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首页> 外文期刊>Indian journal of public health. >Assessment of health management information system for monitoring of maternal health in Jaleswar Block of Balasore District, Odisha, India
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Assessment of health management information system for monitoring of maternal health in Jaleswar Block of Balasore District, Odisha, India

机译:印度奥里萨邦巴拉索尔区Jaleswar街区健康监测信息系统评估,以监测孕产妇健康

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Background: In 2005, the Government of India implemented the National Rural Health Mission for reduction of maternal mortality. One of the major impediments in improving maternal health since then has been a poor management of the Health Management Information System (HMIS) at grass-roots level which could integrate data collection, processing, reporting, and use of information for necessary improvement of health services. Objective: The paper identifies the challenges in generating information for HMIS and its utilization for improvement of maternal health program in the tribal-dominated Jaleswar block in Odisha, India. It also aims to understand the nature and orientation of the HMIS data generated by the government for the year 2013–2014. Methods: The study is a cross-sectional type which used observation and interview methods. Primary data were gathered from health professionals to understand the challenges in generating information for HMIS and its utilization. Next, to understand the nature and orientation of HMIS, data pertaining to tribal block were analyzed. Results: The findings show that there are challenges in generation of quality data, capacity building of workforce, and monitoring of vulnerable tribal population. The discrepancies between HMIS data and field reality display the gap in formulation of policy and its implementation. Conclusion: The study unearths the existing politics of knowledge generation. This shows highly standardized procedures and information gathering by use of dominant biomedical concepts of maternal health with limited inclusion of local birthing conceptions and needs of vulnerable tribal pregnant women.
机译:背景:2005年,印度政府实施了国家农村卫生任务,以降低孕产妇死亡率。自那时以来,改善孕产妇健康的主要障碍之一是基层卫生管理信息系统(HMIS)的管理不善,可能会整合数据收集,处理,报告和使用信息以改善卫生服务的必要性。目的:本文确定了在印度奥里萨邦以部落为主导的贾勒斯瓦尔地块,为HMIS生成信息以及将其用于改善孕产妇保健计划所面临的挑战。它还旨在了解政府生成的2013-2014年HMIS数据的性质和方向。方法:本研究为横断面研究,采用观察和访谈方法。从卫生专业人员那里收集了主要数据,以了解为HMIS生成信息及其利用所面临的挑战。接下来,为了了解HMIS的性质和方向,分析了有关部落地块的数据。结果:研究结果表明,在质量数据的生成,劳动力的能力建设以及对弱势部落人口的监测方面存在挑战。 HMIS数据与现场实际情况之间的差异显示了政策制定及其实施方面的差距。结论:该研究发掘了知识创造的现行政治。这表明通过使用主要的孕产妇保健生物医学概念,高度标准化的程序和信息收集,很少包括本地分娩观念和脆弱的部落孕妇的需求。

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