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District Health
Information System
(DHIS)
DR. WAQAR ALI
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
How do you know that health system is providing
services and achieving its objectives?
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
By knowing whether health system is achieving its
targets, such as 80% of people have access to health
service or 50% of people are coming to the clinic, or 60%
women are receiving ANC service etc., we can tell that
health system is achieving its objectives.
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
The purpose of the routine health information system is to
assist in developing performance targets and monitor
them on regular basis.
DHIS Vision

To improve the health care services through evidencebased management of service delivery. Improved
service delivery will contribute to the improvement of
health status of the population
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DHIS Objectives

1.
To provide information for management and
performance improvement of the district health system.
More specifically, the DHIS will:
Provide selected key information from FLCF( first level
care facility ), secondary hospitals and sub-systems such
as logistics, financial, human resource and capital asset
management systems for improving the district health
system’s performance.
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2.
Cater to the important routine information needs at the
federal and provincial levels for policy formulation,
planning and M&E of health programs
Changes introduced by DHIS
1.
Updated dataset more responsive to the current information
needs.
2.
Expansion of coverage of information system by including
the secondary level hospitals.
3.
Introduction of simplified data collection tools and clear
instructions on how to use them.
4.
Improvement in data processing and reporting software
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5.
Re-organization of HIS management structure to
correspond to decentralized health delivery system.
6.
Introduction of mechanisms to facilitate use of
information generated through DHIS.
7.
Revision of supervisory mechanism to ensure production
of high quality data.
Comparison between HMIS/FLCF &
DHIS
HMIS/FLCF
DHIS
1. Only FLCF level
FLCF + Secondary hospitals
2. Outdoor/outreach (vertical
programs)
Outdoor/outreach + Indoors +
diagnostic services + Resource
(HR, Finance, logistics)
3. 114 indicators for BHU
FLCF required to capture 446
variables
Rationalized indicators responsive to
Health Managers needs
- 43 indicators for BHU
(monthly 34 + yearly 9)
- 79 indicators for hospitals
- RHC required to capture 276
variables
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HMIS/FLCF
DHIS
4. Reporting on only 18 diseases
Reporting on 42 diseases from
OPD, 50 diseases from Indoors
5. Complex record keeping tools
Simplified record keeping tools,
redundancies reduced
6. DOS based software, rigid
design
Software flexible to
accommodate present and future
needs
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Various Forms
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Scenarios:
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
1. Patient named Mr. Mohammad Ramzan s/o Mr. Bashir aged 38 years r/o Risal wala
District Rawalpindi is admitted in Male Medical Ward on Bed no. 05 by Medical Specialist
with the diagnosis of Bronchial Asthma on October 06, 2005. He was discharged from
hospital on October 09, 2005.

2. Mr. Afzal s/o Mr. Abdullah aged 62 years r/o Mozo a Ambar Khunda was admitted
unconscious on bed no 10 in Male Medical Ward from Prison on October 07, 2005 with
diagnosis of Diabetes Mellitus. He died next day.
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3. Mr. Mohammad Latif s/o Mr. Mohammad Sharif aged 28 years r/o Din Kot is admitted in
Male ward at bed no. 08 as patient of Schizophrenia on October 09, 2005. On October
12, 2005 Charge Nurse of the ward found that the patient along with his belongings is
missing from his bed.
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4. Ms. Kosaur w/o Mr. Khuda Bux aged 22 years r/o Amber Khunda was admitted in
Female ward on bed no. 04 on October 12, 2005 with provisional diagnosis of Clinical
Malaria. At the time of discharge on October 16, 2005, she was finally diagnosed as a
patient of Acute Urinary Tract Infection
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Thank You