1
HEALTH SERVICES DELIVERY
1.1
PROGRAMME FOR ORGANIZATIONAL DEVELOPMENT
Strengthening of services for mother and child through improvements in the
Management information system on Reproductive Health (As of October
2008)
1.1.3.a.2
A Focal Point
B Implementing Agencies
C Target Areas &
Beneficiaries
DDG/PHS
Family Health Bureau
Health staff involved in MCH /FP programme at
periphery
Supervisory and programme managers working at
divisional, district, provincial and national level
Project Summary:
Since the establishment of the Family Health Bureau in the late 1960s, a separate section was
developed (the Evaluation and Research Unit) to undertake the function of continuous
monitoring and evaluation of the MCH/FP programme. Parallel to this a series of returns,
records and registers were carefully developed to collect information on MCH/FP activities
right from the Public Health Midwife areas through the health information system. A
computerized database was developed for MCH/FP information as early as 1979. This was the
first computerized database established in the Ministry of Health.
Since 1980's a well-established Management Information System (MIS) is existent in Sri
Lanka. This system provides vital information on service delivery of Maternal & child health
and family planning in all the districts of the country. It yields data on outcome and impact
indicators, which are being used by national and international agencies in setting targets,
developing policies and strategies and also selecting priorities for donor assistance. The
information derived from the system is used by divisional/ district & provincial supervisors and
programme managers to uplift the service delivery in deficient areas.
This project proposal is developed on strengthening of Management Information System aims
at human resource development, improving logistical support, strengthening supervision,
monitoring and evaluation of Maternal and Child Health activities at periphery. It also focus on
conducting operational research in relation to MCH/FP services with a view to improving
service delivery system in Sri Lanka.
1.
Justification:
Continuous monitoring and evaluation of MCH/ FP programme is important to achieve a
reduction in maternal and childhood morbidity and mortality. Therefore, Management
Information system presently being implemented needs to be strengthened in order to achieve
the above. The contents and forms in the present information system need to be reviewed
critically in order to identify any changes that are required to make the system more user
friendly. Through this project health personnel will be trained on handling of data, management
of information, supervision, monitoring and evaluation in order to improve the quality of data
and use of information in programme management.
The present system of supervision and monitoring by public health staff has strengths and
weaknesses. Therefore new tools for supervision especially self evaluatory stools need to be
developed under this project. The health care providers will be able to improve the coverage and
the quality of the service delivery through these new inputs.
2.
Important Assumptions/Risks/Conditions:
The health staff should be in place according to the approved cadre positions. The printed
forms required for implementation should be available in required quantities. Logistics system
should be streamlined in distribution of forms and other supplies.
3.
Project Objectives:
Objective
To strengthen the
implementation of MCH/FP
Management Information
System at all levels thereby
improving monitoring and
evaluation of MCH/FP services
and supervision with a view to
enhancing coverage and quality
of RH service delivery





Indicators
Percentage of returns
submitted in time
Percentage of supervisions
carried out
Quality indicators on
MCH/FP
No. of self evaluatory
tools developed
No. of review meetings
conducted




Means of Verification
FHB Evaluation unit
records MIS forms - Form C
Special surveys/ reports
Special reports
Progress reports/ minutes of
meetings
4. Project Output/Product:
Outputs
Indicators
Revised Information system
 No. of returns and records
which is more user friendly in revised
place
Capacity of Health staff
 Percentage of heath staff
managing and implementing
trained
MIS improved
 No. of training programmes
held for field staff/ district level
and central level managers
Quality of information
 Completeness/ timeliness and
submitted in returns
accuracy of reporting
improved
Logistic system of printed
 Stock outs in MIS forms
forms improved at all levels
Computerized MIS
 No. of computers available at
established and functioning
every level
at divisional level
 percentage of areas sending
Information submitted
information electronically

Means of Verification
MIS records

Special reports

MIS
Supervision reports




Reports of MO.MCH
District reviews
Special reports
electronically from all the
divisions to the central level
New supervision tools and
 New indicators/ targets
self evaluatory tools in place revised and used
 No. of self evaluation tools
developed and used
 No. of supervisory tools
developed and in place
Regular meetings conducted
 No. of review meetings
to review the progress of
conducted
programme implementation
 Percentage of
at different levels
recommendations implemented
Relevant operational research  No. of research conducted
studies conducted on Family  No. of research papers
health
submitted
 No. of recommendations
implemented
Timely reporting of feed back  Percentage of reports
reports & national statistics
published in time
5.



Minutes of meetings
special reports
Research reports and
research papers


Reports
Project Title
Health information system – D/Information
Relevant Agencies to be Coordinated:
Director / Information, Ministry of Health,
International agencies – UNFPA,WHO
7.

Supervision reports
Self evaluation tools
Special reports
Related Projects :
Project No.
1
6.

Epidemiological unit
Monitoring and Evaluation:
Central level – Ministry of Health, FHB
MOO.MCH
Divisional level – MOH/DDHS, PHNS/ SPHM
District level – DPDHS &
1.
Who?
2.
When? Quarterly/ Annually
3.
What actions to be taken based on results of monitoring & evaluation?
Plan strategies to improve service delivery Basic and in- services training for
the staff
8. Activities:
Activities
1
Review existing records and returns
used in Reproductive Health MIS and
make necessary revisions.
Improve skills among managerial and
Expected Results
Revised MIS records
and returns are in
place
All health staff are
Process Indicators
No. of returns/
records revised
No. of staff trained
2
3
4
5
6
7
operational staff to ensure proper
management and use of the MCH/FP
information system
Supply necessary data processing
equipment, records, returns and other
facilities to each level of
implementation
Organize periodic reviews to monitor
the performance and to plan strategies
to overcome the problems in service
delivery
Strengthen supervision of divisional
grass root health workers by national,
provincial health authorities through
revised indicators and targets
Provide feed back periodically to the
grass root level, programme managers,
policy planners and international donor
agencies on the progress of service
delivery and national level health
indicators
Conduct operational research related to
Reproductive Health with a view to
determining the progress and the
quality of the MCH/FP service
delivery system
trained in MIS and
its use
Necessary supplies
are in place
Service delivery
problems are
identified and
corrected
Improved coverage
and quality of the
service delivery
Percent of
institutions/ officers
with relevant
supplies
No. of reviews
conducted
Minutes of the
meetings
No. of supervisions
done
Timely reporting of
feed back reports
Timeliness of
publishing of reports
Research reports
published
Recommendations
are implemented
No. of research
conducted
Implementation if
recommendations