June 1, 2015
The Routine Health Information System (RHIS) in Madagascar suffers from fragmentation. Various vertical health programs including the Malaria Control Program have set up parallel reporting systems because they consider the service delivery data of low quality. Also, service delivery data are reported and managed by a access based application called “GESIS”. This application has been created in the nineties with technical assistance by the “Association Europeenne de Developpement en Sante” (AEDES). Being not web-based, vertical program managers at national level have problems accessing GESIS. But by setting up parallel reporting systems they further contribute to the chaos, creating heavy burden of data collection on the service providers.
May 14, 2015
Coming June 9-11 is a high level meeting of great relevance to the RHINO community. The overall goal of the Summit is “to construct a common agenda to improve and sustain country measurement and accountability systems for health results in the post-2015 era.” From the official website:
“How many people were born last year? How many died … and what were the main causes of death? What were their names? How much do health systems cost and what services should they include? How can technology be used most effectively to collect information? How can the global health community manage large volumes of data? Who is responsible for ensuring that all people have access to health care?”
The answers to these and related questions rely on systematic measurement of health data, collaborative partnerships between members of the global health community and an articulation of shared purpose and responsibility.
To that end, the United States Agency for International Development, the World Bank and the World Health Organization are convening a global summit, Measurement and Accountability for Results in Health: A Common Agenda for the Post-2015 Era, in Washington DC at the World Bank Headquarters in June 2015.
Bringing together decision makers and thought leaders representing governments, multilateral agencies and civil society, the Summit will define a new health measurement and accountability strategy, which will articulate a common agenda for the global health community and result in the Roadmap for Health Measurement and Accountability. The Roadmap will clearly outline smart investments that can be adopted at the country level to strengthen basic measurement systems and align partners and donors around common priorities.
January 23, 2015
Here is the latest news from RHINO Newsletter Fall 2014.
January 20, 2015
Call for Papers
AMCIS 2015: Americas Conference on Information Systems
August 13-15, 2015, Puerto Rico
Track: Healthcare Information Systems and Technology
Mini-track: Information Technology for Global Health
You are invited to submit a paper to the AMCIS 2015 conference to the mini-track on: “Information Technology for Global Health”, mini-track at the 21st Americas Conference on Information Systems (AMCIS) to be held in Puerto Rico on August 13-15, 2015.
As global interconnectedness increases, the impact of health problems are not efficiently addressed from a purely national standpoint. Therefore, a concerted effort among governments, multidisciplinary efforts, and other institutions, in efforts that span national boundaries, is the new emerging approach to deal with these issues. This approach, known as global health, entails using this multidimensional approach to address transnational health issues, specifically including HIV/AIDS, rural healthcare service delivery, and other health issues affecting the world population.
This minitrack will explore emerging trends for applying innovative and groundbreaking health IT solutions to improve general population and community healthcare across the globe, including low-cost, mobile and other emerging applications. These solutions will provide a multinational perspective on the benefits of mobile health and other emerging information technologies and describes different examples and applications implemented. This minitrack will consider empirical research, reviews of current literature, theory, methodology, as well as relevant position papers and suitable research in progress papers.
The following types of submissions will be considered:
- Reviews of global health IT development
- Comparisons of regional strategies and application
- Proposals for development, extensions and improvements of global health innovations and solutions
- Examination of strategies and approaches of technology transfer among different countries (e.g, global health IT governance; multi-national health services networks and architectures, open source applications, etc.)
- Analytics, data science, data mining or intelligence studies related to global health
- Studies on the impact of the adoption of innovative (e.g., low-cost) technologies
- Specific applications, including epidemiological surveillance systems, emergency and disaster response systems, and chronic disease management systems
- Public health and environmental health monitoring and tracking systems
- Methodological issues pertaining to the evaluation of global health technologies and initiatives
- Socio-cultural-policy assessments of Health IT priorities
- Trans-jurisdictional issues surrounding the implementation of Health technologies and initiatives
- Impact of regional strategies and culture of nature and styles of Health IT implementation
How to Submit a Paper
Submit your manuscript before February 25, 2015 at http://mc.manuscriptcentral.com/amcis2015
Selected best papers will be fast-tracked for publication review and consideration into Health Policy & Technology and/or the International Journal of Healthcare Information & Informatics.
- January 5, 2015 – Manuscript Submission Opens
- February 25, 2015 – Submission Deadline
- May 5, 2015 – Final decisions on AMCIS 2015 program are made
Chair: Joseph Tan, McMaster University, firstname.lastname@example.org
Co-Chair: Jim Ryan, Troy University, email@example.com
Co-Chair: Michael S. Dohan, Lakehead University, firstname.lastname@example.org
December 19, 2014
November 19, 2014
Join us online from Dec 8th till the 19th for an engaging discussion on assessing and improving routine health information systems in Low and Middle Income Countries (LMICs). In this online forum, hope to hear about methods you and your colleagues have applied to assess or monitor RHIS performance, types of information generated through such assessments, and on how the assessments have been used to create change.
In the past ten years, various tools have been developed to assess the performance of RHIS. Two commonly used tools are the Performance of Routine Information System Management (PRISM) tool—a comprehensive assessment tool assessing the system from multiple angles at multiple levels, and the Data Quality Assessment (DQA) tool –which is focused on assessing accuracy, completeness and timeliness of routine information.
During the two weeks we will further explore the following areas:
1. What were your experiences in assessing RHIS performance (ad hoc, PRISM, DQA, supportive supervision, etc) –
- What were the strengths and weaknesses of the method(s) you used?
- What tool did you choose and what information did you expect the tool to provide you?
- Looking retrospectively, what would have you liked it to capture or enable you to do?
2. Experience in using the RHIS assessment to create change
- What actions or activities have allowed you to translate the results from an assessment into tangible improvements
- What are the success stories or best practices of assessment leading to action?
- What are the challenges or obstacles you faced in using the assessment results to bring change?
Registration is open from now until December 1st. Click HERE to fill out the registration form and register automatically.
Thank you for your participation.
June 24, 2014
What is happening inside RHINO
RHINO held its on-line forum on May 12 – 16, 2014. Thank you to all participants (more than 160 representing all the continents of the world) who participated directly by sharing their experience and their ideas. We also thank our three wonderful moderators who did a wonderful job at guiding the discussion and providing feedback to many questions. You can access the transcript of this on-line forum on RHINO’s website.
Lessons and Recommendations from Assessment of HMIS Performance in Ethiopia
As part of an ongoing effort to scale up health management information system (HMIS) reform in Ethiopia, the Regional Bureau of Health (RHB) of Southern Nations, Nationalities and People’s Region (SNNPR) of Ethiopia, in collaboration with the MEASURE Evaluation HMIS scale-up team, planned to enhance efforts for strengthening HMIS performance in four phases: (1) zonal HMIS performance assessment; (2) developing a HMIS strengthening action plan; (3) implement HMIS strengthening interventions, and (4) routine monitoring of the HMIS performance to measure the effect of the interventions.
In August 2011, the first round of the zonal HMIS performance assessment was conducted in a cluster of zones (viz. Hadiya and Kambata Tembaro) and special woreda (Halaba) who were implementing the reformed HMIS since mid or late 2010. The assessment was based on the Performance of Routine Information System Management (PRISM) framework. This framework promotes strengthening of the HMIS performance, i.e. better data quality and improved information use by addressing technical, organizational and behavioral factors affecting HMIS data quality and use for health service performance improvement. Access the Document
This document reports on the assessment findings that serve as a basis for formulating interventions to improve the HMIS performance and as a baseline for future monitoring of HMIS performance improvement in the zones.
The recommendations from the performance assessment of the health management information system in SNNPR, Ethiopia include:
Short term recommendations:
- Standardize supervision practices – develop supervisory checklists. Supervision should be conducted on a regular schedule with feedback provided to the facilities. Performance data (data quality and use indicators) should be collected, monitored and reviewed regularly.
- Link HMIS data with program monitoring – integrate HMIS quality controls activities into integrated supervisory visits. That is, if an EPI supervisor visits a facility they should be able to conduct the supervision for HMIS at the same time.
- Expand remote access to the processed data set to woreda health offices to facilitate timely use of information for decision making at local level. Roll out the eHMIS to the woreda level.
- Establish a standardized feedback mechanism between levels. eHMIS provides an opportunity for generating automated report from the HMIS software that should be forwarded to reporting sites at regular intervals.
- Create linkages with service delivery managers – i.e. the facility in-charge should be integrated into the monitoring of HMIS performance.
- Review the existing training materials on use of information and revise accordingly. Conduct on the job training on data analysis, interpretation and continuous use of information at all levels.
- Conduct training/re-training for WoHOs and HCs on Family Folder procedures
- Develop mechanisms to integrate data need by different programs – ensure HMIS data are used to generate reports for the vertical programs (HIV/AIDS, TB, malaria, nutrition).
Long term recommendations:
- Establish systematic periodic assessments of HMIS performance in terms of data quality, data use and management functions on a periodic basis.
- Promote transparency and accountability of HMIS data. For example – institutionalize the use HMIS information to make everyone accountable for health system performance.
- Create procedures for dealing with non-compliance with performance targets.
What’s New in RHINO’s bibliography
An article written by Sachiko Ozawa and Krit Pongpirul on the Health Policy and Planning Journal discusses the best resources on mixed methods in health systems research.
Abstract: Mixed methods research has become increasingly popular in health systems. Qualitative approaches are often used to explain quantitative results and help to develop interventions or survey instruments. Mixed methods research is especially important in low- and middle-income country (LMIC) settings, where understanding social, economic and cultural contexts are essential to assess health systems performance. To provide researchers and programme managers with a guide to mixed methods research in health systems, we review the best resources with a focus on LMICs. We selected 10 best resources (eight peer-reviewed articles and two textbooks) based on their importance and frequency of use (number of citations), comprehensiveness of content, usefulness to readers and relevance to health systems research in resource-limited contexts. We start with an overview on mixed methods research and discuss resources that are useful for a better understanding of the design and conduct of mixed methods research. To illustrate its practical applications, we provide examples from various countries (China, Vietnam, Kenya, Tanzania, Zambia and India) across different health topics (tuberculosis, malaria, HIV testing and healthcare costs). We conclude with some toolkits which suggest what to do when mixed methods findings conflict and provide guidelines for evaluating the quality of mixed methods research. Access the full article.
Summer Greetings from RHINO!
June 19, 2014
Here is the transcript of the on-line RHINO forum that took place from May 12 to 16, 2014. We thank all our participants (more than 160 representing all the continents of the world) who participated directly by sharing their experience and their ideas. We also thank our three wonderful moderators who did a wonderful job at guiding the discussion and providing feedback to many questions and situations. Fromdatareportingtodecisionmaking
April 24, 2014
We have been transitioning to a new email and listserv format and during this transition, the listserv has been down longer than predicted. We will fix it within a few days however, we regret to announce that the on-line forum needs to be postponed.
The new dates of the on-line forum are May 12th – 16th.
The registration is still open and you can register until May 10th. Click HERE to register. No need to register if you already have done so.
Thank you for your patience and understanding and we look forward to hearing from all of you during the on-line forum week.
April 4, 2014
From data-reporting to decision-making – are routine reporting systems designed to support “business improvement” in the health sector.
A Management Information System is a “system” that provides specific information support to the decision-making process at each level of an organization (Hurtubise 1984). Similarly, Health Information System (HIS) is designed to provide necessary information to guide decision-making and solve health problems at health facility and community level.
Join us for a discussion on Routine Health Information System commonly known as Health Management Information System (HMIS) and Community Health Information System (CHIS). We will explore how health facility and community level information systems are being helpful to health workers, managers and policy makers to improve the business of improving quality and coverage of health services. We are eager to hear from you; on how you have used your routine data to improve the process, quality or coverage of health services. Bring your innovations and share with all the members around the world on how you and your team have used data at health facility and community level for improving the business of health service delivery. Tell us your story of what types of behavioral, technological, technical and organizational interventions were helpful to make this change.
We would like to juggle our brains and ask ourselves the question: if given an opportunity, what is the one thing that you would like to change in the design of the information system (health facility and community) in your country that will help the managers at national, district, health facility and community or frontline health workers make better decisions on improving service delivery and increase coverage? Can we identify one behavioral, technological, technical and organizational interventions that you think will support the “business” of improving quality and coverage of health services.
During the five days we will further explore these questions:
- What are some innovations that you have introduced to improve information use at health facility and community levels?
- Are information system designed to support “business Improvement” at health facility and community levels
- What are some of the behavioral, technological, technical and organizational interventions to improve the design and performance of HIS
Date: April 28th to May 2nd, 2014
Moderators: Vikas Dwivedi, Tariq Azim and Chris Wright
To register please submit your information to this online form with you name, job title and country of work
RHIS Key Steps
- Routine Health Information NetwOrk (RHINO)
44 Farnsworth Street
Boston, MA 02210
1616 N. Fort Myer Drive
Arlington, VA 22209