1. Introduction to Health Management Information System (HMIS) By Claud J. Kumalija Head HMIS 06 th November, 2008

2. Positioning of HMIS in the MOHSW HMIS HSR NSS ICT MOHSW DPP HIR -Health Management Information System -Health System Research -National Sentinel Surveillance - Information Communication Technology

3. The HMIS (Swahili Abbreviation MTUHA) The HMIS was initiated in late 1980s and became operational countrywide in 1997. The system is designed to collect on routine bases health information The data is generated during health service delivery at health facility

4. HMIS Major Outputs Data from HMIS is used to Produce the Annual Health Statistical Abstract which incorporate –Mortality and morbidity statistics, – Human resource statistics, –Financial statistics, –Equipment statistics –Pharmaceutical and Supplies statistics, –Distribution of health facility by type and ownership - etc

5. HMIS Contribution to the health sector performance monitoring The HMIS is the Main contributor to the following areas:- –Millennium Development Goals (MGD)/MKUKUTA –General Budget Support (GBS) –Annual Health Sector Performance Profile Report –CCHP Planning and Evaluation –Produce Indicators for LGA –Payment for Performance (P4P)

6. Key HMIS Challenges Human resource, i.e. Number and skills on HMIS Data quality i.e. (accuracy, completeness, timely reporting and use) Outdated HMIS tools need major review and re-training Out dated HMIS software need reprogramming Lack of ICT skills at regional/district level Data flow and reporting is not streamlined HMIS is not used in Referral and specialize hospitals

7. Future Plan Immediate Plan –Put mechanism in place for data quality improvement and timely reporting in order to support P4P initiative including Print adequate number of HMIS tools Allocate funds for supportive supervision Re-install/replace HMIS software with DHIS and orient district and regional staff

8. Future Plan Immediate Plan –Put mechanism in place for data quality improvement and timely reporting in order to support P4P initiative including Print adequate number of HMIS tools Allocate funds for supportive supervision Re-install/replace HMIS software with DHIS and orient district and regional staff Allocate funds for data analysis and publications

9. Future Plan… Intermediate and Long run Plan –Review to update current HMIS data collection tools –Introduce DHIS with customized new data system –Training service providers on the new systems –Introduce MTUHA system in referral hospitals

10. Future Plan… Intermediate and Long run Plan –Improve data accessibility through WAN and LAN –Establish data warehouse at national, regional and district levels –Introduce patient electronic registers in hospitals and health centres –Introduce and expand Phone for Health (P4H) –Introduce use of Personal Data Assistance (PDA)

11. Future Plan… Intermediate and Long run Plan… –Conduct countrywide Serves Availability Mapping (SAM) using GIS to complement the routine systems –Work with WHO through Health Matrix Network (HMN) to strengthen Health Information System –Work with National Bureau of Statistics (NBS) through Tanzania Statistics Master Plan (TSMP) –Work with PMO-RALG and Development partners to implement developed M&E chapter in Strategic Health plan III.

12. Thanks for Listening