Health Management Information System (HMIS) KAPIL GHAI State Coordinator RMNCH+A All 22 districts are reporting facility wise Health Management Data reporting isInformation above 99% for most System of the months in 2014-15. Total Active facilities- 3075 http://www.nrhm-mis.nic.in HMIS CONCEPTS Introduction Gathering, Aggregating, Analyzing data & using the information for taking appropriate actions to improve performance of health services. Salient features Of HMIS NATIONAL AND STATE LEVEL Identifying Priorities and defining Strategies DISTRICT LEVEL Collation of data SUB DISTRICT LEVEL (BLOCK,PHC,SUB-CENTRE) Collation of data Monitoring the performance Efficient and effective Formulation of Health Policy & of sub-districts registering Programs Planning and designing specific Improvements in data quality interventions Systems for complete, consistent reporting Timeliness and accuracy Information flow District Head Quarter (DPMU) National Level District/ Sub District Hospital State Head Quarter Block CHC PHC Data Aggregation Unit Flow of Data - Logical District Hospital CHC CHC PHC PHC PHC SC SC SC 8 Mode of Data Centre DATA FINALISATION State forward State Draft District Forward District Draft Sub-District Forward D A T A R E S E T Sub-District Draft 9 HMIS Checking When ??? Regular monthly checking of entered data at District and Facility Level For • Timeliness • Completeness Incomplete Data • Accuracy • Validity • Reliability Incorrect Data • Consistency Inconsistent Data Feedback Required Process (monthly from facility, district, state) Forward Data Check if all Districts / facilities have filled in the Data for the Month Check for the Completeness of Data.. Percentage filled Feedback to districts/ subdistricts Check for Outliers Check for Validation errors If not followed gives erroneous data Facility Based Reporting • Online data entry, directly in HMIS portal • Data entry in Offline excel sheet and then uploading in HMIS portal • Excel files can be downloaded from the downloads section (HMIS formats) • The Excel sheets is encrypted and does not allows the user to change, delete or modify any items or cells other those nominated to enter the data. Downloads Section- download the Performa pertaining to your facility, and save to your disk. Excel Sheet for data entry Data Uploading - Ways 1. Single facility Data Upload New 2. Multiple Facility Data Upload Process - Single facility Data Upload • Login with your username and password. • Go to MIS-> Monthly • Click Add • Select year, month , proforma / format and facility name click on Move Next. Process - Single facility Data Upload (contd.) • Upload the offline already filled excel sheet by clicking the upload proforma / format link • Fill the online format for online data entry and press the update button ‘ Data Uploaded Multiple facility data upload • Data of Multiple facilities is uploaded in one go by using offline excel sheets • User can upload data for 25 facilities at once • The data is updated on the portal within 24 hours • If data for facility is not uploaded then an error message is displayed indicating reason for not uploading. Process - Multiple facility Data Upload • Login with your username and password. • Go to menu offline data upload • Click Add • Select year, month , Performa / format and facility names • Browse the required files in front of required facilities • Click on Upload Excel Multiple facilities may be choosen Choose location of file to be uploaded * Make sure that the data uploaded matches the facility Data Forwarding • After uploading ,the facility data has to be Verified using verify button • The sub-district user has to then forward the facility data • Once forwarded the data cannot be changed until it has been reset to draft mode Data Forwarding Data can be forwarded from sub-district via: 1. Individual file forward 2. Bulk Forward Data Forwarding :Bulk Forward • Sub-district user provided the feature to forward facility wise data from sub-district draft mode to sub-district forward mode only • Does not require selecting individual facility 2011-2012 Single Facility Forward a Check on individual files to be forwarded Selected facilities whose data has to be forwarded HMIS Outputs Dynamic Reports Data Item Reports Log Report Error Report Indicator wide Reports Standard Reports Data Reporting Status Drill Down reports RCH Indicators Reports All Modes data report State/District Fact Sheets Probable Outliers and Validation Maternal and Child Health Indicators J&K upto September % Pregnant Woman % Pregnant women % 1st Trimester received 3 ANC check received TT2 or Booster registration to Total ANC ups to Total ANC to Total ANC Registrations Registrations Registration 2014-15 2013-14 2014-15 2013-14 2014-15 2013-14 52.4 54.8 79.1 60.9 45.7 40.2 Maternal and Child Health Indicators J&K upto September % Pregnant women having severe % New cases detected at institution anaemia (Hb<7) treated at for hypertension to Total ANC institution to women having hb Registrations level<11 2014-15 2013-14 2014-15 2013-14 8.8 10.9 0.9 1.3 Maternal and Child Health Indicators J&K upto September % SBA attended home deliveries to Total Reported Home Deliveries % Institutional % Institutional deliveries Deliveries to total ANC to Total Reported registration Deliveries 2014-15 2013-14 2014-15 2013-14 2014-15 2013-14 12.5 15.4 46.6 41.7 90.6 89.8 Maternal and Child Health Indicators J&K upto September % C-section deliveries % C-sections conducted % C-sections conducted (Public + Pvt.) to at public facilities to at Private facilities to reported institutional Deliveries conducted at Deliveries conducted at (Public + Pvt.) deliveries public facilities private facilities 2014-15 2013-14 2014-15 2013-14 2014-15 2013-14 34.2 31.4 30.5 28.1 87.9 85.2 Maternal and Child Health Indicators J&K upto September % Women receiving post partum % Women getting Post Partum check-up within 48 hours of Checkup between 48 hours and 14 delivery to Total Reported days to Total Deliveries Deliveries 2014-15 64.2 2013-14 58 2014-15 38.8 2013-14 35.6 Way Forward • HMIS data for review meeting to be used at District / Block level. • Regular feedback to ANMs in monthly meeting for improvement in quality data. • Time to time data validation by District and Block level officials. • Use and Validation of HMIS data by Programme Manager at State Health Society THANK YOU