The document discusses health management information systems (HMIS) which provide timely and reliable information to health managers to support decision making. It notes that HMIS collects data through routine reports from various levels of the health system from village to national. The data is used to monitor operations, evaluate programs, and assess community needs. In India, HMIS collects data through standardized registers at subcenters which are compiled into monthly reports sent to higher levels. Computerized HMIS projects now allow for online tracking of health services provided to beneficiaries. Regular supervision and community involvement help ensure accurate and useful information.

1. Health management
information system

2. DEFINITION
1. HMIS is defined as a system that provides
up to date, reliable,complete and timely
information to health managers, at
various levels in order to make well
informed management decisions about
problem performance and operations.
2. IT is an important management as well as
an epidemiological tool.

3. Continued….
 Most of the information reaches the programme
managers via routine statistical and management
reports.
 These reports constitute most visible part of health
management information system.
 The timely information generated is used for action and
decision making at all the levels of management, like
home-based or client –based records and information -
village based - subcentres – PHC – CHC – Distict – state
and national level.

4. Continued…
 A formal system of reporting has been
established in the health system.
 Every month a monthly progress report
from the lowest level is processed and
transmitted to higher level.
 This forms the basis of routine – regular
information at all the levels for decision and
actions

5. USES OF HMIS…
 To support decision making and taking actions.
 To monitor programme operations
 To justify the resources spent ( staff money and
material).
 For operational and epidemiological research
purposes.
 To evaluate the programme or to imagine its
success and failure.

6. Continued…
 To help to assess community needs eg.
Community needs assessment approach
under RCH can make use of HMIS.
 For better planning of services and
programmes at local level
 It is useful for training of workers and
medical officers and supervisors
 it helps to provide database to client or
community whose life it affects profoundly

7. HEALTH SYSTEM ORGANIZATION
Ministry of health and family welfare
State health organization
District health organization
Community healthcare
Primary health care
Anganwadi workers and subcentre system

8. DEVELOPMENT OF HMIS IN INDIA
 The deficiencies in information support to
health for all strategies in the country were
identified in late 70s so it was decided to
devise and implement an effective
management information and evaluation
system (MIES).
 Information system would reduce the
unnecessary load of paper work and
streamline the system to avoid its
unnecessary duplication and generation.

9. CONTINUED…
 The national health policy adopted by the
parliament in 1983 stated that appropriate decision
making and programme planning in the health and
health related fields is not possible without
establishing an effective health care system..
 It was also envisaged that this information system
should be able to provide necessary support for
effective decentralization of health activities.
 Exercises in development of more effective HMIS
continued and version 1.0 n 2.0 of HMIS were
evolved in 1990.

10. CONTINUED…
 Under NRHM, the HMIS formats have been
revised and put into effect from sep 2008.
 This system is well planned and well thought
over but its implementation is a problem
because of problem of providing registers,
training and lack of motivation besides lack
of use of information.

11. HMIS IN INDIA
 RECORDS AND REGISTERS
1. At present , the national health programmes have their
independent HMIS, however at the level of village and subcentres
the reports are regenerated by subcentre health team.
2. The key registers at subcentre level are:
SURVEY REGISTERS: subcentre village information, household
information, eligible couple and children information
CONTINOUS CARE REGISTERS: Family welfare services , maternal care
services , child care and immunization, tb and leprosy control, malaria
and blood smear.
OTHER REGISTERS: home visit diary, clinic register, stock and issue
register birth and death registers.

12. REPORTS
 The subcentre ANMs and anganwadi workers
are the responsibility centres for HMIS and they
prepare monthly reports.
 The subcentre report provides information on
inputs like health workers material equipment
monthly stock position of drugs etc.
 It also provides information on processes and
outputs in terms of ANC, natal care , postnatal
care STI/RTI, IMMUNIZATION, CONTRACEPTION,
etc.

13. PART-A
 ANTENATAL CARE SERVICES
 NUMBERS REPORTED DURING MONTH:
1. Total number of pregnant women
2. Number of new women registered under JSY
3. Number of pregnant women received 3 ANC checkups
4. No. of pregnant women given TT 1 AND TT 2.
5. No. of pregnant women given 100 IFA tablets
6. Pregnant women under hypertension.

14. PART-B
Health faculty services
1. Outpatient – attendance
2. Lab testings
3. Lab tests – number of Hb tests conducted
4. Numbers having Hb less than 7 gm

15. PART- C
 LINE LISTING OF TESTS
1. Reports of information of PHC or CHC which are sent to
district every month comprises of :
i. Malaria reports
ii. Tb reports
iii. School health reports.
iv. Monthly report of PHC and CHC
v. Immunization reports
vi. Family planning achievements.

16. WHY COMPUTRISED HMIS ?
 Establishment of HMIS provides reliable and cost
effective mechanism for better monitoring ,
management , planning and decision making for
effective health service delivery.
 Following are the functional MIS projects :
1. Pregnancy , child tracking and health service
management system(PCTS).
2. IT HELPS IN ONLINE TRACKING OF PREGNANT WOMEN
AND CHILDREN AND MONTIORING OF HEALTH SERVICES
PROVIDED TO BENEFICIARIES.

17. ACTIONS
 THE system is data driven and frequent changes
occur in it. When a new new programme is
introduced a new reporting format is
introduced hence, workers are required to
prepare separate reports for new programme:
immunization, EPI, child survival and safe
motherhood ,etc.
 During visits, the supervisors are required check
household survey and verification of reprts and
records and spot correction can help to
improve the quality of records.

18. CONTINUED..
 People have the right to information and mothers
themselves can share the information of records
and health and nutritional status of their children.
 The health workers, anganwadi workers during
each contact with the clients share the valuable
information with each home and village,
community and stay connected with each home.

19. Thank you…