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Interventions to Improve RHIS Performance
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Interventions to Improve RHIS Performance

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Interventions to Improve RHIS Performance Interventions to Improve RHIS Performance Presentation Transcript

  • 4 th International RHINO Workshop Guanajuato, Mexico March 8, 2010 Measuring and Improving Routine Health Information System Performance Session 4.3: Interventions to improve RHIS performance
  • Findings: Performance
    • High level of data accuracy at facility and district level
    • Data completeness low at the facility level and high at district level
    • 100% Timeliness
    • Low use of information al facility level and moderate at district level
  • Findings: Processes
    • 51% of the facilities reported having a data collection procedures manual.
    • 41% of the facilities reported having a mechanism for checking data quality.
    • 41% of the facilities reported having a process for checking data completeness.
    • 50% of the facilities showed meeting all criteria for data transmission process.
  • Findings: Processes
    • 65% of facilities perform data analysis, but with less emphasis on comparisons among types of services.
    • 67% of the facilities exhibited some types of data, mostly for maternal and child health
      • 90% of these facilities have updated them in last three months.
    • 48% of the facilities showed documentation of having received feedback reports, while eight districts (100%) stated that they send feedback, indicating a gap in feedback communication.
  • Technical Determinants:
    • More than 80% of the district respondents felt that the procedure manual, information technology and HIS software are user-friendly.
    • 75% of the staff believed that the RHIS software program provides a comprehensive picture of the health system performance.
    • 50% of the respondents believed that the various information systems are integrated or existing software could integrate vertical program information.
  • Behavioral Determinants:
    • The average confidence level for:
      • Collecting data, checking data quality, calculation was above 67%
      • Average confidence level was low
        • Data interpretation 64%
        • Use of information 66%.
    • 75% of respondents believed that HIS tasks bring positive outcomes.
  • Behavioral Determinants:
    • 65% and 71% of respondents were able to calculate two or more of the given three calculations
    • Low mean competence level for:
      • Interpretation to 21%,
      • Use of information 27% and
      • Checking data quality 22%.
  • Organizational Determinants
    • At the facility level on average:
      • Half of the criteria for governance functions were met,
      • one third of the supervision, quality standards, training and planning criteria were met,
      • Finances centrally managed. District findings similar except that they have more financial decision power.
  • Organizational Determinants
    • Promotion of a culture of information: 71% or above, except evidence-based decision making (65%)
    • Activities for promotion of a culture of information: Information about targets 64%,
      • Directives to use information 52%,
      • Sharing of success stories 28%
      • presence of advocacy using RHIS information 54%.
  • Organizational Determinants
    • Supervision: 49% of the facilities reported having one or more supervisory visits in last three months.
    • Availability of resources : 90% of the facilities surveyed have computers, printers and calculators
      • 42% have regular telephone line and internet.
      • Access to an electricity and water supply is very high (90%).
      • 25% of the facilities showed that a stock out occurred for the data collection or reporting forms over the past year.
  • Small Group Exercise
    • Please find your field team group members
    • Gather your notes on the interpretation of Guanajuato assessment and discuss:
      • What interventions would you suggest to be implemented in Guanajuato health services system to improve RHIS performance?
      • Read the following the Summary findings and answer the questions
  • Proposing Interventions Small Group Work Task Sheet
    • 1. Which RHIS areas need improvement? Provide rationale for those areas
    • 2. What kinds of specific recommendations you would like to make? Try to categorize them into technical, behavioral, organizational and process categories
    • 3. Divide your recommendations into short (immediate), intermediate (1-2 years) and long term (3-5 years) based realm of control, resources, and cost consideration .