The Health Information Systems in Tanzania

1
The Health Information Systems in Tanzania

• By
• Faraja Mukama

2
Presentation outline

• Health care structure and HMIS
• Collected information
• Working situation Problems
• Problems Effects to the HMIS
• HISP ideas

3
Health care stucture The HMIS
4
Collected information

• Main source Routine health care
• - Outpatients
• - Inpatients
• - Mother and Child Health (MCH) immunization,
  family planning, weighing, antenatal services
• - Community outreach Working with Village
  Health Workers (VHW), Traditional Birth
  Attendants (TBA), Community Based Distributors
  (CBD)
• Additional Survey data

5
Data collection and reporting

• Originating at the health facility level
• - Routine health care activities
• Using HMIS designed registers and forms
• - Twelve registers in total
• - Tally sheets children vaccination
• Using Vertical programmes forms e.g. TB, Dental
  care
• Reporting to the higher level in the hierarchy
• Manually at the health facility level,
  computerized at District (started in novemeber
  2004), Regional and National level.

6
Report preparation Health facility level
7
Report prepartion at the district level Before
computerization
8
Working Situation Problems

• Lack of resources or disproportional distribution
  of resources
• - human
• - material tools for data analysis, storage
  tools (folders) including transport
• Lack of data collection and managerial skills
• - No regular training
• Late receiving of data collection tool from the
  MoH
• Poor/lack of supervision and feedback

9
Problems Effects to the HMIS

• gaps in data collection
• poor (minimal) analysis of data
• poor data quality
• Late reporting resulting in incompleteness of
  reports
• minimal use of information
• - Information flows reflecting the requirements
  of higher levels, without addressing the local
  levels information needs

10
HISP ideas

• Support decentralization
• Build local information culture
• - addressing fragmantation of data
• - a software for data analysis and reporting
• - through training health workers

11
MCH section Children Weighing
12
Dispensary Outpatient section Patients in a queue
13
Data storage
14
Data storage
15
Thanks