Overview of
Urban Health MIS
Health Management Information System
Second Urban Primary Health Care Project
Local Govt. Division, Ministry of LGRD&C
www.uphcp.org
Zia Hoque
MIS & Data Management Officer
Urban Health MIS Legacy System
• The first Urban Health Management Information
System of Bangladesh was established in 1998
• UHMIS was started as truly paper based system
• Routine data recorded in registers.
• Analyzing data, Quarterly Performance Report
was prepared by PA NGOs and sent to UPHCP
HQ for compilation
• UPHCP HQ compiled all together and produced
QPRs
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Continued . . .
Urban Health MIS Problem with Data
• There was no uniform framework upon which all
NGOs & development partners can collect,
analyze, report & use health data
• This makes inter-partner and even inter costcenter (intra partner) comparison of health
progress difficult
• Development partners seriously feel this
limitation for monitoring progress of the
achievement, particularly of MDGs
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Continued . . .
Urban Health MIS Problem with Data
• Due to huge problems with data quality
development partners noticed several times within
the 9 years life time of the legacy system about lack
of consistency among variables. Few are following:
– Timeliness in data acquisitions, transportation,
process and analysis as well as dissemination
– Dissimilar rates on same
organizations were common
variable
between
– Poor reliability of data discouraged policy makers
& managers to use health information for decision
making
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Continued . . .
Urban Health MIS HMIS in UPHCP-II
• There were a provision to recruit a 1.2 million
USD budgeted heavy weight consulting firm for
HMIS development & Implementation
• Unfortunately the recruitment was dropped in
the mid way
• At this stage there were no single penny
budgetary provision for any changes in HMIS
• But still then huge pressure remained from
development partners to furnish HMIS to
increase availability, reliability, timeliness ……
….. and so on …
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Continued . . .
Urban Health MIS
Web-based HMIS
• In this scenario, still there was no budget for any
improvements of HMIS in UPHCP.
• By an alternate way we took an initiative to pool
a marginal fund and looked for the most cost
effective IT enabled solution (Software as
Service, i.e. a rental system)
• The first web based Health Management
Information System of Bangladesh was
established in late 2007 in this way
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Continued . . .
Urban Health MIS
Web-based HMIS
• A web based Health Management Information
System
with
integrated
data
approval
mechanism has been developed and deployed.
• This is the starting point of a new era in the
establishment of automated Health Management
Information System in Bangladesh.
• This HMIS for UPHCP-II is a managed hosted
application with basic objective to enhance data
acquisition, approval and publishing process. It
allows data to be route, verified and approved to
PMU in a transparent manner.
www.uphcp.org
Continued . . .
Urban Health MIS
Web-based HMIS
• Established a full functional web based HMIS
• Automated data cross-checking & validation
mechanism has been introduced
• A successful e-Governance application has
been integrated for data verification, approval
and publication
• Current scope of the system is Services
Statistics
• We are able to publish regular QPRs (Quarterly
Performance Reports) within 21 days after a
quarter passed.
www.uphcp.org
Continued . . .
Urban Health MIS Fine tuning
• The UHMIS was then equipped with the web
based HMIS in front layer and a paper based
data recording system in the background
• Still then the paper based data record keeping
system was not uniformed in 24 PAs. They
developed their own data recording system.
• UPHCP started working on developing Unified
Record Keeping System (URKS) from 2008.
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Continued . . .
Urban Health MIS Fine tuning
• The Unified Record Keeping System (URKS)
Development and Implementation Committee
was formed consisting of
– Representative of Director (MIS), DGHS
– Representative of Director (MIS), DGFP
– Representatives from NGOs and Consulting Firms
– Representatives from PIU and PMU
• URKS developed in line with the national
requirements.
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Continued . . .
Urban Health MIS Fine tuning
• URKS is now finalized, approved and in use.
• Therefore UHMIS is now equipped with the web
based HMIS in front layer and the URKS in the
background
• URKS is developed in a way that UPHCP might
switch over to a 100% automated system in no
time
• Hopefully by its third phase UPHCP might be
able to develop and implement the automation
by a sophisticated HMIS
www.uphcp.org
Continued . . .
Urban Health MIS DMIS Support
• The Data Management Information System
(DMIS) support to MoHFW was working under
the Planning Wing, Ministry of Health & Family
Welfare
• The aim of DMIS is to develop the central Data
Warehouse for HMIS of Bangladesh
• However, DMIS was unable to customize the
DHIS2 for UPHCP-II. But still UPHCP is
providing data to DMIS in regular interval.
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System Entities and Activities
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Data Flow of UPHCP-II
PA HQ for Entry, Edit
and Validation
PIU for Collation
and vetting
Forward for
approval/
Feedback
8th to 13th working day of
following month
PMU for Approval,
processing and
compilation
SMQAO | Review
MIS&DMO | Approve
DPD (Tech) | Approve, Publish
HMIS
DPs, LGD, MoHFW,
DGHS, DGFP,
PAs, PIUs, PMU etc.
Approved and Published
over web-based HMIS
Shared with
stakeholders/
Feedback
www.uphcp.org
(S)MEO | Review
Project Officer | Approve
Forward for
approval/
Feedback
Review
Feedback
Counselor
Paramedic
Field Supervisor
Clinic In-Charge
4th to 7th working day
of following month
MIS Officer | Data Entry
Project Manager | Approval
Send Hardcopy
Feedback
Data recording
and monthly
compilation by
CRHCC, PHCC,
Satellite,
PECC, VCCT,
DOTS
2nd to 3rd working day
of following month
Review
Feedback
1st working day of
following month
LGD,
ADB,
DFID,
SIDA,
UNFPA,
ORBIS,
PPME
Firm
Quarterly Progress Report
Preparation & Publication
Purpose for Developing a HMIS
• To initiate automation for a complex and
challenging project with widely distributed
locations
• To utilize the technological advantages offered
by internet for data communication
• To provide an effective tool for
management, dissemination and storage.
data
• To act as a pilot for a comprehensive HMIS. This
one is the first web-based HMIS of Bangladesh.
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System Characteristics
• A quantum improvement on quality, volume and
accuracy for report generation
• Attempts to meet the information requirements of the
executing and donor agencies by producing improved
and comprehensive QPRs
• Authenticity and acceptability of MIS reports.
• It is a substantially cost-effective solution for creating a
distributed networked system in terms of investment on
cost of equipment, development, manpower requirement
and training.
• Ease of implementation and operation
• Effective means of introducing computer culture among
the participating agencies.
www.uphcp.org
Current Status
As per the the scope of the system, only services statistics has
been automated from PA level. All partners are uploading their
center-wise monthly performance record to the central website. Core
advantage of this application can be summarized as follows:
– PAs are able to enter center-wise monthly data in a central
database
– Stakeholders at higher levels (PIU/PMU Officials) are able to
review, forward or return documents, submitted by the lower
formations.
– Donor representatives/Consultant firms can keep track of the
information flow.
– Centralized System is administered by Project Management Unit
of UPHCP-II
– Status of a specific document is visible/transparent to all relevant
users.
– Effective for monitoring & supervision of the project.
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Strength
• Ready availability i.e. web based system
• Logical validity checks
• Reviewed and approved by PIU
• Speeded up the report preparation.
• Improved data quality due to cross verification between
database and physical registers during monitoring visits
by PIU and PMU officials as well as ISI conducted by
PPM&E.
• Flexibility in report generation.
• Availability of legacy data from inception i.e. July 2005.
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Limitations/Constraints
• Data coverage confined to only services statistics. There
are scope for introducing many other modules.
• Data entry is from PA level. It may be extended up to
center level and even in some extend up to satellite
level.
• Data accuracy still suffers due to inadequate monitoring
at the field level.
• DMIS was not able to provide the technical support as
per requirement.
• Recruitment of HMIS firm has been dropped. In the
absence of budget it is impossible to develop a
sophisticated MIS.
• Though we are talking about Urban HMIS, there are a lot
of different type players are in the same field. All should
come under one umbrella to depict the actual scenario of
Urban Health.
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Screen Shot
HMIS Gateway
(www.uphcp.org)
HMIS
www.uphcp.org
Index Page
Screen Shot
(www.uphcp.org)
Review
Report
Center
Operation
(data entry)
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Data Entry Screen
Screen Shot
(www.uphcp.org)
Age group wise client info
Medicine
Sub-Component-wise Record
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Error
Message
Service Head-wise
Patient info
Eye Care Data Entry Screen
Screen Shot
(www.uphcp.org)
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Quick Review Panel
Screen Shot
(www.uphcp.org)
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Output Panel
Screen Shot
(www.uphcp.org)
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Output List cntd
Screen Shot
(www.uphcp.org)
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Sample Output
Screen Shot
(www.uphcp.org)
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Sample Output cntd
Screen Shot
(www.uphcp.org)
Summary Info
(Auto generated)
Audit Trial
(Action Log with
date-time and Note)
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Eye Care Output Panel
Screen Shot
(www.uphcp.org)
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Sample Eye Care Output
Screen Shot
(www.uphcp.org)
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Open Session
• Question & Answer
• Thanks for all
Zia Hoque
MIS & Data Management Officer
[email protected]
www.uphcp.org