Irrelevancy and poor quality of the data on individual health care activities Data collection focuses on disease reporting and only partially addresses management objectives, such as continuity of care. Data quality is low because care providers receive little if any training in data collection methods, and are poorly motivated to produce quality data, because most data collected are irrelevant Example: my visits to PHC centre and hospital in Zestaponi Centralization of information management RHIS in most countries are centrally planned and managed. Data processing and analysis in a centrally located office which fails to provide feedback. As a result, information use is found to be the weakest at the district level and below where the main health interventions are planned and implemented, Poor and inadequately used health information system infrastructure: Fragmentation of program-oriented HIS Lack of horizontal and vertical integration
Characteristics of High Performing RHIS Systems
4 th International RHINO Workshop Guanajuato, Mexico March 8, 2010 Measuring and Improving Routine Health Information System Performance Session 1.4: Characteristics of High Performing RHIS
So, what is the problem with RHIS in support of health services systems? (or, why do need RHINO?)
What is wrong with existing routine health information systems? <ul><li>Plethora, irrelevance and poor quality of the data collected </li></ul><ul><li>Fragmentation into “program- oriented” information systems: duplication and waste </li></ul><ul><li>Centralization of information management without feedback to district and service delivery levels </li></ul><ul><li>Poor and inadequately used health information system infrastructure and resources </li></ul>
As a result… <ul><li>Poor use of information by users at all levels: care providers as well as managers </li></ul><ul><li>Reliance on more expensive survey data collection methods but the findings are relevant only to national and global levels </li></ul>
Two questions for you… <ul><li>From your experience, how would you define a high performing Routine Health Information System (RHIS)? </li></ul><ul><li>What factors can lead to such high RHIS performance? </li></ul>You have 15 minutes to think about the answers ….