Hmis

HEALTH MANAGEMENT
INFORMATION SYSTEM
(HMIS)

DEFINITION
Health information system is that system in
which collection, utilization, analysis and
transmission of information is done for
conducting health services, training and
research.

OBJECTIVES
• To provide reliable, latest and useful health information to
all levels of health officers and administrators.
• To amend health policies and working system on the basis of
feedback, received from health information system.
• To provide information about periodically and time bound
programmes and for mid term evaluation.
• To contribute towards achievement of objectives of health
policies and programmes.
• To increase efficiency and quality in health management.

CHARACTERISTICS
According to WHO,
• The information should be problem oriented.
• Information should be population based.
• Functional and directorial wording should be used.
• Information should be expressed in short and in
imaginative form (graphs, chart, table etc).

CHARACTERISTICS
• Facility for data feed back must be present in health
information system.
• Latest technology should be used in health information
system.
• Unnecessary figures or data should not be present in
information system.
• For information management, organizational structure must
be present.

DOMAINS/FIELDS OF HEALTH INFORMATION
SYSTEM
• It includes demography, vital statistics, health
system input, output, health determinants,
health economics, health status, health
infrastructure, resources and outcome,
financial statistics, environmental health
statistics.

SOURCES OF HMIS
• Census-demography and vital events
• Registration of vital events( birth, death, marriage etc)
• Notification of diseases and disease registers.
• Records and reports of hospitals
• Statistics regarding environmental health.
• Statistics regarding health resources and services.

SOURCES OF HMIS
• Sample survey( national sample survey organization)
• Population survey
• Statistics regarding efforts to check epidemiological
diseases and researches in this field.
• School record
• Economic planning
• Plans of social security

USES OF HEALTH INFORMATION
• To measure the health status of people and to quantify their
health problems and medical and health care needs
• For local, national and international health comparisons
• For planning ,administration and effective management of
health services and programmes
• To assessing whether health services are accomplishing their
objectives
• For assessing the attitudes and degree of satisfaction of the
beneficiaries with the health system
• For research into particular problems of health and diseases

HEALTH INFORMATION SYSTEM IN COMMUNITY
HEALTH NURSING
• It serves as foundation of planning of all public health
programmes
• Resurveys of the area at regular intervals are most useful
in monitoring the program, which is being implemented
• Facts about births and deaths besides serving as an
indicator of population growth can help as to focus
attention on a target group for specific health services
• Morbidity data regarding various illness occurring in the
area can serve as an index of the state of health of the
population .

• Records and reports received from the periphery are very
helpful for taking operative and administrational decisions
and for deciding priorities or for staring new programmes
• It helps to planning health education programme
• It gives the supervisor an idea about the quantity and
quality of the work being done

PROBLEMS OR CONSTRAINTS OF HMIS IN INDIA
1. Structural
• Multiplicity of institutions and departments
• Fragmentation of data.
• Lack of infrastructural facilities for storage and
maintenance of records.

2. Procedural
• Excessive information
• Exhaustive information, seldom used.
• Overburden of collection and recording of data along
with General health care.
• Incomplete, unreliable and intentionally managed
information.

2. Procedural
• Repetition of general information
• Inappropriate forms/cards/reports
• Less interest of users in information
• Time consuming procedure
• Confusing coding, long list of indices
• Absence of feedback to information suppliers.

3. Related to content
• Mostly service utilization statistics.
• Only summarized information reaches at higher
level.
• Less emphasis on socioeconomic information.
• no user friendly

4. Related to human resource
• Absence or lack of skilled medical record professionals
• Lack of opportunity for in service training for the staff.
• Health care providers/nurses/biomedical trained
persons are collecting and preparing data.
• Lack of motivation/extra incentives

5. Technological
• Much manual paper based system.
• Absence or lack of computerized data base
system

SUBSYSTEMS/SUB COMPONENTS OF HMIS
• Epidemiological surveillance
• Routine service reporting
• Specific program reporting
• Administrative systems
• Vital registration

CHALLENGES FOR HMIS
• Low levels of public will, about vital registration system.
• Inadequate government’s capacity and lack of firm political
decision
• Gender issues in vital events registration
• Fragmentation of health information
• Establishing a unified information system with in country.

BENEFITS OF HMIS
• Helping decision makers to detect and control emerging and
endemic health problems.
• Help in monitoring progress towards health goals and
promote equity.
• Empowering individuals and communities with timely and
understandable health related information.
• Improving quality of services.

BENEFITS OF HMIS
• Strengthening the evidence base for effective health
policies.
• Permitting evaluation of scale up efforts and enabling
innovation through research.
• Mobilizing new resources and ensuring accountability
in the way they are used.

ROLE OF HEALTH TEAM IN MAINTENANCE OF HEALTH
INFORMATION SYSTEM
• Interact with user groups
• Identify the needs of users
• Designing of reporting formats
• Identify systems of information flow
• Ensure smooth flow of information within and outside the organisation
• Act as an interface between sections nad management tiers
• Identify the training needs of staff
• Organise monthly periodic meeting to assess performance ,maintain
minutes and follow up on the decisions
• Interface with various divisions ,units in the organisation for information
sharing

Hmis

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Hmis