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Health Management Information System (HMIS); Whose Data is itAnyway? Contextual Challenges

机译:健康管理信息系统(HMIS);谁的数据呢?情境挑战

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In 1997 the Ministry of Health instituted the national HMIS in response to global and national call for greater accountability and results-based management. The goal being to provide timely reliable health information that would inform decision making in the sector to aid provision of better health care services to the people of Uganda. However, there are already concerns about the functionality of the system characterized by late and inadequate reporting. The purpose of this paper was to make a critical analysis of the contextual challenges to HMIS and propose a framework that would improve the collection of timely reliable data at all levels in the system. After critical analysis of the existing literature, reports and presentation at various MOH workshops and review meeting, and interactive informal talks with some personnel at the Ministry, this paper asserts that failure to use HMIS data, poor culture of accountability, lack of incentives for performance, strategic planning and vertical programs-HIV/AIDS are the strategic contextual challenges to this menace. Data utilization at all levels in the system will be the linchpin in realization of timely collection and reporting of data and to this end, a user-friendly system is at the core of any successful public health system when it will; Assist hospital managers to align health system resources with the needs of service users Link performance measurements to accountability Monitor health-related activities to help assess what works and what doesn’t Contribute to organizational development This paper proposes a framework that will see data utilization as the foundation for timely collection and reporting at all levels in the system. There will be organizational learning with the associated organizational development breeding ownership and sustained demand for data collection and reporting. Key in the implementation will be; leadership, change management, organizational embedding and capacity development.
机译:为了响应全球和国家对更大责任制和基于结果的管理的呼吁,卫生部于1997年设立了国家HMIS。目的是提供及时可靠的健康信息,以指导该部门的决策,以帮助向乌干达人民提供更好的医疗服务。但是,已经存在有关以报告迟到和报告不足为特征的系统功能的担忧。本文的目的是对HMIS的背景挑战进行批判性分析,并提出一个框架,该框架将改善系统中各个级别的及时可靠数据的收集。在对现有文献进行了批判性分析之后,在卫生部的各种研讨会和审查会议上进行了报告和陈述,并与卫生部的一些人员进行了互动式非正式对话,本文认为,未能使用HMIS数据,责任心欠佳,缺乏绩效激励机制,战略规划和纵向计划-HIV / AIDS是这种威胁的战略背景挑战。该系统各个层面的数据利用将是实现及时收集和报告数据的关键,为此,一个用户友好型系统将是任何成功的公共卫生系统的核心。协助医院管理人员使卫生系统资源与服务用户的需求保持一致将绩效衡量与责任制挂钩监视与健康相关的活动,以帮助评估对组织发展无济于事的因素本文提出了一个框架,该框架将数据利用视为系统中各个级别的及时收集和报告的基础。将进行组织学习,并获得相关的组织发展,所有权和对数据收集和报告的持续需求。实施的关键将是;领导,变更管理,组织嵌入和能力发展。

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