Interventions to Improve RHIS Performance

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Interventions to Improve RHIS Performance

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

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