his 7

• Health Management Information System - assist in PLANNING and management of health strategy plans.

  • source of routine data necessary for monitoring different aspects of various health programs implemented in a country
• Monitoring and Evaluation - assess the effect of an integrated service delivery

  • requires INDICATORS, data collection systems, and data analysis to support decision-making and as guide for successful implementation of a program

  • core component of current efforts to scale-up better health
• MONITORING - refers to the collection, analysis, and use of information gathered from programs for the purpose of learning from the acquired experiences, accounting the resources used both internal and external, and obtaining results and making decisions.
• EVALUATION - systematic assessment of the completed programs and policies so that adjustments can be made in areas that needs improvement. The lessons learned shall be incorporated in the future proposals (learning function).
• Four components (WHO):•1. indicator domains2. data collection3. data analysis and synthesis

  4. communication use
• M&E Plan - Addresses the components of the framework and establish the foundation for regular reviews during the implementation of the plan for the national level.

  Local M&E systems generate information for global monitoring

  Medical institutions are monitored and evaluated through the assessment of reports, surveys, HMIS, and other evaluation studies.
• Indicator - measures the value of the change in units that can be compared to past and future units.
• HMIS - uses indicators to monitor key aspects of health system performance
• The United States Agency for International Development - (USAID)
• The United States Agency for International Development (USAID) classifies indicators into five broad categories:

  • reproductive health• immunization• disease prevention and control • resource utilization

  • data quality
• HMIS indicators - should be carefully

  selected to meet the information needed for

  essential

  •monitoring the performance of various health programs and services

  •present an overview of available health resources
• Maternal Survival

  Interventions - MDG target

  • reduce maternal mortality ratio by 75%

  • achieve universal access to reproductive health

  •Complicated and difficult to achieve

  •Packaging of interventions is highly effective and has high coverage of the intended target group
• Maternal Survival Interventions

  HMIS Indicators:

  1. Pregnancy care interventions 1st antenatal care attendances -

  • 4th antenatal care attendances

  • cases of abnormal pregnancy attended at out-patient departments (OPD) of health facilities
• HMIS INDICATORS:

  Intrapartum care -

  •deliveries by skilled attendants (at health facilities)•deliveries by health extension workers (HEW) (at home

  of health posts)

  •institutional cases of maternal morbidity and mortality due to obstructed labor
• HMIS INDICATORS:

  Postpartum care -

  •1st postnatal care attendance

  •institutional cases of maternal morbidity and mortality due to postpartum hemorrhage and puerperal sepsis
• HMIS INDICATORS:

  Interpartum period -

  • family planning method acceptors (new

  and repeat)

  • family planning methods issued by type

  of method
• Child Mortality and Child Survival Interventions - The leading cause of under-five mortality in the

  Philippines (2012) - pneumonia, 2,051 cases
• DOH strategies to promote good health among

  Filipino Children:

  Child 21 -

  • a.k.a Philippine National Strategic

  Framework for Plan Development for

  Children 2000-2025

  • framework for policy-making and

  program planning and as a roadmap for

  interventions aimed at safeguarding the

  welfare of Filipino children

  • part of the Philippine's commitment to

  United Nations on t Rights of the Child

  (UN CRC)
• DOH strategies to promote good health among

  Filipino Children:

  Children's Health 2025 -

  • sub document of Child 21 which focuses

  on the development of Filipino children

  and the protection of their rights by

  utilizing the life cycle approach
• DOH strategies to promote good health among

  Filipino Children:

  Integrated Management of Childhood Illness

  (IMCI) -

  • strategy that aims to lower child mortality

  caused by common illnesses
• DOH strategies to promote good health among

  Filipino Children:

  Enhanced Child Growth -

  • an intervention aimed to improve the

  health and nutrition of Filipino children by

  operating community-based health and

  nutrition posts all throughout the country

  (example: Nutribun)
• Stop TB Program -

  Vision: Tuberculosis-free world
• Stop TB Program-

  Goal: to dramatically reduce the global burden

  of tuberculosis by 2015.
• Stop TB Program -

  One of the main objectives is to achieve

  universal access to high-quality care for all

  people with TB (including those co0infected

  with HIV and e with drug-resistant TB)
• STOP TB PROGRAM -

  Core strategies of STOP TB Program

  • case detection

  • successful completion of treatment/cure
• HMIS indicators to STOP TB Program

  • TB patients on DOTS (number of new

  smear-positive pulmonary TB cases

  enrolled in the cohort)

  • TB case detection (number of new

  smear-positive pulmonary TB cases

  detected, number of new

  smearnegative pulmonary TB cases

  detected, number of new extra-

  pulmonary TB cases detected)

  • HIV-TB co-infection (proportion of newly

  diagnosed TB cases tested for HIV)

  • HIV+ new TB patients enrolled in DOTS

  • TB treatment outcome (treatment

  completed PTB+, cured PTB+, defaulted

  PTB+, deaths PTB+)

  (RIPE treatment – rifampicin, isoniazid,

  pyrazinamide, ethambutol)