Improving the National Health
Information System through
the development of a Master
Facility List
Olusesan A. Makinde & A...
Outline
 Introduction – System/ HIS/
NHIS
 Importance of Master Facility
List (MFL)
 Development of the MFL
What is a System?
 a set of things working
together as parts of a
mechanism or an
interconnecting network; a
complex whol...
What is a Health Information System?
 ‘described as “an integrated effort to
collect, process, report and use health
info...
The National Health Management
Information System
 Established in the 80s following a
yellow fever outbreak and has
subse...
Where we were
 Fragmented (Disjointed, broken, split,
uneven, scrappy) = Dis-integrated
 Project/ Organization/ Donor fo...
Confusing System Complexities – Source HMN
Consequences
 Inability to achieve the potentials
attainable
 Varying statistics from different
government agencies (Dep...
Where we are
Where we
were few
years ago
Ideal
situation/
Where we
want to be
Where
we are
Where we want to be
 Country led and owned system
 Single, Harmonized and Robust Information
System
 Health Information...
How do we get to where we want
to be?
 Standardization one of which is the development
of a Master Facility List (MFL) an...
The HMN Framework – Source is
HMN
Data Sources Integrated Health Information System
Policies, Resources and Processes
Cens...
What is a Master Facility List?
 A Master Facility List (MFL) is a complete listing
of health facilities in a country (bo...
The Nigerian MFL
 The MFL defines the standard for health facility
identification in the country and across
information s...
Process for the collation
of the Nigerian MFL
Components of the Codes in the MFL
Code Area Description Character Length
State 01-37 2 characters (AA)
LGA 01-44* 2 Chara...
MFL Characteristics
 A unique National Provider Identifier (NPI) is
written as AABBCDEEEE (10 characters)
 Information S...
The Published MFL
Importance of the MFL
 National standard for health facility
identification
 Links health facilities across different
in...
Drawbacks and Risks of the current
MFL
 Developed as a snapshot
 Electronic platform deployed before its
development
 M...
Next Steps
 Migration of MFL codes onto an electronic
platform
 Creation of a MFL interphase application that can
intera...
Acknowledgements
 Dr Akin Oyemakinde (FMOH)
 Mr Duke Ogbokor (USAID)
 Mrs Wura Adebayo (FMOH)
 Mr Bimbo Abioye (FMOH)
...
THANK YOU
FOR
LISTENING
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Improving the National Health Information System through the development of a Master Facility List

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Presented at the Nigeria MEASURE Evaluation End-of-Phase-III Event in June 2014.

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Improving the National Health Information System through the development of a Master Facility List

  1. 1. Improving the National Health Information System through the development of a Master Facility List Olusesan A. Makinde & Azeez Aderemi MEASURE Evaluation & Federal Ministry of Health, Abuja MEASURE Evaluation End-of-Phase-III Meeting, June 18, 2014
  2. 2. Outline  Introduction – System/ HIS/ NHIS  Importance of Master Facility List (MFL)  Development of the MFL
  3. 3. What is a System?  a set of things working together as parts of a mechanism or an interconnecting network; a complex whole (Google).
  4. 4. What is a Health Information System?  ‘described as “an integrated effort to collect, process, report and use health information and knowledge to influence policy-making, programme action and research” (WHO, 2000)
  5. 5. The National Health Management Information System  Established in the 80s following a yellow fever outbreak and has subsequently undergone several revolutions  FMOH adopted the DHIS in 2006. Upgraded to the Version 2, a web enabled platform in 2012 developed on a Java enabled platform
  6. 6. Where we were  Fragmented (Disjointed, broken, split, uneven, scrappy) = Dis-integrated  Project/ Organization/ Donor focused information systems  Turf protection
  7. 7. Confusing System Complexities – Source HMN
  8. 8. Consequences  Inability to achieve the potentials attainable  Varying statistics from different government agencies (Depends on who is asked)  High cost of running information systems with significant duplication of effort  Overburdening of staff at health facilities
  9. 9. Where we are Where we were few years ago Ideal situation/ Where we want to be Where we are
  10. 10. Where we want to be  Country led and owned system  Single, Harmonized and Robust Information System  Health Information System that provides the data needed for efficient decision making and guides investment in health.  Scalable and Interoperable health information system
  11. 11. How do we get to where we want to be?  Standardization one of which is the development of a Master Facility List (MFL) and the allocation of National Provider Identifiers (NPIs) to each health facility  Embrace best practices as advised by the 66th World Health Assembly Resolution on e-health on standardization and interoperability
  12. 12. The HMN Framework – Source is HMN Data Sources Integrated Health Information System Policies, Resources and Processes Census Civil Registration Population Surveys Individual Records Service Records Resource Records HIS Actors Using Evidence for Decision Making Senior Country Official National Public Health Official International M&E Officer District Health Manager Senior Country Official Facility Health Officer Civil Society Integrated Data Repository Extract and Integrate Data Allocated Length-Of-Stay Utilization 0 100 200 300 400 500 600 700 Patients Status 143 221 412 574 325 172 68 145 25% 50% 75% 100% 125% 150% 175% 200% Allocated Length-Of-Stay Utilization 0 100 200 300 400 500 600 700 Patients Status 143 221 412 574 325 172 68 145 25% 50% 75% 100% 125% 150% 175% 200% Dashboard, Reports, Queries, Events & Alerts Routine and Non-Routine Data Collection Activities
  13. 13. What is a Master Facility List?  A Master Facility List (MFL) is a complete listing of health facilities in a country (both public and private) and is comprised of a set of identification items for each facility (signature domain) and basic information on the service capacity of each facility (service domain). The signature domain makes each health facility unique. (WHO, 2012)
  14. 14. The Nigerian MFL  The MFL defines the standard for health facility identification in the country and across information systems.  Developed between 2011 and 2013  An improvement of the different lists in the country
  15. 15. Process for the collation of the Nigerian MFL
  16. 16. Components of the Codes in the MFL Code Area Description Character Length State 01-37 2 characters (AA) LGA 01-44* 2 Characters (BB) Health Facility Ownership (1)Public (2) Private 1 Character (C) Health Facility Type (1)Primary (2) Secondary (3) tertiary 1 Character (D) Unique LGA level Serial Number 0001-9999 4 Characters (EEEE)
  17. 17. MFL Characteristics  A unique National Provider Identifier (NPI) is written as AABBCDEEEE (10 characters)  Information System developers advised to create this as a text/ string variable in order to keep the leading “0” for some codes
  18. 18. The Published MFL
  19. 19. Importance of the MFL  National standard for health facility identification  Links health facilities across different information systems  Sampling frame  Service distribution by location
  20. 20. Drawbacks and Risks of the current MFL  Developed as a snapshot  Electronic platform deployed before its development  Matching of NPIs in MFL with the DHIS has been slow and difficult – only 3 states have been successfully matched so far and submitted to the FMOH  Other information systems springing up with another health facility identification process
  21. 21. Next Steps  Migration of MFL codes onto an electronic platform  Creation of a MFL interphase application that can interact with the Routine Health Information System/ DHIS, Human Resources Information System, Logistics Management Information System and Financial Management Information System
  22. 22. Acknowledgements  Dr Akin Oyemakinde (FMOH)  Mr Duke Ogbokor (USAID)  Mrs Wura Adebayo (FMOH)  Mr Bimbo Abioye (FMOH)  Mr Samson Bamidele  Dr Kola Oyediran  Dr Bolaji Fapohunda  All committee members, FG, states and LGA officers who contributed to the success of the effort
  23. 23. THANK YOU FOR LISTENING

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