Need of Health Sector Indicators (Reviesd)

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Need of Health Sector

Indicators(Reviesd)
 Health sector needs accurate,
comprehensive and disaggregated
data to gauge
 It’s Performance, identify disparities
between social groups and
geographic areas, and plan future
interventions.
 The Health Management Information
System (HMIS), based within the
Department of Health Services
(DoHS), has played an important role
to date in providing health service
data.
 Realizing the need to strengthen
HMIS to meet current demands the
Management Information
System (MIS) Section, Management
Division, Department of Health
Services (DoHS) revised the HMIS.

The revised HMIS has been


designed to:
1. Ensure indicators and tools meet the
current needs of NHSP2 and the
programmes (family health, child health
(including nutrition), epidemics and
disease control, HIV/AIDS and STD,
leprosy, tuberculosis, public health
laboratory and curative services)
2. Integrate vertical reporting systems
(Aama programme, emergency obstetric
care monitoring, community based
neonatal care programme,
nutrition/integrated management of
acute malnutrition, HIV/AIDS and
tuberculosis programmes) into HMIS

3. Bring HMIS in line with the HSIS


National Strategy, in regards to:
enabling selected indicators to be
disaggregated by caste/ethnicity revising
the reporting process to enable facility
level data reporting, ensuring data from
all health facilities across the country
including police and army hospitals,
mission hospitals, teaching hospitals and
all non-public facilities are collected
4. Make the tools more user-friendly

5. Ensure the reporting process is


efficient and effective to minimize the
burden on staff and any duplication of
work

6. Ensure the same recording and


reporting tools and reporting processes
are used in all 75 districts

7. Enable electronic data entry at district


and hospital level and web-based
reporting to central level

8. Disaggregate hospital mortality and


morbidity data by age, sex and cause
9. Support use of data for review,
planning, monitoring and evaluation at
different levels

10. Provide evidence to inform strategic


and policy level decisions, such as the
design of the sectoral plan

The following process has been


followed for revision of HMIS:

Revision of indicators
1. Revision of recording and reporting
forms
2. Field-testing of the revised HMIS
forms and reporting process
3. Development of HMIS database –
porting the revised HMIS in DHIS2
environment
4. Strengthening IT system
nationwide
5. Preparation of comprehensive
guidelines/manuals
6. Modular training to staff at all
levels of system across 75 districts
7. Printing and supply of revised tools
to all levels of health facilities across
the country
8. Implementation of revised system
across 75 districts simultaneously
9. This booklet presents the revised
HMIS indicators by programme.
There are 13 sections with a total of
280 indicators. Each indicator is
defined with its numerator and
denominator.

List of revised HMIS


recording and reporting
tools
S N HMIS Tools
1 Common Tools
1 1.1 Master Register
2 1.2 Health Service Card
3 1.3 Outpatient Register
4 1.4 Referral/Transfer Slip
5 1.5 Defaulter/Discontinuation Tracing
Slip
6 1.6 Open Tally Sheet
2 Infant and Child Health
7 2.1 Child Health Card
8 2.2 Immunization Register
9 2.3 Nutrition Register
10 2.4 IMCI Register
11 2.5 IMAM Child Health Card
12 2.6 IMAM Register
13 2.7 IMAM Register – Hospital

3 Family Health
14 3.1 FP Face sheet
15 3.2 Pills, Depo Service Register
16 3.3 IUCD/Implant Service Register
17 3.4 Sterilization Register
18 3.5 Maternal and Newborn Health
Card
19 3.6 Maternal and Newborn Health
Service Register
20 3.7 Safe Abortion Service Register
4 Community Services
21 4.1 ORC Register
22 4.2 FCHV Service Register
23 4.3 Vitamin A Register

5 Malaria, Kalazaar and Leprosy


24 5.1 Malaria, Kalazaar & Leprosy
Sample Collection Form
25 5.2 Malaria, Kalazaar & Leprosy
Laboratory Register
26 5.3 Malaria and Kalazaar Treatment
Register
27 5.4 Leprosy Examination and
Treatment Card
28 5.5 Leprosy Treatment Register

6 Tuberculosis
29 6.1 Sputum Sample Collection Form
30 6.2 Tuberculosis Laboratory Register
31 6.3 Tuberculosis Treatment Card
(Health Facility)
32 6.4 Tuberculosis Treatment Card
(Patient)
33 6.5 Tuberculosis Treatment Register
34 6.6 PAL: Smoking Cessation Register
35 6.7 DR Tuberculosis Laboratory
Register
36 6.8 DR Tuberculosis Treatment Register

7 HIV/AIDS and STI


37 7.1 HIV Testing and Counseling
Register
38 7.2 Sexually Transmitted Infection
(STI) Treatment Register
39 7.3 Prevention of Mother-To-Child
Transmission (PMTCT) Of HIV (PMTCT)
Service Register
40 7.4 HIV Treatment and Care Register
41 7.5 HIV Patient Treatment Card
42 7.6 Opioid Substitution Therapy (OST)
Register

8 Hospital
43 8.1 Admission Register
44 8.2 Discharge Register
45 8.3 Emergency Service Register

9 Monthly Reporting Form


46 9.1 FCHV Reporting Form
47 9.2 ORC Reporting Form
48 9.3 PHCC, HP and SHP Reporting
Form
49 9.4 Public Hospital Reporting Form
50 9.5 Private and NGO Health Facility
Reporting Form

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