: November 15, 2012
: Health Metrics of Stovepipeland
: Concerno Datausario
Acquisition and Assistance Officer
United Districts Agency for International Development (UDAID)
Office of Acquisistion and Assistance
: Adityarini Djadir
Expert Health Consultant
Regarding your previous memo to our office on October 25, 2012, which stated that the Stovepipeland current issues in addressing its Health Information System (HIS). As an expert health consultant, it is a great pleasure for me to have this opportunity to help the country in addressing its national HIS. With respect to the country HIS improvement, it is important for this country to conduct an assessment of its current HIS. This assessment will enable the country to identify the strengths and weaknesses of its national HIS, which will be used as basic information for the HIS developing matter. Therefore, in this memo, I will give a general description about indicators of a well designed HIS and recommendations for the country related to the HIS improvement and the process for its initial HIS assessment. A Well-Designed Health Information System
Before Stovepipeland conducting the evaluation of its current HIS and making improvement for the system, it is better to have a better understanding about the components of a well designed HIS. A good quality of HIS; data collection, analysis, dissemination, and use, will support the country National Health System (NHS) by helping the stakeholders to identifying community’s health problems and needs, tracking the progress of health care interventions, evaluating the impact of the services, and making decision about the health policies, programs design, and resource allocation (HMN, 2008). Based on the HMN tool-book (2008), the standard HIS has six components; resources, indicators, data sources, data management, information products, and dissemination and use, which are subdivided into three major components; inputs, processes, and outputs. * Input of a better HIS is the resources which consists of human resources (skilled people that accountable for health data collection, analysis, and reporting), financing, logistic support (development and supporting system that can optimize the HIS resources uses), information and communications technology (ICT) that can improve the availability, dissemination, and used of health related data, and coordinating mechanism within and between the HIS components. Above all these aspects, HIS resources also include the legislative, regulatory and planning frameworks that have roles to ensure the HIS is fully functioned. * Processes of HIS have three main components; indicators, data sources, and data management. A best information system can provides important indicators and related targets for determinants of health, health status, and health system of the country. Health related data within a country can be gathered from two main data sources; population and institutional. Both data sources are needed to support each other in order to avoid data duplication or overlap data that can mislead the data user in the future. Censuses, civil registration, and population surveys are some examples of population-based information, while individual, service, and resource records are the methods for institutional-based. Furthermore, there are two methods to collect the health related data; routine and non-routine methods of data collection. Health related data is collected based on patients information in the health facilities, while non-routine method on the other hand is collected by surveys, quantitative and qualitative rapid assessment methods, and other special studies (Lippeved, et al,. 2000). The last component of HIS processes, data management, encompass in all aspects of data handling; collection, storage, quality assurance and flow, to processing, compilation, and analysis. The most important thing in data management is how to ensure...
References: Aqil, A. (2008). PRISM Case Studies: Strengthening and Evaluating RHIS. USAID – Measure Evaluation.
Aqil, A., Lippeveld, T., & Hozumi, D. (2009). PRISM framework: a paradigm shift for designing, strengthening and evaluating routine health information systems. Health Policy and Planning, 24(3), 217-228.
Health Metrics Network. (2008). Framework and Standards for Country Health Information Systems [Second Edition]. World Health Organization.
Health Metrics Network. (2009). Guidance for the Health Information Systems (HIS) Strategic Planning Process: Steeps, Tools, and Templates for HIS System Design and Strategic Planning, Version 6. Health Metrics Network.
Lippeveld, T., Sauerborn, R., & Bodart, C. (Eds.). (2000). Design and implementation of health information systems. Geneva: World Health Organization.
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