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STRATEGIES FOR PERMANENT ACCESS TO SCIENTIFIC INFORMATION IN SOUTHERN AFRICA: FOCUS ON HEALTH AND ENVIRONMENTAL INFORM

STRATEGIES FOR PERMANENT ACCESS TO SCIENTIFIC INFORMATION IN SOUTHERN AFRICA: FOCUS ON HEALTH AND ENVIRONMENTAL INFORMATION FOR SUSTAINABLE DEVELOPMENT AN INTERNATIONAL WORKSHOP 5-7 SEPTEMBER 2005 CSIR CONVENTIONCENTRE, PRETORIA , SOUTH AFRICA. UTILIZATION OF HEALTH INFORMATION IN NAMIBIA.

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STRATEGIES FOR PERMANENT ACCESS TO SCIENTIFIC INFORMATION IN SOUTHERN AFRICA: FOCUS ON HEALTH AND ENVIRONMENTAL INFORM

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  1. STRATEGIES FOR PERMANENT ACCESS TO SCIENTIFIC INFORMATION IN SOUTHERN AFRICA: FOCUS ON HEALTH AND ENVIRONMENTAL INFORMATION FOR SUSTAINABLE DEVELOPMENT AN INTERNATIONAL WORKSHOP 5-7 SEPTEMBER 2005 CSIR CONVENTIONCENTRE, PRETORIA, SOUTHAFRICA

  2. UTILIZATION OF HEALTH INFORMATION IN NAMIBIA FOCUS ON CHALLENGES AND OPPORTUNITIES FACED BY HEALTH CARE DELIVERY SYSTEM DR. L. HAOSES-GORASES PhD, M Cur, Hon Cur, BA Cur, Adv. Univ. Dipl. in CHN & Education

  3. INTRODUCTION • 2001 Population Census – 1.830,330 • Population 1.830,330-2001 Housing Census • Annual growth rate 2.6% • Surface area 824,116 km2 • Average 2 persons per km2 • People spread unevenly across the country • Urban 33% • Rural 67% (SSS 2004)

  4. NAMIBIA BY REGION

  5. BACKGROUND • HIS under Epidemiology Division • Collect routine data – all health facilities (clinics, health centres & hospitals) Aim: • Analyze • Documentation • Disseminate – planning • Direct changes in policies • Improve monitoring performance • Identify support needs

  6. KEY PLAYERS • MoHSS & Central Bureau of Statistics (CBS) • Major surveys & census • Data duplications occurring • With new developments new programmes on board • Prevention of Mother to Child Transmission (PMTCT) • Anti Retroviral Treatment (ART) • Voluntary Counseling & Testing (VCT)

  7. CONTINUE • Health Information System developed in 1990 after independence • Many challenges –improvement in the past years • In 2004 and 2005 situation analysis and comprehensive assessment of the system

  8. OBJECTIVES • To improve individual and institutional performance • To measure quality and efficiency of the strategies in place • To compare performance over time in relation to national targets • To provide support to regions, districts & health facilities To monitor trends in: • Coverage • Quality • Effectiveness of the services • Guide policy-makers for resource allocation

  9. RECORDING PROCEDURES • Tally sheets • Daily ward census • Monthly summary forms • E-mail • Floppy diskettes from regional to national level

  10. CONTINUE • Information covers indicators on: • Human resources • Population • Health facilities • Financing • Directive in terms of MDG’s • Information only from: • Public and mission health facilities

  11. QUALITY OF THE DATA • Training of staff • Computerized system • E-mail functioning (80%) • Floppy diskettes also introduced

  12. SOURCES OF DATA • Located in different directorates • Directorate Planning & Human Resources (MIS) • Central Bureau of statistics in National Planning Commission (Census, vital events) • Ministry of Home Affairs (registration birth, deaths, immigrants etc.) • Discussions for 3rd national statistic plan

  13. STRENTHENING OF HIS • Revision in 1994 • New forms introduced in 1995 • Revised again after five years • International standards • ICD-10 included

  14. DECENTRALIZATION/COMPUTERIZATION • All 13 regions • 33 districts (computerized) • To improve channels of processing of the data: • Health facilities to district, regional and national level • Telephoning instant training • ICD-10 for coding purposes (IP)

  15. INTRODUCTION OF STANDARD REGISTERS • Outpatient Department (OPD) • Inpatient Department (IPD) • Antenatal Care (ANC) • Expanded Programme on Immunization (EPI) • Legal records • Reference manuals are available

  16. INTERNATIONAL PARTNERS ROLE • Investing in specific programmes • GF, USAID, FHI, CDC, PEPFAR UN AGENCIES (Malaria, TB, HIV/AIDS) • Reporting circles • UN agencies support the health service e.g. Country Response Information System (CRIS)

  17. REGULARLY & LEGAL FRAME WORK • Facility Act – draft • Health Act –draft • Consolidate information from private health facilities & other stakeholders

  18. STRATEGIES • CBS conducts surveys & household census • Ministry of Home Affairs generates info on births, death and immigration • Integrated disease surveillance system collects info on notifiable diseases such as: • Measles • Neonatal Tetanus • Polio (AFP) etc • NDHS scheduled for 2006 (every five years)

  19. INFORMATION MANAGEMENT Several sets: • Health indicators used for: Planning Resources allocation Monitoring & evaluation • Compiled at district to regional and national • Data cleaned at all levels & actions taken • Several data bases coming up • Development partners choice • MOHSS is constantly updating it’s website – new version to be release this year • SPSS, EPI-INFO & Microsoft Access in used

  20. AVAILABILITY OF SOUND HEALTH STATISTICS • Strength (quality) of the data assessed • Statistical techniques examined Major elements (domains) • Health profile of the population • Risk factors • Service coverage Factors influencing data • Timeliness • Representativeness • Periocity • Consistency • 65% info readily available

  21. 2004 SENTINEL SURVEY

  22. UTILIZATION • Vital vehicle – M & E • Reprogramming • Planning • Development of policies/guidelines • Setting of priorities

  23. NATIONAL HEALTH STATISTICS, 2005

  24. CONTINUE NATIONAL HEALTH STATISTICS, 2005

  25. CONTINUE NATIONAL HEALTH STATISTICS, 2005

  26. CHALLENGES • Turn-over of staff/training • Timeliness – info – national level • No designated staff at district level • Computer – literacy lacking • Info – private sector not available • Development partners agenda • Coordination of the systems • Involvement of top level management

  27. OPPORTUNITIES • Strengthening/coordination of system • Capacity development • Completion of facility & facility & Health Act • Capitalize on development partners’ support to strengthen lower levels • Regional collaboration/expertise (SADC, WHO etc). • Development of critical mass in the region e.g. WHO, SADC etc. • Availability of expertise in the SADC region

  28. CONCLUSION • Key constituencies to form coordinating mechanism • Designated staff at district level • Mobilization of resources by all stakeholders • Involve policy-makers (vital tool) • Country needs driven system • Indicators to match with National Development Plan

  29. CONTINUE • Train staff on computer literacy on HIS • Involvement of policy makers and stakeholders for better understanding & support • Computer back-up system at regional level • Facility and Health Acts be finalized and implemented • Sustainability of HIS address • Horizontal learning (regional expertise)

  30. NB! • HIS is serving as a vital instrument in our health service delivering system • It is directing the MoHSS in identification of shortcomings (revision of the system, adjusting of the indicators, software etc. • Strengthening at all levels • Make information available in a user-friendly manner • Proper utilization of the system

  31. CONTINUE • HIS is reporting on diseases targeted for eradication and elimination (e.g. Polio (80% WHO) Measles and Neonatal Tetanus • HIS is in high demand by sectors – positive move Thank you!!!

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