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Health Management Information System (HMIS). ... A beginning towards Integration. Genesis. Resources utilized towards data compilation rather than Intelligent analysis in the health sector Statutory Reports / Parliament Questions / RTI manually prepared
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Health Management Information System (HMIS) ... A beginning towards Integration
Genesis • Resources utilized towards data compilation rather than Intelligent analysis in the health sector • Statutory Reports / Parliament Questions / RTI manually prepared • Lack of real-time Monitoring and Evaluation of various projects and programs of the Ministry • What we need…. • Decision Support System for Policy Making • Informed and Improved decision making • Timely Interventions / Course Corrections
Journey in the last 2 years ... (1) • MIS Formats • Wide discussions with all stakeholders • Key aspects of NRHM/RCH-II • Sent to States in August, 2006 • Key Health indicators integrated in November, 2006 • Flow of Data from States • Paper form – some through e-mail • Formats changed by states • Delayed • Only 25 States reported data on new form
Journey in the last 2 years ... (2) • Capacity Building on M&E • M&E Training included in IDHAP Trainings – Oct 2006 to April, 2007 • National Workshop on M&E and FM in May, 2007 • 3 Regional Workshops in July-December, 2007 • World Bank Study on Data Utilisation – June, 2008 • Multi-Dimensional Workshop on M&E – June, 2008 • HMIS, QA, AHS, Concurrent Evaluation, Triangulation • Clearing House on Information • Rationalisation of Formats • Detailed discussions with Programme Divisions • Several Iterations • Final Formats sent to States in September, 2008
Journey in the last 2 years ... (3) Information Technology interventions • Software vendor selected through tendering process • Data Warehousing Solution to be implemented • Web-based application developed in April, 2008 • Launch delayed due to rationalisation of formats • Data Centre: Blade Servers procured and installed at NIC, Delhi • Disaster Recovery: Servers installed at NIC, Hyderabad • Dedicated Web-site for HMIS http://nrhm-mis.nic.in • All State PrlSecy (HFW) and MD (NRHM) given dedicated e-mails
Key Features of HMIS project • Web-based Data capturing system • Entry at District level to begin with • Includes District Level FMRs • Facility based performance to be entered • Automatic aggregation • Key indicators to be generated for local level use • Intelligent analysis for use at all levels • Standard and Custom Reports • National, State and District Fact Sheets • Integration of health related information across programmes
Introduction • Formats • Reports • Data Warehouse • Validation through IT, Triangulation etc • Training • Hardware and Software
MIES Reporting Formats HMIS Formats has three components: • Monthly • Quarterly • Annual
Modules User Credentials Forms are divided in section Previous Period Data Current Period Entry Online Data Entry
Introduction • Formats • Reports • Data Warehouse • Validation through IT, Triangulation etc • Training • Hardware and Software
Introduction • Formats • Reports • Data Warehouse • Validation through IT, Triangulation etc • Training • Hardware and Software
Introduction • Formats • Reports • Data Warehouse • Validation through IT, Triangulation etc • Training • Hardware and Software
Triangulation Monitoring/ Performance data Triangulation Concurrent Evaluation Survey Data/ Evaluation studies Community Monitoring
Introduction • Formats • Reports • Data Warehouse • Validation through IT, Triangulation etc • Training • Hardware and Software
Training • Training of trainers • Training of data providers at the peripheral levels on how to fill forms • Training of computer operators on the use of the software & hardware • Training of staff at different levels on data utilization
Introduction • Formats • Reports • Data Warehouse • Validation through IT, Triangulation etc • Training • Hardware and Software
Hardware & Software • Minimum P-III with 64 MB Ram, 10 GB Hard Disk • Windows 98 and above • NIC Terminal (IDSP etc) • Or Internet Connection (Broadband, Cable, Dial-up etc) • Web Browser (Internet Explorer etc.) • MS Office (For further analysis) • ….. Will to • Capture and send data • Analyze and Use data • Send feedback down to data source/aggregation point
Next Steps • Web-based application ready • Awaiting security clearance from NIC • National Launch on 14th October, 2008 • State Prl Secy & MDs to be sensitised at Puducherry • Hands-on-Training to State MIS officers on 21-22 October, 2008 • Regional Workshops in States for District MIS officers