HIS Lesson 7

• HMIS


  assist in PLANNING and management of health strategy plans.
• HMIS


  source of routine data necessary for monitoring different aspects of various health programs implemented in a country.
• 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.
• learning, monitoring and steering


  3 functions of monitoring
• EVALUATION


  systematic assessment of the completed programs and policies so that adjustments can be made in areas that needs improvement
• learning and monitoring


  functions of evaluation
• Monitoring and Evaluation


  assess the effect of an integrated service delivery
• learning function


  lessons learned need to be incorporated into future proposals
• monitoring function


  means that the concerned parties review the implementation of policy based on the objectives and resources
• Monitoring and Evaluation


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


  core component of current efforts to scale-up better health
• M&E Framework


  Developed by various global partners and countries
• M&E Framework


  Places health strategy and related M&E processes of each country at the center
• indicator domains

  data collection

  data analysis and synthesis

  communication use


  Four components of M&E Framework (WHO):
• Indicators


  should be tracked to assess processes and results.
• Indicators


  This identifies the strength and weaknesses in the system that needs troubleshooting.
• M&E Framework


  Shifts in outcome and impact indicators may not be directly attributable to integrated service delivery efforts, as many factors affect the indicators.
• 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.
• M&E Plan


  generate information for global monitoring based on the health sector review processes
• M&E Plan


  Medical institutions are monitored and evaluated through the assessment of reports, surveys, HMIS, and other evaluation studies.
• (1) localized

  (2) address the needs for multiple users and purposes

  (3) facilitate the identification of indicators and data sources

  (4) be able to use the M&E in disease specific programs

  strategies identified by National Health Mission of India
• Indicator


  a variable which 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
• United States Agency for International Development


  USAID
• reproductive health, immunization, disease prevention and control, resource utilization, data quality


  categories of indicators according to USAID
• Reproductive Health


  Family planning acceptance rate
• Reproductive Health


  Antenatal care coverage
• Reproductive Health


  Proportion of deliveries attended by skilled health personnel
• Reproductive Health


  Proportion of deliveries attended by Health Extension Workers (HEWs)
• Immunization


  DipDPT-3 (Pentavalent-3) coverage (>1 child)
• Immunization


  Measles Immunization overage
• Disease Prevention and Control


  Malaria case fatality rate among patients under 5 years of age.
• Disease Prevention and Control

  New malaria cases per 1,000 population
• Disease Prevention and Control

  New pneumonia cases among children under 5 per 1,000 population of <5 yrs
• Disease Prevention and Control

  TB case detection rate
• Disease Prevention and Control

  TB cure rate
• Disease Prevention and Control

  Clients receiving Voluntary Council and Testing (VCT) services
• Disease Prevention and Control

  Prevention of Mother to Child Transmission (PMTCT) treatment completion rate
• Disease Prevention and Control

  Persons Living with HIV/AIDS (PLWHA) currently on Antiretroviral Theraphy (ART)
• Resource Utilization


  Trace drug availability (in stock)