Overall Quality & Data Systems in Mexico Structure of Mexico's Health System

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Overall quality and data systems for Mexico
Session 1.2

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Overall Quality & Data Systems in Mexico Structure of Mexico's Health System

  1. 1. 4 th International RHINO Workshop Guanajuato, Mexico March 8, 2010 Measuring and Improving Routine Health Information System Performance Session 1.2: Overview of the Health System and Health Information System in Mexico
  2. 2. The Mexican Health System and HIS <ul><li>Fragmented system </li></ul><ul><ul><li>Public Institutions vertically organized </li></ul></ul><ul><ul><ul><li>Social security </li></ul></ul></ul><ul><ul><ul><li>Uninsured population </li></ul></ul></ul><ul><ul><li>Private sector </li></ul></ul>
  3. 3. The Mexican Health System
  4. 4. Mexican Health Information System <ul><li>Fragmented </li></ul><ul><ul><li>Public Institutions </li></ul></ul><ul><ul><ul><li>Social security </li></ul></ul></ul><ul><ul><ul><li>Ministry of Health </li></ul></ul></ul><ul><ul><li>Private sector </li></ul></ul>
  5. 5. Mexican Health Information System <ul><li>Almost no interaction between institutions </li></ul><ul><li>Difficulties to integrate information at different organizational levels </li></ul><ul><li>Need to improve normative and regulatory framework </li></ul>
  6. 6. Mexican Health Information System <ul><li>Population-based </li></ul><ul><ul><li>Census data, periodic health and socio-demographic surveys </li></ul></ul><ul><li>Disease Surveillance </li></ul><ul><ul><li>Coverage: all sectors and institutions </li></ul></ul><ul><ul><li>NOM-017-SSA2-1994 </li></ul></ul>
  7. 7. Mexican Health information System <ul><li>Resources </li></ul><ul><ul><li>Coverage: MoH-managed facilities </li></ul></ul><ul><ul><li>NOM-040-SSA2-2004 </li></ul></ul><ul><ul><li>Institutions send aggregated data by state and country levels </li></ul></ul><ul><li>Health services delivery and utilization </li></ul><ul><ul><li>Coverage: MoH-managed facilities </li></ul></ul><ul><ul><li>NOM-040-SSA2-2004 </li></ul></ul><ul><ul><li>Institutions send aggregated data by state and country levels (nominal databases for hospital discharges) </li></ul></ul>
  8. 8. HIS map   2. Types of information Information System 2.1 Specific name 2.2. Utilization of services 2.3. Incidence of selected diseases 2.4. Disease outbreaks of immediate notification 2.5. Finance information 2.6. drugs, contraceptives and vaccine inventories 2.7. Human Resources 2.8. Equipment and Infrastructure 2.9. Vital events 2.10. Other 2.11. Other Routine health Information System SIS x x SAEH x x x x x x Urgencias x x x x x x Epidemiological sueveillance: Infectiuos diseases of obligatory notification SINAVE-SUAVE-SUIVE x x x SINAVE-RHOVE x x x x Information System for Special programs: PAI/EPI PROVAC x x x SIS x x x SINAVE-VEED/ERA´s x x x x Information System for Special programs: Tuberculosis SINAVE-Micobacterias: EPI TB x x x Information System for Special programs: Malaria SINAVE-ETV and zoonosis x x x Information System for Special programs: HIV/AIDS SINAVE- VIH/SIDA ITS x x x
  9. 9. HIS map   2. Types of information Information System 2.1 Specific name 2.2. Utilization of services 2.3. Incidence of selected diseases 2.4. Disease outbreaks of immediate notification 2.5. Finance information 2.6. drugs, contraceptives and vaccine inventories 2.7. Human Resources 2.8. Equipment and Infrastructure 2.9. Vital events 2.10. Other 2.11. Other Information System for Special programs: Maternal and child health SIS x x x x SAEH x x x x x x x SINAC x x x x x x Censos X x INDICAS x x SINAVE x x x SEED x x x x x Information System for Special programs: Influenza SINAVE-Influenza x x Information System for Special programs: Diabetes   Information System for Special programs: Heart diseases SUIVE-GAM Oral health   Breas cancer   Nutrition in scholars SUIVE-s/n x x x State Sytem
  10. 10. HIS map   2. Types of information Information System 2.1 Specific name 2.2. Utilization of services 2.3. Incidence of selected diseases 2.4. Disease outbreaks of immediate notification 2.5. Finance information 2.6. drugs, contraceptives and vaccine inventories 2.7. Human Resources 2.8. Equipment and Infrastructure 2.9. Vital events 2.10. Other 2.11. Other Community health information system SIS-fuera de la unidad x x Finance and administrative information system R3 x x Human resources SINERHIAS x x x Training DETECTAEVANO x x Logistics and supplies Inventarios x x x x sin nombre   De empresa contratada x x x x sin nombre Infrastructure, equipment and vehicles SINERHIAS x x   Inventarios-RM x x sin nombre vital statistics SEED x x x x x x   SINAC x x x x x other systems   other systems: Mental health   x State Sytem
  11. 11. HIS map   2. Types of information Information System 2.1 Specific name 2.2. Utilization of services 2.3. Incidence of selected diseases 2.4. Disease outbreaks of immediate notification 2.5. Finance information 2.6. drugs, contraceptives and vaccine inventories 2.7. Human Resources 2.8. Equipment and Infrastructure 2.9. Vital events 2.10. Other 2.11. Other other systems: Performance Indicadores x x x x x   Caminando a la exclenecia x x x x x x Health Promotion Cartillas x x Paralel System Quality assurance INDICAS x x   Feleicitaciones, Quejas y sugerencias x x State Sytem

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