MIS

Solodoukhina D.P., Department of Public Health KSMU

Students should be able to:

Understand the existing MIS

internationally Interpret the strength and weaknesses of the systems Conceptualize Theory versus Practicality

Learning MIS?
What is Information System? Can we manage without

information system? Why is it necessary to have an MIS? What can be possible methods? Examples

Example :Hardware Framework

Headquarters

Internet
Centre 1 Centre 3

Centre 2

HEALTH MANAGEMENT INFORMATION SYSTEM

The HMIS has been defined as
a system that provides an appropriate information support to each decision making level of the health care delivery system.

MIS Application

Communication for better management Effective Communication Flows of Communication Communication Networks Characteristics of information Quantity of information Quality of Information

Sharing the Information:

COMMUNICATION

Contd..+
Information is data which has been
organized

Communication is transmission of
information (conveying meanings

to others), added with feelings and

other human elements

Contd..
Communicate = Make known, Announce,
Break the news, Advise, Transmit, Bestow

When managers communicate one or

combination of the following occurs:
information transmission motivation control emotive expression

Effective Communication
Desire of communicator (values and
expectations) Understanding of how others learn Receivers clarity about purpose Manner according to content, importance, and complexity of intended message trust of receiver on sender (ascribed and achieved credibility) time frame (availability and allocation)

Contd..
For Instance.

Encode

Decode

Sender
Barriers

Message Feedback

Receiver
Barriers

Flows of Communication
Downwards (info, verbal orders, instructions) upward flow (reports, complaints, proposals) Horizontal and Diagonal (interdependence)

Communication Networks
Chain (follows authority relationships) Y-shaped (2 to 1 reporting)

Wheel pattern (4 to 1 reporting)

Circle pattern (1 to 2 reporting)
All-channel (wheel with all to report to each Other)

Information
Information is data which has been
organized Information is the content of communication Information tends to be formal, abstract and impersonal, when feelings and other human elements are added to transmission of information , it is called as communication

Characteristics of information
Reach relevant persons at right
time

Reduce uncertainty for making

decisions

Assist relevant persons to act on it

Quantity of Information
Neither too much nor too little Information generation implies costs
(time money and energy)

Paradoxically less information lead to

higher quality costs

Desired quantity of information is a

balance with tradeoffs (difficult but inevitable)

Quality of Information

Exact, Authenticated, well-timed Should comply Oriented in time ,

place and person Reliable and Validate-able Meets the international standards

Information without meaning for receiver is nothing but noise, energy and time (wasted)

Classification of Information
Action Vs Non-action Recurring Vs Non-recurring Documentary Vs Non-documentary Formal Vs Informal Historical Vs Future projections

Designing an Information System

What info should flow?
To whom it should flow? When or at what frequency?

How and through what channel?

Who will do what? How it will be put together and summarized? How and when it will reported and to whom?

Health Sector Related MIS

Ministry of Health.

National Programme for PHC and FP Expanded Programme of Immunisation. Acute Respiratory Infections Control Programme. Malaria Control Programme. National Tuberculosis Control Programme. AIDS Prevention and Control Programme. Ministry of Population Welfare. Local Bodies (Municipal Corporations)

Census and Surveys

Relationships and Flow of Information in the Different MIS

Federal Director General Health
National Programme Managers, EPI, Malaria, AIDS Provincial DG Health Services Provincial Programme Managers, EPI, Malaria, AIDS Divisional Director Health Services

National Programme Managers, NP-PHC/FP

Provincial Programme Managers, NP-PHC/FP

District Health Offices

District Programme Implementation Unit (NP-PHC/FP)

First Level Care Facility

Vaccinator/ CDC

Malaria / TB, ARI, etc.

LHW

Problems
Data is often delayed and is not analysed promptly Weak Vital Event Registration System Multiple information systems organized through public health programs work independently Dis-integrated Hospital-based information Missing information about private sector Quality of information generated not reliable Non-utilization of information at micro and macro levels MIS component missing from regular training and education programmes. The current information systems is becoming difficult to sustain given the available level of financial and human resources.

Challenges
Consolidation
(of what is already achieved) Improve Data Quality Promote Information Use
User-friendly computerization

Initiate Modifications
(Focus on client orientation, effectiveness and efficiency)

Electronic info. sharing

Incorporate new technology (GIS)

Further System Expansion

Integrate of Multiple MIS

Hospitals Private Care

Other Department Facilities

Integrate of MIS with Devolution Plans

Research & Development

THANK YOU VERY MUCH