Health Information System in Nepal. HMIS vs LMIS HMIS forms

1. Nepal Health Information System Recording and
Reporting Mechanism

2. Information cycle
Collection
Processing
Analysis
Presentation
Evaluation
Use

3. Nepal's health sector needs accurate,
comprehensive and disaggregated data to
gauge its performance, identify disparities
between social groups and geographic areas,
and plan future interventions. The Health
Management Information System (HMIS),
based within the Department of Health
Services (DoHS), has played an important
role to date in providing health service data.

4. Recording
Mechanism

5. The HMIS system
contains forms which
can be accessed
electronically and
can be printed.

6. 50 register forms
are included under
different headings
for the ease of data
collection and
descriptive
analysis.

7. These are filled by all
the healthcare service
providers(both public
and private) and
integrated in the
national system
(HMIS) by the local
government in the
present scenario.

8. Common tools 1.1 to 1.6
Infant and child health 2.1 to 2.7
Family Health 3.1 to 3.7
Community Services 4.1 to 4.3
Malaria, leprosy and Kala-azar 5.1 to 5.5
Tuberculosis 6.1 to 6.8
HIV/AIDS and STI 7.1 to 7.6
Hospital 8.1 to 8.3
Monthly Reporting Forms 9.1 to 9.5
http://phlmc.p1.gov.np/forms-and-formats/

10. 3. Family Health
1.1 Master
Register
1.2 Health
Service Card
1.3 Outpatient
Register
1.4
Referral/Transfer
Slip
1.5
Discontinuation
Tracking Slip
1.6 Tally Sheet
1. Common Tools
2.1 Child
Health Card
2.2
Immunization
Register
2.3 Children’s
Nutrition
Register
2.4
CBIMNCI
Register
2.5 IMAM
Child Health
Card
2.6 IMAM
Register
2.7 IMAM
Register-
Hospital
2. Infant and Child Health
3.1 Face
Sheet
3.2 Pills,
Depo
Register
3.3
IUCD/Implant
Service Register
3.4
Sterilization
Service
Register
3.5 Maternal and
Newborn Health
Card
3.6 Maternal
and Newborn
Health
Service
Register
3.7 Safe
Abortion
Service
Register

11. 6. Tuberculosis
6.1 Tuberculosis Sample Collection Form
6.2 Tuberculosis Laboratory Register
6.3 Tuberculosis Treatment Card (Health Facility)
6.4 Tuberculosis Treatment Card (Patient)
6.5 Tuberculosis Treatment Register
6.6 PAL: Smoking cessation Register
6.7 DR Tuberculosis Laboratory Register
6.8 DR Tuberculosis Treatment Register
4.1 ORC Register 4.2 FCHV Register 4.3 Vitamin A register
4. Community Services
5.1 Malaria,
leprosy and Kala-
azar Specimen
Collection Form
5.2 Malaria,
leprosy and Kala-
azar laboratory
Register
5.3 Malaria and
Kala-azar
Treatment
Register
5.4 Leprosy
Examination
Treatment card
5.5 Leprosy
Treatment
Register
5. Malaria, leprosy and Kala-azar

12. 7. HIV/AIDS and STI
7.1 HIV Testing
and Counseling
Register
7.2 Sexual
Transmitted
Infection
Treatment
Register
7.3 PMTCT
Service Register
7.4 HIV
Treatment and
Care Register
7.5 HIV Patient
Treatment Card
7.6 Opioid
Substitution
Therapy (OST)
Register
8. Hospital
8.1 admission Register
8.2 Discharge Register
8.3 Emergency Service Register
9. Monthly Reporting Forms
9.1 FCHV Report Collection
9.2 Community Level Health Service Monthly
Reporting Form- Immunization & PHCORC
9.3 PHCC, HP, SHP, Urban Health Clinic/ Center and
Community Health Unit Monthly Reporting Form
9.4 Public Hospital Reporting Form
9.5 Non-public Health Facility Reporting Form

13. Master register-the first and initial recording form
Serial
number
starts with 1
Registration
number
with fiscal year
E78/79-65675BH3
New patient, First Visit - New registration number
Old patient, follow up - Same registration number
Old patient, new service - Same registration number
Full name First name and Surname
Ethnic code
Age/Sex
Address District, M/RM, ward number
Contact

14. Service
category
General–1 Nutrition -3 Family
planning- 5
Leprosy -7 Sexual
diseases-9
IMNCI -2 Safe
motherhood-4
Tuberculosis
-6
Infectious
disease-8
Others
(specify)-
10
Paid/
Schemed
Name of
the
instiution
If referred

15. Reporting
Mechanism

16. In the latest context, the integrated Health
Information System collects the major health
concerned data through DHIS(District Health
Information System -II).
The DHIS, initially was controlled by the local
government.
Now, the health centers across the country
have the access to use the system.
In DHIS, different municipalities are provided
with different USER ID and PASSWORD.
However, the HO(Health Office) has the
authority to control over the municipal data.

17. The system allows two user
interfaces: USER or EDITOR
The Health Office receives the
monthly data through DHIS.
The data processing is automated
with the system. The processing
includes:
a. Graphical representation
b. Tabular representation
c. Trend Analysis

18. The “Statistics Division” of the
HEALTH OFFICE has the overall
control and access to use and
manipulate the acquired data.
The DHIS system itself is
automated with the national
HIS, however, the monthly
data are forwarded to the
Provincial Health Directorate.

19. Reporting Forms:

20. HMIS vs LMIS
An LMIS collects data about
commodities; this information is often
used for activities, such as filling
routine supply orders for health
facilities.
HMIS collects information on the total
number of patients seen or diagnosed;
data from an HMIS used for evaluating
program impact.

21. LMIS collects and reports data
on quantities dispensed, stock
on hand, and losses and
adjustments.
HMIS collects and reports
program data, such as
incidence of disease,
client/patient information, and
health services rendered.

22. LMIS- organized system for collecting, processing, reporting, and using
health products data gathered across all levels of the health system.
Effective supply chains depend on functional LMIS.
LMIS data is essential for planning distribution along the supply chain,
avoiding overstocks and stock-outs.

23. ● dispensing or point-of-service (POS) systems: track
consumption at the health facility
● warehouse management systems (WMS) for inventory
control
● fleeting management systems for transport and load
planning
● distribution planning systems for load and route planning
● development and use of national essential medicines list
LMIS digital tools include: