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Health sector data management/Uganda Ministry of Health


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Presented during Uganda Open Data/Open Science National Dialogue 25-26 April 2018.

Published in: Data & Analytics
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Health sector data management/Uganda Ministry of Health

  2. 2. Data Management (both electronic and Paper based) within the health sector is governed through Technical Working Groups: • HIS Thematic TWG ---coordination of all Parties (MOH Technical programs & Partners) • eHealth TWG----Approval of all ehealth initiatives as per the ehealth policy & Strategy . Once an app has been approved, day to day evaluation of implementation is done through the HIS thematic TWG. 2 Data Collection
  3. 3. Overview of HMIS Health and Health related MDGs National Health Policy (NHP I and NHP II) Health Sector Strategic Investment Plan (HSSP I, HSSP II and HSSIP) Health Management Information System (HMIS) Government of Uganda NDP
  4. 4. Data is captured from the Community level, Health facility level, aggregated an transmitted through the district till it is entered into the electronic aggregate system where national level stakeholders are able to receive it for consumption upon receival of access to the system….access managed at two levels: – National Level – District level 4 Data Management Procedures
  5. 5. HMIS Reporting Structure MINISTRY OF HEALTH District/Health Sub-districts HEALTH UNITS Flow of routine HMIS data SENTINEL SITES Community-VHTS 07th of the next month 15th of the next month
  6. 6. 6 DHIS2 Web portal The Current Web portal enables access to Live DHIS2 environment, Training server, Backup, Dashboard and many more tools
  7. 7. Health Service Delivery Hotline 7 Summary  About 4,186 reports received during the quarters Q1 & Q2 FY2016/17 (July - Dec 2016) from all over the country ◦ 1,515 (36.2%)were actionable and tagged to their districts for follow up ◦ 31% have had action taken i.e. investigations were made by the DHTs. ◦ 28.3% have been concluded and closed. ◦ 14% were high priority cases that were forwarded to MHMSDU for action and of these 30% were successfully resolved. General Complaint 21% Unknown 15% Stock Out 17% General Inquiry 10%Good Service 6% Other Critical 8% Extortion 8% Working hours of HCs 6% Drug Theft 5% Negligence 1% Malpractice 1% Fraud 1% Absenteeism 1% Illegal schools 0% Reports by Category • The information is analyzed by MoH and feedback provided to the District Health Teams for follow-up. • This provides a valuable tool for the DHT to better engage the community in monitoring health services • And also for oversight and accountability • The anonymous hotline is a SMS Service Delivery Complaints toll free hotline through which any community member can report health service-related issues. • This includes health centers closed during working hours, drug theft, stock outs of essential drugs in hospitals, Absenteeism and good practice and
  8. 8. On a quarterly basis through the HIS Thematic TWG: – Data Cleaning…currently on going for Q3 – Data Analysis and sharing on the MOH web portal – Health Sector Quarterly review performance Efforts under the ehealth TWG to harmonise, integrate and interoperate HIS across the health sector • Launch of the ehealth policy & Strategy 8 Data Cleaning and sharing Processes
  9. 9. Data Use Cases for Weekly Surveillance 9 • The MoH-ESD prepares a weekly Bulletin that comprises of a detailed analysis of the key mTRAC outputs • Some of the indicators and events published include  Reporting rates  Cases and deaths for all the notifiable conditions  Case fatality rates (CFR) and Attack rates for some events  Maternal and perinatal deaths • The MoH-ESD provides updates and progress summary reports in relation to any existing epidemics or outbreaks under investigations to stakeholders. WEEKLYEPIDEMIOLOGICALBULLETIN
  10. 10. Data Use Cases for Weekly Surveillance 10 • Indicators routinely analyzed include:  Incidence of Malaria (Cases/1,000 population)  Malaria Test Positivity Rate  No. of Malaria Deaths  Suspected cases tested for malaria  Proportion of health facilities in districts reporting stockouts (ACTs and RDTs)  Health facility Reporting rates • The NMCP receives weekly data to support routine malaria surveillance • Generate the “Weekly Malaria Status”. • The bulletin is shared with all DHTs, MoH officers and Stakeholders • Data used to monitor malaria trends in epidemics areas like the 10 IRS districts • Support districts and facilities to construct malaria normal channels • Verification of all malaria deaths and Develop line lists WEEKLYMALARIASTATUS-UGANDA