Health Management Information System in Ethiopia: Who Owns the HMIS


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Health Management Information System in Ethiopia: Who Owns the HMIS

  1. 1. Health Management Information System (HMIS) inEthiopiaWho Owns theHMIS
  2. 2. Health Management InformationSystem (HMIS) The purpose of HMIS is to: routinely generate quality health information that provides specific information support to: the decision-making process at each level of thehealth system for improving the performance of health system andthereby the health status of the population2
  3. 3. HMIS in Ethiopia Pivotal role for HMIS within Health Sector’s M&Esystem FMOH adopted “One Plan, One Report & OneBudget” policy HMIS providing the core indicators HMIS reform high in Health Sector DevelopmentProgram (HSDP) agenda3
  4. 4. Various HMIS functions carriedout by different institutions HEW Generates the data Submits the reports Uses for managing her activities HEW Supervisor Compiles the data Conducts data quality checks Submits reports to woreda Uses for managing performance of the unit4
  5. 5. Various HMIS functions carriedout by different institutions Woreda Health Office Aggregate, archive reports Analyze and review, Decide, plan, implement or give feedback Provide HR, equipment, funds Regional Health Bureau Aggregate, archive reports Analyze and review, Decide, plan, implement or give feedback Provide HR, equipment, funds5
  6. 6. Various HMIS functions carriedout by different institutions Federal Ministry of Health Make policy decisions Aggregate, archive reports Analyze and review, Decide, plan, implement or give feedback Provide HR, equipment, materials, funds Implementing Partners/Development Partners Build capacity on HMIS tasks Provide funds, equipment, HR, materials6
  7. 7. So, who own the HMIS7
  8. 8. When can I say that I own asystem? I have legal rights on it I enjoy its benefits I value the system I drive the system to get the desired benefits from it I take the responsibility to manage/maintain it (usingmy own resources/expertise or mobilizing others) I take credit of its successes I take the responsibility of its failures8
  9. 9. Who owns HMIS? Who is the beneficiary of HMIS? Who is responsible for maintaining/managing it? Who gets the credit if HMIS is successful? Who should take care of HMIS if it is notfunctioning as desired?9
  10. 10. Who owns HMIS? HEWs? WorHO? RHB? FMOH? Partners??10
  11. 11. Why Regional Ownership matters Regional Ownership is essential for Full implementation of HMIS in theregion Sustainability of HMIS in the region11
  12. 12. SNNPR’s vision: Sustainable HMIS HMIS is sustainable in SNNPR when the Regional Health Bureau(RHB): Values HMIS & demonstrates desire to have HMIS for healthsystem management Drives the system to get the desired benefits from it; i.e. SNNP RHB maintains production of quality HMIS information tomeet the current information needs of the region There is continued use of HMIS information for decision making atall tiers of health system Takes responsibility for its successes and failures Manages & continues to have the capacity to manage the HMISresources & controls financial decisions for HMISimplementation12
  13. 13. The Challenge Balancing Regional Ownership and TechnicalAssistance for implementing HMIS13
  14. 14. The Strategy:Balanced sharing of responsibility &promoting Regional Ownership from Day OneRHBJSI/MEASUREEvaluationMentoringIT developmentLevelofResponsibilityTimeTraining HMIS data collection, reportingData Quality AssuranceUse of HMIS data for decisionseHMIS use14
  15. 15. The Strategy paid off….. Within 2 years Over 5,200 health managers and staff trained TOT completed for all 615 Health centers & 23 Hospitals in theregion 9 / 22 zones implementing reformed HMIS and started regularreporting 1737 (44%) Health Posts implementing community HMIS eHMIS installed and functional at RHB Electronic Health Institutions data for all health institutions 6 Zonal Health Departments have eHMIS to access aggregate dataand Decision Support System via internet eHMIS expanded to all WorHOs15
  16. 16. ....strategy paid off RHB is in the lead role and owns the process RHB Planning unit in charge of managing the scale-up RHB IT staff carrying out electronic data entry &quality checks Trained HMIS facilitators from among the staff inevery zone, woreda & health facility16
  17. 17. ….RHB in the lead RHB mobilizing other implementing partners toassist in HMIS scale-up and sustainability Mobilized resources for printing, furniture,computers for HMIS RHB organizing regular meetings to review scale-up progress & address bottlenecks17
  18. 18. Lessons learned Strong visionary leadership & commitment of theregion (country) essential for scale-up andsustainability of HMIS Developing government ownership starts on DayOne and continues throughout theimplementation process Harmonized teaming up of development partnerswith the government can bring the desired results18
  19. 19. Thank You!MEASURE Evaluation is funded by the U.S. Agency forInternational Development and is implemented by theCarolina Population Center at the University of NorthCarolina at Chapel Hill in partnership with Futures GroupInternational, ICF Macro, John Snow, Inc., ManagementSciences for Health, and Tulane University. The viewsexpressed in this presentation do not necessarily reflectthe views of USAID or the United States Government.19
  20. 20. The research presented here has been supported by thePresident’s Emergency Plan for AIDS Relief (PEPFAR)through the United States Agency for InternationalDevelopment (USAID) under the terms of MEASUREEvaluation cooperative agreement GHA-A-00-08-00003-00. Views expressed are not necessarily those ofPEPFAR, USAID or the United States government.MEASURE Evaluation is implemented by the CarolinaPopulation Center at the University of North Carolina atChapel Hill in partnership with Futures Group, ICFInternational, John Snow, Inc., Management Sciences forHealth, and Tulane University.
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