Health Management Information system in Nigeria Dr AA Abubakar Department of Community Medicine Ahmadu Bello University Zaria Nigeria Learning objectives • At the end of this lecture you should be able to: • Define Health Information system (HIS) • Describe the National HMIS in Nigeria Introduction • Effective and efficient planning, monitoring & evaluation of health services depends on reliable data Definition of HIS • A mechanism for the collection, processing, analysis and transmission of information required for organizing and operating health services and also for research & training Historical development of the National Health Management Information System (NHMIS) • Since 1960s – FMOH medical statistics system in place: Health manpower, Hospital activities, mortality & morbidity data, records of birth & deaths in hospitals used to be published annually or quarterly • 1988 – Reorganization of the civil service led to creation of the Department of Planning, Research & Statistics – Adoption of the first National Health Policy which called for establishment of a national health information system by all levels of government National HMIS • Operational in 1999 Problems – Data collection forms not accurately & completely filled – Forms were complex & cumbersome • Reviewed in 2004 – Health Sector Reforms highlighted the inadequacies of the NHMIS – NHMIS needed to be repositioned to track the Millennium Development Goals (MDGs) Focus of the 2004 review of the NHMIS • Review of the NHMIS policy • Agreement as regards to the role & functions of the Technical Working Group that would provide technical assistance to the NHMIS process • Assessment & review of health indicators & health data systems Focus of the 2004 review of the NHMIS 2 • Revision of routine NHMIS forms, registers & manuals • Donor/Partners resource mobilization • Advocacy & sensitization at all levels of health care delivery • Training of stakeholders on NHMIS • Budgetary line & release of funds by all tiers of government for the NHMIS Focus of the 2004 review of the NHMIS 3 • Community Health information incorporated into the health facility based Health Information system • PHC information system streamlined into the HMIS to give a unified system Goal of the NHMIS • The establishment of an effective NHMIS by all levels of government in the Federation to be used as a management tool for informed decision making at all levels Objectives of the NHMIS Provision of information: • To assess the health status of the population • To identify major health problems • To set priorities at LGA, state & national levels Objectives of the NHMIS 2 • To monitor the progress towards stated goals & targets of health services • To provide information for decision makers, those who provided data & the general public Problems with the NHMIS • • • • • Finance Shortage of staff Shortage of materials Inadequate coordination of data flow Complexity & overlap of data collection instruments • Lack of feedback to peripheral levels • Huge backlog of unprocessed data Revised NHMIS forms A. Routine Data collection summary forms 1. NHMS 000: Community based summary forms • • used by community Village Health worker to summarize activities at monthly intervals sent to the health facility through the Community Health Extension worker (CHEW) Revised NHMIS forms 2 2. NHMIS summary forms 001A & 001B Health facility community outreach forms – Used by the health facilities to summarize community outreach activities at monthly intervals – Aggregate transferred to health facility form 001 Revised NHMIS forms 3 3. NHMIS summary form 001 Health facility based forms – Used by health facility to summarize activities in the health facility at monthly intervals from a daily register – Sent to the LGA Revised NHMIS forms 4 4. NHMIS summary form 002 – Used by the LGAs to summarize data from all health facilities in their area at quarterly intervals – Sent to the SMOH, HMIS unit 5. NHMIS summary form 003 – Used by the state to summarize data from all LGAs – Sent to the Federal NHMIS every 6 months Questions ????