjust the speed of the transition add sounds, and determine whether or not

the transition occurs on a mouse click or after an allotted amount of time has passed.

Click here to get more

Transition on your

choice to all slide or

selected Slide only

display below

HMIS NOTES

B.Boy

Create a Slide Master

 The Slide Master acts as a template for your entire presentation.

 Altering anything on the Slide Master will change the formatting of all the slides in your

presentation.

 Open the slide Master

 View Tab >> Presentation Views >> Slide Master

 The Slide Master Tab appears on the left-hand side of Home Tab

HMIS NOTES

B.Boy

Edit the Slide Master

 Clicking on the Slide Master Tab provides a set of Slide Master Formatting Groups:

 Edit Master

 Master Layout

 Edit Theme

 Background – set the background for all the slides

 Page Setup

 Close — Click on Close button to go back to Normal View.

Edit the Slide Master…

 Choose the top Slide Master Slide in the left panel

 You can edit the Background, Bullet styles, Slide Titles, and Title animations here.

HMIS NOTES

B.Boy

Print a PowerPoint presentation

 To get started, go to the File > Print menu option.

 Choose Your Printer

 You should choose the printer that you want to send your presentation to.

 Choose the Pages to Print

 You may not want to print every slide in your presentation. The good news is that

PowerPoint makes it easy to choose a selection of pages to print.

 To make a selection for the slides to print, click on the dropdown just

under Settings. This defaults to Print All Slides, but there are several options.

 Choose Orientation and Color Settings

 Orientation describes the direction that your content is printed on. You can

choose between Portrait and Landscape orientation.

 Then Print

HMIS NOTES

B.Boy

Demonstration on Getting Started with Microsoft Word (Word

Processor)

Basics of the Word Window/ Elements of Microsoft word

HMIS NOTES

B.Boy

Explanation

List Elements of Microsoft Word/ Elements of Word Window/ Parts of Word Processor

Shown above is the Microsoft Word default window

i. Title Bar: displays the document name followed by a program name
ii. Menu Bar: contains a list of options to manage and customize documents
iii. Standard Toolbar: contains shortcut buttons for the most popular commands
iv. Formatting Toolbar contains buttons used for formatting
v. Ruler: used to set margins, indents, and tabs
vi. Insertions point the location where the next character appears
vii. End-of-document Marker indicates the end of the document
viii. Help provides quick access to Help topics
ix. Scroll bars used to view parts of the document
x. Status Bar Displays position of the insertion point and working mode buttons
xi. Task Pane provides easy access to commonly used menus, buttons and tools.
xii. View Buttons Changes the layout view of the document to Normal View, Web Layout View,

Reading Layout View, Print Layout View, or Outline View

Views In Microsoft Word

List five Changes in View found in Microsoft Word

i. Normal View
ii. Web Layout
iii. Reading Layout
iv. Print Layout
v. Outline View
vi. Full screen view

HMIS NOTES

B.Boy

Spelling Check In Microsoft Word

List five Spelling Checker drop down in Microsoft Word

i. AutoCorrect
ii. Add to Dictionary
iii. Ignore
iv. Ignore All
v. Language
vi. Look up
vii. Spelling

Columns Found In Microsoft Word

List five Menu Bars found In Microsoft Word/ List Five Columns found in Word Processor

i. Home
ii. Insert
iii. Page Layout
iv. References
v. Mailing
vi. Review
vii. View

Change Text Case

List five Change Cases found in Microsoft Word

i. Sentences case
ii. Lower case
iii. Upper case
iv. Capitalize Each Word
v. Toggle case

HMIS NOTES

B.Boy

Paragraph Formatting Tools

List four Formatting Tool bars found in Word Processor

i. Align Text to Left
ii. Align Text to Right
iii. Center
iv. Justify- Align text to both left and Right of the margins.

Differentiate Save and Save As

Save it’s the item menu found in Microsoft Word while its used to store data for future use

hence

Save As it’s the item menu found in Microsoft Word hence its used to keep memory of data or

Information with Name or respected copy also can put protection to your document Example

putting Passwords.

List Procedures to Put Password in a Document of Microsoft Word/List steps to

Encrypt data in Microsoft Word

i. Open New Microsoft word Document
ii. Click Office Button
iii. Select Save As
iv. Click Tools and Select General Options
v. Write Encrypted Number or Alphabets 4 times then Click Save

HMIS NOTES

B.Boy

Preparation of Document using Microsoft Word Application 2007/2010

Figure 5: Opening New Blank document

CUT, COPY AND PASTE

 CUT

The cut function physically removes selected text from its original location and places it in a

new location.

 COPY

The copy function makes a copy of the selected text and places the copy in a new location,

leaving the original text in its original location.

• PASTE

If you Copy text, you typically need to Paste it somewhere.

HMIS NOTES

B.Boy

Demonstration on Microsoft Word Basics

Bullets and Numbering

List five procedures to Insert Bullets in Microsoft Word

i. Open Microsoft Word
ii. Select Home
iii. Click on Bullets
iv. Choose the style of Bullets you want
v. Click OK

HMIS NOTES

B.Boy

List five procedures to Sort Document in Microsoft Word

i. Open Microsoft Word
ii. Select Home
iii. Click on Sort
iv. Choose the arrangement you want either its Ascending OR Descending Order
v. Click OK

LINE SPACING

List five Line Spacing Specifications

i. 1.0
ii. 1.15
iii. 1.5
iv. 2.0
v. 2.5
vi. 3.0

PAGE SETUP

List five page setup found In Microsoft word

i. Margins
ii. Orientation
iii. Size
iv. Columns
v. Breaks
vi. Hyphenations
vii. Break

HMIS NOTES

B.Boy

Demonstration on Advanced Microsoft Word formatting

Introduction of Symbols

There are many Symbols that you might often see in publications that are not directly available

from your keyboard. For example, the Copyright symbol, ©, is not available on the keyboard

but can be selected from Word's Symbol Dialog Box.

Other commonly used symbols that appear in the Symbol Dialog Box are:

• © Copyright
• ® Registration
• TM Trademark
• Checkmark

HMIS NOTES

B.Boy

List Procedures to Insert Symbols into your Document of Microsoft Word

i. Click Insert on the Menu Bar
ii. Select Symbols, The Symbols Dialog Box appears
iii. Click the Symbols Tab to select a symbol from a Font type
iv. Click the Special Characters Tab to view other commonly used symbols
v. Click on the Symbol or Special Character you would like to select and then Click Insert
vi. The Symbol or Character will show up in your document
vii. Click Close

Insert Headers and Footers

Header

It means the Top Part of Microsoft Word that contains the Heading of the Document.

Footer

It means the Bottom Part of Microsoft Word that contains the displays the Document.

HMIS NOTES

B.Boy

List Procedures to Insert Header and Footer into your Document of Microsoft Word

i. Open Microsoft Word
ii. Select Insert
iii. Click Header/ Footer
iv. Choose the style that you want
v. Click OK

Create a Text Box

List Procedures to Inert Text Box into your Document of Microsoft Word

i. Open Microsoft Word
ii. Select Insert
iii. Click Shapes
iv. Choose the Text Box
v. Click OK

HMIS NOTES

B.Boy

Demonstration on Tables Creation, Editing and Formatting

Creating a Tables

Tables allow large amounts of text and/or numbers to be presented in an organized and easy to

read fashion.

• A few important terms to know before you begin creating tables are:

o Row – A row runs horizontal in a table and is divided by borders

o Borders – Separating lines in the table

o Column – A column runs perpendicular in a table and is divided by borders

o Cell – A cell is the box that is created when your rows and your columns intersect each

other. The cell contains your data or information

Figure 1: Row and Column Direction

HMIS NOTES

B.Boy

Mention Procedures/ steps to insert Table in Word Processor

i. Open New Microsoft Word
ii. Select Insert from Menu Bar
iii. Click on Table
iv. Select Insert Table and Write numbers of Column and Rows
v. Click OK

HMIS NOTES

B.Boy

Mention Sub Menus that are found Insert in Word Processor

i. Table
ii. Pictures
iii. Shape
iv. Smart art
v. Clip Art
vi. Chart

HMIS NOTES

B.Boy

Working with Image in Microsoft Word

WordArt Drawing Objects

Also included on the Drawing toolbar is the WordArt Feature. Using WordArt, you can create

text graphics that bend, slant, and appear metallic or wooden and much, much more. WordArt

can even be shadowed, skewed, rotated, and stretched

Here are just a few examples of what WordArt allows you to do:

List Steps to Insert Word Art In Microsoft Word

i. Open New Microsoft Word
ii. Click Insert
iii. Select Word Art
iv. Choose the style that you like to use in your Word Art
v. Write the Word that you want to have effect of your Style and Click OK

HMIS NOTES

B.Boy

Inserting Pictures from your Computer

A picture doesn't have to be in the Clip Gallery in order for you to insert it into your document.

The Clip Gallery is just an easy place to store clips you want to use again and again.

• To Insert a Picture that is NOT in the Clip Gallery

o Click Insert from the Menu Bar.

o Select Picture and From File from the cascading menu. The Insert Picture dialog box

opens.

o Locate and select the file to insert the selected picture into your document.

Figures 3: Inserting Picture to the File

HMIS NOTES

B.Boy

Creating and Modifying Diagrams and Charts

Insert a Chart

List Steps to Insert Chart from a given Table in Microsoft Word

i. The cursor must be selected down the Table
ii. Click Insert
iii. Select Chart
iv. Choose the Type of chart you want to design Example2D/3D – Column, Line, Pie or Bar
v. Click Ok
vi. Write the Contents from Table in Microsoft Word to Cells In Excel
vii. Close Microsoft Excel and Save

HMIS NOTES

B.Boy

Change Page Orientation

 On the Page Layout tab, in the Page Setup group, click Orientation.

 Click Portrait or Landscape.

List Two Type of page Orientation

i. Landscape
ii. Portrait

Explain the activities of Word Processor In Daily Pharmaceutical works

i. enter clients records
ii. produce summary reports of records
iii. legal copies
iv. letters and letterhead
v. memos around different departments
vi. Production of reference documents

HMIS NOTES

B.Boy

Demonstration on Printing and Managing Documents

Once you have created a document, often you will want to Print it using a printer

A printer needs to be connected to your computer, and there also has to be paper & ink already

inside the printer.

 The first thing to do is to check what the document will look like once it has been

printed.

 This is called a Print Preview

Print a Document

List Steps to Print A Document In Microsoft Word

i. Once you have checked your document by using the Print Preview, you are ready to

print.

ii. Firstly, make sure that there is some paper in the printer
iii. Then click on the “File” menu…
iv. Then choose the Print option…
v. Then Print

HMIS NOTES

B.Boy

Setting Page Margins

The Page Margins define where on the page Excel will print the worksheet. By default, the top

and bottom margins are set at 1 inch in Excel 2003. The left and right margins are set at .75

inch. Margin settings can be changed to whatever you want. Different margins can be defined

for each worksheet in the workbook.

• To Change the Margins in the Page Setup Dialog Box

o Select the correct worksheet.

o Choose File Page Setup from the menu bar.

Figure 1: Page Setup Optional Figure 2: Page Setup Dialog Box

source:

Goodwill community foundation 2002

o Select the Margins tab.

o Use the spin box controls to define the settings for each page margin-Top, Bottom, Left,

Right, Header and Footer.

o Click the OK button to change the margin settings.

HMIS NOTES

B.Boy

Changing the Page Orientation and Paper Size

The Page tab of the Page Setup dialog box lets you change page orientation (portrait or

landscape) or paper size (e.g., letter size or legal size). The default paper size in Excel 2003 is

8.5 X 11 inches, with a portrait orientation (prints up and down on the long side of the page). A

landscape orientation, on the other hand, prints up and down on the short side of the page.

• To Change Page Orientation

o Select the correct worksheet.

o Choose File Page Setup from the menu bar.

o Click on the Page tab.

Figure 3: Changing Page Orientation Dialog Box

o Choose an

Orientation (Portrait or Landscape) for the worksheet.

HMIS NOTES

B.Boy

o Select a Paper Size from the list of available paper size options that appear in the list

box.

o Click on the paper size.

o Click the OK button to accept the page settings.

o The Page tab of the Page Setup dialog box lets you shrink the spreadsheet data so it fits

on a specified number of pages when you print. Click the Fit to: option button and enter

the desired number of pages wide and pages tall.

The Page tab of the Page Setup dialog box lets define the resolution of the print job. Print

Quality is measured in dpi, or dots per inch. High dpi provides a better print quality.

Print Area: By default, Excel prints from the A1 to the last occupied cell in a worksheet. You

can specify a different range of cells to print

Print Titles: Prints column and row labels on each page of the printout. Specify these rows or

columns in the Rows to Repeat at Top and Columns to Repeat at Left textboxes

Print – Gridlines: Determines whether gridlines are printed. However, turning off gridlines

does not affect their appearance in Normal View

Print – Black and White: If you used colours in your worksheet but don't want to waste the

ink in your colour printer, use black and white

Print – Draft Quality: Choose draft quality to print the worksheet without gridlines or

graphics

Print – Row and Column Headings: Click this option to include row numbers and columns

letters in your printed document

Page Order: Determines the order in which worksheets are printed.

HMIS NOTES

B.Boy

MICROSOFT PUBLISHER

HMIS NOTES

B.Boy

Learning task

 Describe concepts related to Ms Publisher

 Explain the purposes of Microsoft Publisher

 Identify the types of publications available in Publisher

 Modify an existing publishing in Microsoft Publisher

 Create a new, blank publication in Microsoft Publisher

 Print publication, store, and back up publications in Microsoft Publisher

HMIS NOTES

B.Boy

 Microsoft Publisher: Is a desktop publishing program that makes it easier to

create many different publications including newsletters, brochures, flyers, signs,

business cards, letterheads and other publication designs.

 Desktop Publishing: Is the process of using the computer and specific types of

software to combine text and graphics to produce documents such as newsletters,

brochures, books, etc.

 Desktop publishing software: Is a tool for both graphic designers and non-

designers to create visual communications for professional or desktop printing

HMIS NOTES

B.Boy

Purposes of MS Publisher allows you to:

 Choose a template

 Templates allow you to quickly create well-designed publications.

 There are many types of templates including newsletters, brochures, flyers,

greeting card templates, and a variety of other publication types.

 Change templates while designing

 Making changes in Publisher is easy. If you have Flyer Template A,

and then decide you don’t like it, Publisher allows you to change a

different Flyer template.

 Publisher will transfer the text and images from Flyer Template A to

the new flyer.

 Simply choose ‘Publication Designs’ from the Task Pane and apply

another design to see the template change instantly.

 Customize a template

 Templates can be customized for a specific use.

 Preferred Font colors can be used instead of normal black colour.

 Use Color and Font Schemes options

 A template’s color and/or font schemes can be changed to have a dramatic

impact on the publication’s look.

 This can help to keep the same design layout, but choose colors and fonts

that work best in your publication.

HMIS NOTES

B.Boy

HMIS NOTES

B.Boy

HMIS NOTES

B.Boy

HMIS NOTES

B.Boy

HMIS NOTES

B.Boy

HMIS NOTES

B.Boy

HMIS NOTES

B.Boy

HMIS NOTES

B.Boy

HMIS NOTES

B.Boy

HMIS NOTES

B.Boy

MAY THE ALMIGHT GOD BE WITH YOU ALWAYS

PDF / OFFLINE NOTES

Unataka kutumiwa notes hizi kupitia WhatsApp?Kwa notes zilizopangiliwa vizuri kwa kusoma offline au PDF, bonyeza kitufe hapa chini. Ujumbe wenye Level, Semester, Module na Topic utaandaliwa moja kwa moja.TUMIWA NOTES WHATSAPP

WhatsApp: 255620339260
Scroll to Top
Changia Notes / Document