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Prepared by : Dr. Ahmed AlQasmi Mr. Salah Al-Muzahmi

Information Management System in Emergency (IMSE). Prepared by : Dr. Ahmed AlQasmi Mr. Salah Al-Muzahmi. First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman. Topics. Health System in Oman IMSE components

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Prepared by : Dr. Ahmed AlQasmi Mr. Salah Al-Muzahmi

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  1. Information Management System in Emergency (IMSE) • Prepared by : • Dr. Ahmed AlQasmi • Mr. Salah Al-Muzahmi First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

  2. Topics • Health System in Oman • IMSE components • Strategies for improving data quality and use in terms of emergency responses First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

  3. Health System in Oman • Total area is 309.5 thousands Km2 • 3% Plans • 15% Mountains • 82% Wadis & Desert • 9 Governorates / Regions with 61 Wilayates • 11 Health Regions • Upper Middle Income • Total Government Expenditure millions RO 6709.5 (≈US$17,382 millions) • Per Capita GDP RO 5586.5 (≈US$14,472) • Total Health Expenditure 2.4% of GDP • Per Capita Health Expenditure RO 145 (≈US$375) (2007) • MOH expenditure R.O. 104 – (2009) Source: Monthly Statistical Bulletin, Ministry of National Economy, volume 18(4), April 30, 2007

  4. Health System in Oman … cont • Public Health System • Government finance and provide health care and health services • Public health expenditure accounts for 80% of total health expenditure • Public inpatient services 98%, public dental services 41% and public outpatient services 81% • Government provides 93% of hospitals and 97.6% of hospital beds • Public health services has 78% of doctors 92.5% of nurses and 85% of other paramedics • Ministry of Health is the main health Care provider • Other health care providers: • Other Government • Private Sector

  5. MOH Health Facilities 50 Hospitals (4549 beds) 21 EHC 69 HC with beds (144 beds) 72 HC without beds Health System in Oman … cont

  6. IMSE Components: 1. Resources 2. Indicators 3. Data Sources 4. Data Management 5. Data Quality 6. Dissemination and Use

  7. 1. Resources • Legal, regulatory and planning • Financial, Human Resources • Infrastructure • Coordination First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

  8. 2. Health Indicators First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

  9. 2. Health Indicators… • Key Indicators are defined as Health Status Indicators*; these include: • Demographic indicators • Socio-economic • Health Services • Human Resources • Health Care • Nutritional and Morbidity Indicators • Mortality Indicators First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

  10. Health Indicators … cont • List of indicators in disasters: • Case fatality rate • Cause-specific mortality • Child mortality rate • Crude mortality rate • Infant mortality rate • Maternal mortality rate • Under-five mortality rate • Incidence rates • Prevalence rates • Morbidity rates First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

  11. 3. Data Sources • Population-based: • Census • Civil registration • Pop based surveys • Health services based • Health & disease Records • Health service records • Health administrative records First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

  12. 4. Data Management Set of procedures for the : collection, storage, analysis, and interpretation of Data Health Information Management System(Facility Based) Health Statistical Information (Facility based) Birth & Death Notification System Other notification Systems Other health care providers data bases

  13. Data management… • Computer Hardware - focus on the needs - technical expertise required at all levels • Computer Software - standard packages - specialized packages • Capacity Building • Maintenance • Maps First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

  14. 5. Data Quality • Data collection method • Timeliness • Periodicity • Consistency • Representativeness • Disaggregation • Confidentiality, security and accessibility First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

  15. 6. Dissemination and Use • Strengthening information use practices: • Use of evidence for decision-making, • Standards and guidelines for information use First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

  16. Strategies for improving HIS in terms of emergency response • Decentralized HIS (data are available and usable in different level of health care). • Coordinate with different health Program managers to make their products responsive to the nature of data usage in emergency and disaster. • Regular updates of statistics required for emergency responses First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

  17. Strategies for improving HIS in terms of emergency response…. • Central Health information department in collaboration with environmental & Occupational health department and other end-users have the responsibility of setting standards, controlling quality and overseeing the use of information. • Periodic assessment carried out to measure the extent of information use and to devise measures for improvement. First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

  18. Strategies for improving HIS in terms of emergency response…. • Strengthen evidence-base to inform management, health planners, health care providers. • Improvement of tools for health data management and better understanding of their use in emergency and disaster response • Increase dialogue between national, regional and international organizations and actors working in emergency and disaster response.

  19. Strategies for improving HIS in terms of emergency response (Contd.): • Make use of AlShifa program in health institutions and provide Electronic linkage between regions to ease the flow of data transfer, particularly during disasters. • Introducing GIS in order to increase the efficiency of the Health information system (through integration) First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

  20. Thank You First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

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