The National Health Management Information System (NHMIS) in Nigeria aims to collect and analyze health data to inform decision making. However, data returns have been untimely and poor quality with little reporting and feedback. The project objectives are to assess population health, identify health problems, monitor goals, and evaluate performance. Barriers include a lack of private sector involvement, basic infrastructure, personnel, and coordination. Sustainability challenges include suboptimal data systems, inadequate staff training, misreporting of data, weak monitoring and evaluation, and inadequate IT facilities and technology.

1. NATIONAL HEALTH MANAGEMENT
INFORMATION SYSTEM, NIGERIA
Presented by
ABHISHEK PATHAK
KUMAR GAURAV
KALPESH P SAVAN
RAVI KUMAR NAIR
ARPANA KUMARI

2. Flow of Presentation
• OVERVIEW
• CASE-FACTS
• OBJECTIVES OF THE PROJECT
• DIGITAL DIVIDE DIMENSIONS AND
COMPONENETS
• ICT GENERATION
• FRAMEWORK
• SUSTAINABILITY

3. Background
• HIS - A mechanism for the collection, processing, analysis and transmission
of information required for organizing and operating health services and also
for research & training
• The availability of accurate, timely, reliable and relevant health information
is the most fundamental step toward informed public health action.
Therefore, for effective management of health and health resources,
governments at all levels in Nigeria have overriding interest in supporting
and ensuring the availability of health data and information as a public good
for public, private and NGOs„ utilization
• The National Health Management Information System (NHMIS) became
operational in Nigeria in 1995 as a management tool for informed decision
making at all levels. However, data returns have been untimely and of poor
quality, and utilization is low with little reporting and feedback

4. Case facts
• Operational from 1995
Problems
– Data collection forms not accurately & completely filled
– Forms were complex & cumbersome
 Federal Ministry of Health Nigeria (FMHN)
State ministry of health
LGA officials
Public and private health clinics
• Reviewed in 2004
– Health Sector Reforms highlighted the inadequacies of the NHMIS
– NHMIS needed to be repositioned to track the Millennium Development Goals (MDGs)
• Stakeholders- Federal Ministry of Health Nigeria (FMHN) LGA, Private clinics, Public Health
Centres, NGO, Private firms
• Basic minimum infrastructure – electricity, internet and computers

5. OBJECTIVES OF PROJECT
• (a) To assess the state of the health of the population;
• (b) To identify major health problems;
• (c) To set priorities at the local, state and national
levels;
• (d).To monitor the -progress towards stated goals and
targets of the health services;
• (e). To provide indicators for evaluating the
performance of the health services and their impacts on
the health status of the population;
• (f). To provide information to those who need to take
action, those who supplied the data

6. DIGITAL DIVIDE Dimensions
• Economic dimensions- monopolies/intra-nation digital
divide/disparity between firms/ a strategy for mkt creation
• Political dimensions- potential for govt regulation to bridge
the divide/ potential for ICT to change dominant political
• Spatial dimensions- access uneven due to pvt. sector/
• Social dimensions- Health issues of a nation are taken care
of.
• Cultural dimensions- English
• Components – Access, Informacy, Information-illiteracy
(data returns have been untimely and of poor quality, and
utilization is low with little reporting and feedback )

7. WHICH GENERATION OF ICT

8. Information Needs/Mapping
FRAME-WORK
Identify User ICT4D
Identify Develop Impact
information needs indicators
Map needs against
indicators
Report

9. FRAME-WORK Analysis
• Identify User- Federal Ministry of Health Nigeria
,Public and private health clinics, Pharmaceutical
companies, NGOs,
• Identify information needs- it is top-down “issue based
approach” requiring comprehensive n exhaustive data
• ICT4D- Use of MIS DBMS for policy formulation by
the govt., intervention-action by NGOs, market
information by pvt players
• Develop Impact indicators- "CARTA" criteria (Heeks
2006) – completeness, accuracy, relevance, timliness,
appropriateness of presentation
• Map needs against indicators- fares poor
• Report- Incomplete

10. Major hurdles in Sustainability
• Private sector involvement is less and they are a major health care service
provider. Thus their involvement is necessary and can be improved by
training, supply of relevant forms n regular supervision.
• lack of coordination, basic infrastructure, personnel n unresponsiveness.
• LGA should be active in supplying data forms (Disease surveillance and
notification forms) n collecting them back
• The major constraints in the generation/strategic use of health information
and evidence for health systems operations and policymaking in Nigeria
include:
1)Nigeria health information system characterized by suboptimal data
collection and analysis system and inadequate quality control measures;
2)inadequate and ineffective staff training in data analysis, interpretation
and use at all levels
3) misreporting of conditions and poor understanding
4)weak monitoring, evaluation and managerial capacity at the periphery
5) inadequate IT facility and technology