Strengthening Routine Health Information System ... Community micro-planning in MaMoni areas:...

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  • Strengthening Routine Health Information System

    2012-2014

    January 13, 2015January 13, 2015

    MIS Auditorium, DGHS

  • Summary of RHIS Initiatives Undertaken

    Strengthening RHIS of DGHS and DGFP by USAID-supported partners (MEASURE Evaluation, icddr,b, MaMoni/HSS, MSH/SIAPS) has been directed to • support to M&E functions of HPNSDP with particular focus on 6 OPs

    (MNC&AH, NNS, CBHC, MCR&AH, CCSDP, and FSDP)

    • streamline MIS tools to minimize information gaps and duplication, and reduce the burden of data collection and compilation

    • design and use a supply chain management portal for efficient and effective logistics management of RMNCH commodities

    • improve capacity of MIS Units of DGHS and DGFP to generate reliable information on time.

    • improve use of information at the local level and promote evidence-based decision

  • SUPPORT TO M&E FUNCTIONS OF HPNSDPHPNSDP

  • Support to M&E functions of HPNSDP

    Streamlining of OP indicators by MEASURE/icddr,b includes • Review of 342 indicators across 32 OPs and development

    of PMP • Developing indicator reference sheets for 342 indicators• Developing indicator reference sheets for 342 indicators

    with detailed information: – Definition, Calculation, Unit of measurement, Frequency, Source

    of information, Level of data generation

    • Categorized 342 indicators by types (i.e training, service, facility readiness, drug/logistic, infrastructure, workshop/meeting etc.)

  • STREAMLINING MIS TOOLS

    A Key Focus ofA Key Focus of MaMoni/HSS

    & MEASURE Evaluation/icddr,b

  • Review of OP indicators and assessment of MIS tools

     6 priority OPs were reviewed where routine MISs covered only 50% of original OP-level service indicators

     Service providers and field-workers overburdened with recording and reporting requirements, e.g.,

    14 registers for FWVs• 14 registers for FWVs

    • 11 key sections in FWA register

    • 5 in-patient monthly reports manually aggregated

    • 5 (at least) monthly reports by HA

     Inadequate data accessibility as computer-based database not fully functional

     Inadequate use of RHIS data for local-level decision making

  • DGHS/MISDGHS/MIS

    MIS tools streamlined

    Old systemOld system

    - No structured HA register

    - No structured CSBA register

    Revised systemRevised system

    - Structured HA & CSBA registers

    - Revised monthly reports online

    Revision and development of tools/systems from community to hospital level

    CommunityCommunity

    register online

    DGFP/MISDGFP/MIS

    - Paper-based FWA register has separate pregnant women and birth list and missing a number of OP indicators (i.e ANC, PNC, delivery)

    - No structured CSBA register

    - Review of FWA register (in process) adding missing information + pregnant and birth list replaced by piloted ‘pregnancy registration handbook’

    - Online pregnancy registration - Review of MIS 1 & 2 forms

    are in process - Structured CSBA registers

  • DGHS/MISDGHS/MIS

    MIS tools streamlined

    Old systemOld system

    Paper-based CC service register

    Revised systemRevised system

    - Revised paper-based registers included NNS indicators

    - Online reporting formats

    Revision and development of tools/systems from community to hospital level

    Community ClinicsCommunity Clinics

    register - Online reporting formats

    - PW & U5 children registration system

  • DGHS/MISDGHS/MIS

    MIS tools streamlined

    Old systemOld system

    - Unstructured general outpatient register

    - Paper-based disease profile report

    Revised systemRevised system

    - Structured register

    - Simplified monthly report + online reporting at upazila level

    Revision and development of tools/systems from community to hospital level

    UnionUnion

    profile report upazila level

  • MIS tools streamlined

    Old systemOld system Revised systemRevised system

    Revision and development of tools/systems from community to hospital level

    UnionUnion

    DGFP/MISDGFP/MIS

    Separate FWV registers for every service, viz. delivery, ANC, PNC, birth, pill, condom, IUD and IUD follow up

    -Reduced FWV registers (MNH, OCP/Pill, IUD) by merging relevant registers

    -MIS 3 reporting form is under revisionup revision

    Single register for FWV for MNH services (MNH register)

  • DGHS/MISDGHS/MIS

    MIS tools streamlined

    Old systemOld system

    - Paper-based in-patient reports

    Revised systemRevised system

    Online in-patient MIS with ICD-10 classification

    Revision and development of tools/systems from community to hospital level

    Upazila & DistrictUpazila & District

    DGFP/MISDGFP/MIS Existing MIS 4 MIS 4 reporting form is

    under revision

  • Implementation of tools/systems Tools/Systems Nationwide by

    DGHS-MIS With support from icddr,b and MaMoni

    Other partners

    Directorate General of Health Services (DGHS)

    District and sub-district level: Online hospital in- patient system

    Provided ToT to statisticians and instructed to give in- patient data entry, Developed manual inc.

    All UHCs and DH of Tangail and Chunarughat UHC and DH of Habiganj (logistics, training and onsite support) + central level monitoring

    UNICEF: SCANU part of the system in 16 DH

    Developed manual inc. ICD 10

    + central level monitoring by M&E staff

    Union level: General patient register for SACMO and Monthly progress report (aggregated) in DHIS2

    DGHS-MIS developed data entry guideline. Currently, 60 districts reporting in DHIS2

    Paper-based register and reporting format, trainings were provided in entire Tangail district and Chunarughat (Habiganj) upazila

    CC: Online monthly reporting (aggregated) format in DHIS 2

    Provided laptops with connectivity, training to CHCP, developed manual ~8,000 CCs reporting

    Entire Tangail and Chunarughat (Habiganj) upazila (onsite support), central level monitoring by M&E staff

  • Implementation of tools/systems Tools/Systems Nationwide by

    DGHS-MIS With support from icddr,b and MaMoni

    Other partners

    Directorate General of Health Services (DGHS)

    CC: Pregnant women and U5 registration system (as part of COIA initiative)

    Provided ToT, developed manual, Intensive monitoring from central level and workshop at divisional

    Training and onsite support in 3 upazilas of tangail + ToT to UNICEF + central level monitoring by M&E staff

    UNICEF: in 3 districts JICA: in Satkhira Plan: inworkshop at divisional

    level Plan: in Dinajpur ++

    Household level: a. HA register and reporting tool + online reporting format in DHIS2

    DGHS-MIS developed data entry guideline. PHC circulated GO Currently, 62 districts are reporting in DHIS2

    Paper-based register and reporting format, trainings were provided in entire Tangail district and Chunarughat (Habiganj) upazila

    b. CSBA register and reporting tool (both FP and Health) + online reporting format in DHIS2 (health)

    DGHS-MIS developed data entry guideline. PHC circulated GO Currently, 62 districts are reporting in DHIS2

    CARE: in Sunamganj ++ SNL: Kushtia

  • Implementation of tools/systems Tools/Systems Nationwide by

    DGFP-MIS With support from icddr,b and MaMoni

    Other partners

    Directorate General of Family Planning (DGFP)

    Sub-district level: Aggregated national reporting form-MIS 4

    Revision of MIS4 is done and awaiting for approval

    Technical assistance in the review process

    Union level (for FWV): - Single register for MNH services - OCP, Condom and ECP register - IUD register - Facility reporting format-MIS 3

    -Review Committee has revised and finalized reduced MNH and FP registers for FWV. These registers were piloted in icddr,b and MaMoni areas - Revision of MIS 3 is done and awaiting for approval

    Paper-based register and trainings were provided in entire Tangail and Chunarughat (Habiganj) upazila

    Technical assistance in the review process of MIS 3

    SNL: MNH register in Kushtia

  • Implementation of tools/systems Tools/Systems Nationwide by DGFP-MIS With support

    from icddr,b and MaMoni

    Other partners

    Directorate General of Family Planning (DGFP)

    Community level: a. Pregnancy Registration Handbook + online

    MCH-Services initiated online registration format has been accepted and DGFP-MIS has circulated GO to do online

    Paper-based handbook, training , onsite support in entire Tangail and

    SNL: Kushtia

    Handbook + online registration format

    circulated GO to do online pregnant women registration

    entire Tangail and Chunarughat (Habiganj) upazila

    b. FWA register 8th

    edition and monthly reporting form - MIS 1

    Review committee has revised and finalized 8th edition of FWA register and MIS forms 1 and 2. (Piloted pregnancy registration handbook has been added in 8th edition of FWA register)

    icddr,b provided technical assistance in the review process

    Icddr,b in collaboration with GIZ providing technical support to DGFP-MIS to transfer their service statisti