2. DEFINITION
Health information system is that system in
which collection, utilization, analysis and
transmission of information is done for
conducting health services, training and
research.
3. OBJECTIVES
• To provide reliable, latest and useful health information to
all levels of health officers and administrators.
• To amend health policies and working system on the basis of
feedback, received from health information system.
• To provide information about periodically and time bound
programmes and for mid term evaluation.
• To contribute towards achievement of objectives of health
policies and programmes.
• To increase efficiency and quality in health management.
4. CHARACTERISTICS
According to WHO,
• The information should be problem oriented.
• Information should be population based.
• Functional and directorial wording should be used.
• Information should be expressed in short and in
imaginative form (graphs, chart, table etc).
5. CHARACTERISTICS
• Facility for data feed back must be present in health
information system.
• Latest technology should be used in health information
system.
• Unnecessary figures or data should not be present in
information system.
• For information management, organizational structure must
be present.
6. DOMAINS/FIELDS OF HEALTH INFORMATION
SYSTEM
• It includes demography, vital statistics, health
system input, output, health determinants,
health economics, health status, health
infrastructure, resources and outcome,
financial statistics, environmental health
statistics.
7. SOURCES OF HMIS
• Census-demography and vital events
• Registration of vital events( birth, death, marriage etc)
• Notification of diseases and disease registers.
• Records and reports of hospitals
• Statistics regarding environmental health.
• Statistics regarding health resources and services.
8. SOURCES OF HMIS
• Sample survey( national sample survey organization)
• Population survey
• Statistics regarding efforts to check epidemiological
diseases and researches in this field.
• School record
• Economic planning
• Plans of social security
9. USES OF HEALTH INFORMATION
• To measure the health status of people and to quantify their
health problems and medical and health care needs
• For local, national and international health comparisons
• For planning ,administration and effective management of
health services and programmes
• To assessing whether health services are accomplishing their
objectives
• For assessing the attitudes and degree of satisfaction of the
beneficiaries with the health system
• For research into particular problems of health and diseases
10. HEALTH INFORMATION SYSTEM IN COMMUNITY
HEALTH NURSING
• It serves as foundation of planning of all public health
programmes
• Resurveys of the area at regular intervals are most useful
in monitoring the program, which is being implemented
• Facts about births and deaths besides serving as an
indicator of population growth can help as to focus
attention on a target group for specific health services
• Morbidity data regarding various illness occurring in the
area can serve as an index of the state of health of the
population .
11. • Records and reports received from the periphery are very
helpful for taking operative and administrational decisions
and for deciding priorities or for staring new programmes
• It helps to planning health education programme
• It gives the supervisor an idea about the quantity and
quality of the work being done
12. PROBLEMS OR CONSTRAINTS OF HMIS IN INDIA
1. Structural
• Multiplicity of institutions and departments
• Fragmentation of data.
• Lack of infrastructural facilities for storage and
maintenance of records.
13. PROBLEMS OR CONSTRAINTS OF HMIS IN INDIA
2. Procedural
• Excessive information
• Exhaustive information, seldom used.
• Overburden of collection and recording of data along
with General health care.
• Incomplete, unreliable and intentionally managed
information.
14. PROBLEMS OR CONSTRAINTS OF HMIS IN INDIA
2. Procedural
• Repetition of general information
• Inappropriate forms/cards/reports
• Less interest of users in information
• Time consuming procedure
• Confusing coding, long list of indices
• Absence of feedback to information suppliers.
15. PROBLEMS OR CONSTRAINTS OF HMIS IN INDIA
3. Related to content
• Mostly service utilization statistics.
• Only summarized information reaches at higher
level.
• Less emphasis on socioeconomic information.
• no user friendly
16. PROBLEMS OR CONSTRAINTS OF HMIS IN INDIA
4. Related to human resource
• Absence or lack of skilled medical record professionals
• Lack of opportunity for in service training for the staff.
• Health care providers/nurses/biomedical trained
persons are collecting and preparing data.
• Lack of motivation/extra incentives
17. PROBLEMS OR CONSTRAINTS OF HMIS IN INDIA
5. Technological
• Much manual paper based system.
• Absence or lack of computerized data base
system
18. SUBSYSTEMS/SUB COMPONENTS OF HMIS
• Epidemiological surveillance
• Routine service reporting
• Specific program reporting
• Administrative systems
• Vital registration
19. CHALLENGES FOR HMIS
• Low levels of public will, about vital registration system.
• Inadequate government’s capacity and lack of firm political
decision
• Gender issues in vital events registration
• Fragmentation of health information
• Establishing a unified information system with in country.
20. BENEFITS OF HMIS
• Helping decision makers to detect and control emerging and
endemic health problems.
• Help in monitoring progress towards health goals and
promote equity.
• Empowering individuals and communities with timely and
understandable health related information.
• Improving quality of services.
21. BENEFITS OF HMIS
• Strengthening the evidence base for effective health
policies.
• Permitting evaluation of scale up efforts and enabling
innovation through research.
• Mobilizing new resources and ensuring accountability
in the way they are used.
22. ROLE OF HEALTH TEAM IN MAINTENANCE OF HEALTH
INFORMATION SYSTEM
• Interact with user groups
• Identify the needs of users
• Designing of reporting formats
• Identify systems of information flow
• Ensure smooth flow of information within and outside the organisation
• Act as an interface between sections nad management tiers
• Identify the training needs of staff
• Organise monthly periodic meeting to assess performance ,maintain
minutes and follow up on the decisions
• Interface with various divisions ,units in the organisation for information
sharing
