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HIS Palestine

HIS Palestine. Dr. Jawad Bitar Director of Palestinian Health Information Center (PHIC) Chairperson of National HMIS Thematic Group Palestine October 1 st , 2012 Paris - France. Palestine - Demographic.

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HIS Palestine

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  1. HIS Palestine Dr. Jawad Bitar Director of Palestinian Health Information Center (PHIC) Chairperson of National HMIS Thematic Group Palestine October 1st, 2012 Paris - France

  2. Palestine - Demographic • From a health perspective OPt consists of two geographical areas- the West Bank (including East Jerusalem) and the Gaza Strip . • The West Bank is an area of 5,660 Km2 with a population of 2,580,167. • The Gaza is a densely populated area of 360 Km2 with a population of 1,588,691.

  3. OPt

  4. Palestine Area (Sq. Km): 6,020 21.8% from Historical Area: 27,650

  5. Background • The national health information system (HIS) has been identified as one of the priority areas in the Palestinian national health since 1994. • WHO is the technical supporter of HIS in Palestine.

  6. Main HIS Institutional Bodies in Palestine • Palestinian Health Information Center (PHIC) is the official body responsible for the Health Information System in Palestine. • Palestinian Central Bureau of Statistics (PCBS) is the official body in Palestine responsible for statistics.

  7. HIS in Palestine Level of Data Production and Use Main Actors Ministry of Health PHIC (National Level) District\ Governorate Level Health Facility Level Patient Level • Main Users: • Main Actors producing data are also users of data depending on level of data production and use; • Policy and decision makers at different levels • Main Producers: • Health facilities (MoH, NGO, Military, UNRWA, private) • PHIC • PCBS • Surveillance Systems • Vital Registration

  8. HIS in Palestine • Resources: Policy and Planning: • The Public Health Law. • The General Statistical Law (GSL). • There is national HIS strategic plan and logical frame. • Functioning HMIS thematic group. • National Health Data Dictionary (NHDD).

  9. HIS in Palestine II. Indicators • The national health indicators address the three areas of health system domains: 1- Determinants of health a. socioeconomic and demographic factors . b. environmental and behavioural risk factors. 2- Health system Inputs: policy, financing, HR, organization and management Output: Information, service availability and quality Outcomes: service coverage and utilization. 3- Health status (mortality, morbidity and well being).

  10. HIS in Palestine II. Indicators • The published indicators by the MOH include the MDG indicators: Goal 4: Reduce child mortality; Goal 5: Improve maternal health; Goal 6: CombatHIV/ AIDS, Malaria and other diseases; • The Reporting in Palestine is on the minimum set of core indicators occurs on a regular basis.

  11. HIS in Palestine III. Data Sources: A. Census: B. Vital Statistics: C. Population based surveys: PCBS conducts household health surveys regularly since 1996 • Health Survey (1996); • Health Survey (2000); • Demographic Health Survey (2004); • Palestinian family health survey (2006); • Global Youth Tobacco Surveys (2006); • Palestinian family survey (2010); MOH (PHIC) surveys • National Health Facilities Survey (2009); • Global School Health Survey (2010); • Stepwise Surveillance for NCDs Risk Factors (2010); • National Health Facilities Survey (2012);

  12. HIS in Palestine III. Data Sources: D. Health and disease records includingsurveillance: • A surveillance system exists for all of the leading causes for mortality, but for morbidity only for communicable diseases and some of Non communicable diseases. • The National Cancer Registry is located now in PHIC and has the information for the reported cases of cancer in the West Bank only excluding Gaza Strip.

  13. HIS in Palestine III. Data Sources: E. Health Service Records: • The Palestinian Health Information Center (PHIC) is the official body that has a health service based information system, covering all governmental, NGO and private hospitals in West Bank (including east Jerusalem) & Gaza Strip. • The mechanisms at national and sub national levels for supervising are not documented.

  14. HIS in Palestine III. Data Sources: F. Resource Records: • Infrastructure and health services: Palestine has a health facilities database for the West Bank and Gaza Strip that was updated in 2009 and includes information about the health services, human resources, availability of equipments and utilization and health statistics for all MOH health facilities and the NGOs. Private sector is not included in the assessment. (this database will update again this year 2012). PHIC in collaboration with WHO is available online data using the GIS system.

  15. HIS in Palestine III. Data Sources: F. Resource Records: 2. Human Resources: • There is data on HR published in the MOH annual Report and web site. • One of the strategic actions is to establish a national HR Database.

  16. HIS in Palestine III. Data Sources: F. Resource Records: 3. Financing and expenditure for health services: • The NHA are publishing . • The NHA follows the organization for economic and cooperation development (OECD)

  17. HIS in Palestine IV. Information Products: I. Health status indicators: Mortality • Infant mortality • Under-5 mortality • Maternal mortality • Other mortality

  18. HIS in Palestine IV. Information Products: II. Health status indicators: Morbidity: A. Communicable diseases Incidence and prevalence B. Deliveries attended by skilled personnel C. General Government Health Expenditure (GGHE) D. Private expenditure on health per capita E. Density of health workforce F. NCDs (Cancer & DM) Incidence

  19. HIS in Palestine V. Dissemination and Use: • Analysis and use of information: • Still needed to improve the analysis and use of information in Palestine. • Graphs and maps are not widely used or updated at health facility and district levels. B. Information use for policy and advocacy: Still needs to be done to ensure that regular reports including information on a minimum set of core indicators are distributed to all relevant partners at least annually.

  20. National HIS Priorities Eight priorities were identified in the HIS Strategy namely: Public Health Law and General Statistical Law Planning and Financing Data Management and Quality Information Products Surveillance Human Resources Management and Capacity Building Financing and Expenditure for Health Coordination

  21. HIS in Palestine • Opportunities: • Strengthening HIS is considered as a priority in the National Health Strategy (2011-2013); • Endorsement of the HIS Thematic Group by Minister of Health; • Signing the Memorandum of Understanding between PCBS and PHIC; • USAID funded project flagship ; HIS component to strengthen facility based HIS systems; • Preparing of the National health strategy and logical frame using the tools such as those produced by the Health Metrics Network to assess the HIS situation and develop the strategy; • Threats: • Political unrest which draws attention and resource away from development projects; • Political split between West Bank and Gaza; • Difficulty of securing funds to implement the HIS action plan;

  22. Thank you Palestinian Health Information Center PHIC Tele-fax 00970 9 2393381 E-mail – phic@moh.ps Web site: www.moh.ps

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