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首页> 外文期刊>Health policy and planning >Design and implementation of a health management information system in Malawi: issues, innovations and results.
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Design and implementation of a health management information system in Malawi: issues, innovations and results.

机译：马拉维卫生管理信息系统的设计和实施：问题，创新和成果。

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As in many developing countries, lack of reliable data and grossly inadequate appreciation and use of available information in planning and management of health services were two main weaknesses of the health information systems in Malawi. Malawi began strengthening its health management information system with an analysis of the strengths and weaknesses of existing information systems, sharing findings with all stakeholders. All were agreed on the need for reformation of various, vertical programme-specific information systems into a comprehensive, integrated, decentralized and action-oriented simple system. As a first step towards conceptualization and design of the system, a minimum set of indicators was identified and a strategy was formulated for establishing a system in the country. The design focused only on the use of information in planning, management and the improvement of quality and coverage of services. All health and support personnel were trained, employing a training of trainers cascade approach. Information management and use was incorporated into the pre-service training curriculum and the job description of all health workers and support personnel. Quarterly feedback, supportive supervision visits and annual reviews were institutionalized. Civil society organizations were involved in monitoring coverage of health services at local levels. A mid-term review of the achievements of the health information system judged it to be one of the best in Africa. For the first time in Malawi, the health sector has information by facility by month. Yet very little improvement has been noted in use of information in rationalizing decisions. The conclusion is that, no matter how good the design of an information system, it will not be effective unless there is internal desire, dedication and commitment of leadership to have an effective and efficient health service management system.
机译：像许多发展中国家一样，缺乏可靠的数据以及在卫生服务的计划和管理中对现有信息的充分理解和使用不足是马拉维卫生信息系统的两个主要弱点。马拉维开始通过分析现有信息系统的优缺点来加强其健康管理信息系统，并与所有利益相关者分享调查结果。所有人都同意有必要将各种垂直的，针对方案的信息系统改革为一个全面，综合，分散和面向行动的简单系统。作为系统概念化和设计的第一步，确定了一组最低指标，并制定了在该国建立系统的策略。该设计仅关注计划，管理中信息的使用以及服务质量和覆盖范围的改进。所有培训人员的健康和支持人员都接受了培训员级联方法的培训。信息管理和使用已纳入职前培训课程以及所有卫生工作者和支持人员的职位描述。季度反馈，支持性监督访问和年度审查均已制度化。民间社会组织参与了对地方卫生服务覆盖率的监测。对卫生信息系统成就的中期审查认为它是非洲最好的系统之一。在马拉维，卫生部门首次按月按设施获得信息。但是，在合理使用决策中使用信息方面，几乎没有发现任何改进。结论是，无论信息系统的设计多么出色，除非内部有领导者的渴望，奉献和承诺，以建立一个有效和高效的卫生服务管理系统，否则信息系统将不会有效。

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