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 ????