MINISTRY OF HEALTH &

FAMILY WELFARE

HMIS

http://nrhm-mis.nic.in
 2

www.nrhm-mis.nic.in December 8, 2021

 Data Requirement – MoHFW
3

Performance Monitoring
Physical & Financial Monitoring
Results Framework
Emphasis on
Outcomes, Impact, Convergence
Reach
 sub-district, community, household (MCTS)
Equity
 gender, vulnerable groups
Performance based funding in the programs
 M & E Strategies
4

1. Identifying Nodal (M&E) Information Officer

at all levels
2.Infrastructural strengthening- IT,
Networking, Manpower
3.Improving the quality of information
4.Earmarking up to 3% of the State’s Budget in
Information Technology interventions
5.Evolving a Health Information Policy/Act
 JOURNEY IN THE LAST 3 YEARS ... (1)
 MIS Formats
 Wide discussions with all stakeholders
 Key aspects of NRHM/RCH-II

 Sent to States in 2006

 Flow of Data from States

 Paper form – some through e-mail
 Formats changed by states

 Delayed

 Only 25 States reported data on new form with

varying regularity
JOURNEY IN THE LAST 3 YEARS ... (2)

 Enhancing orientation on M&E

 Through Workshops and Training

 Rationalisation of Formats

 Detailed discussions with Programme Divisions

 Several Iterations
 Final Formats sent to States in September, 2008
 JOURNEY IN THE LAST 3 YEARS ... (3)

Information Technology interventions

 Data Warehousing Solution implemented

 HMIS portal launched on 21st October, 2008
 Data Centre: Blade Servers procured and installed at NIC, Delhi
 Disaster Recovery: Servers installed at NIC, Hyderabad
 Dedicated Web-site for HMIS

http://nrhm-mis.nic.in
 All State Prl Secy (HFW) and MD (NRHM) given dedicated
e-mails
 Key Features of HMIS project

Web-based Data capturing system

 Entry of physical performance at District level to
begin with (9 states reporting facility level)
 Entry of FMRs at District Level

Key indicators available for local level use

Standard and Custom Reports
 National, State and District Fact Sheets
Integration of health related information across
programmes - ongoing
 HMIS – Rationalisation Process

Periodicity
• Monthly
• Quarterly
• Annual

• Rationalised according to
 Usage/Need for information Vs Collectability

 Frequency of change (major chunk shifted to Annual)

 Facility Based

 Accrual basis
RATIONALISATION OF FORMATS – DATA LOAD
 HMIS – CURRENT STATUS
District Level data - over 95% districts
entered
Provision for online and offline data capture
Standard / Custom Reports
 Export facility to Excel
 Graphs
Provision for data checking
 Identifying Probable Outliers
 Inter consistency checks
Daily Monitoring
 Delayed
Feedback
Sub District Draft Mode
Sub District Forward Mode
District Forward Mode
Centre Forward Mode
 DATA QUALITY CHECKS
 Consistency check while uploading
 Verify option
 Compare option

 Percentage Filled Reports

 Probable Outliers
 District/Sub District specific Reports
 RCH Performance Reports
 Consistent checking of data with Registers
 Random check of data
Process Flow for District

Ensure Data is entered On

Time – Refer to the Downloads
Section for details
Process Flow for Sub District

Ensure Data is entered On Time –

Refer to the Downloads Section for
details
 ANALYSIS USING
ANALYTICAL TOOL

SAS
RCH Reports - Data Entered Status
Analysis of Data

DISTRICT LEVEL
 State Andhra Pradesh
Report Type Name BCG
Financial Year 2009-2010
Up to Month March
State Assam
Report Type Name CONDOM USERS
Financial Year 2009-2010
Up to Month March
State Kerala
Report Type Name MH INSTITUTIONALDELIVERIES
Financial Year 2009-2010
Up to Month March
 Current Challenges

Data entry to be enhanced to

Sub District/Facility Level
Online Tutorial
GIS to be incorporated
Creation of Dashboard/reports up to Sub
District/Facility Level
Integration with NDCPs
 Requirements from State Governments
38

Timely uploading by all Districts

Validating Data
Generating Preliminary Reports
 Revalidate Data
 Commit Data

Populating Facility Details

Expanding to Sub-District/Facility Based
reporting
Using IT infrastructure of NIC, IDSP, CSCs
 Role of Partners
39

For training State/District/Sub-District Users on:

Formats and Instructions – physical and financial
Uploading data and checking quality
Generating reports and analysis for local action and
onward transmission

Levels of Training
Medical Officers
Data and Finance Officers
Paramedics, ANMs

 Mother and Child Tracking System

 Role of MOs
40

Recording of information on primary registers

Ensuring completeness of data
Training of all level of health personnel
Data verification at various levels
HMIS data use in planning and decision making
Timely submission of reports
Data from the Private Sector
Use of Information Technology
 HMIS - PHASE I

Data Entry up to Facility Level

Data Analysis
Data Quality Checks
Data Verification
Data Forwarding
 HMIS - PHASE II

HMIS Data Used for Local Action

Single Version of Data
HMIS Data to be used in Block / District / State PIPs
 HMIS – Facility Level
43

District Data aggregation of facility wise data

District Authorities can take action on
granular information
Targeted approach
District focusing on data analysis and
verification rather than data entry
 
Thank
You!