1. Informacao sobre Saude
MSP course
March 2002

2. Information sobre Saude
Information system as social system
informacao – information
organizational, social, political, ambiental
Information as social resource
use, purpose, communication, interaction
Information as ‘artifact’
tools, media – meias, documents, systems

3. Informacao sobre saude
Information mapping
Mapping reporting systems
Registry books, forms
Reports, documents
Information flows
Information audit
Quality and use of data
Information systems for health management

4. Field research--always
Who
What
Where
When
Why
How

5. Field research Who What Where When Why How Quem? Qual?
Onde? A --? De --?
Quando?
Porque?
Como?

6. e.g. of a “system”: Activity system –individuals & teams in social practices, tools—artifacts, purposes, community, rules, division of labor
TOOLS
(eg, info systems, computers, Schedule+ etc)
OBJECT-OUTCOME
To act as a mediator between computer industry and clients
SUBJECT
CommArc
RULES
(inc. values, ethics)
COMMUNITY OF
PRACTICE
(other CommArc staff members, suppliers, customers etc)
DIVISION OF
LABOUR

8. A chronology of important events in the HISP case.

9. Figure 3: Hierarchy of standards where each level has freedom to define their own standards as long as they align with the standards at the level above.

10. Feedback Feedback Central level Reports Meetings Supervision
Admn health program
Statistic and planing dep
Reports
Meetings
Supervision
Provincial level
statistic and planing dep.
Reports
Meetings
Supervision
District level
District information officer
Other community sources
Health services HC
D. Hospital. HP
Standard forms
Books
Standard forms

11. District Hospital/HC/ Priv sector
District level
District information officer + 2 representative ( Nur or admin)
Forms + Reports
Reports
Other community sources
Health services
Schools NGO Local Gov Unions Special
intergroups
Standard forms
Books
District Hospital/HC/ Priv sector
Nurse chief
Nurse, Doc, Lab men, or farmac HP
Basic health worker
Basic health worker

12. 01-Adilabad 02-Karimnagar 03-Warangal 04-Khammam 05-East Godavari 06-Visakhapatnam 07-Vizianagram 08-Srikakulam 09-West Godavari 10-Krishna 11-Guntur 12-Prakasam 13-Nellore 14-Chittoor 15-Cuddapah 16-Anantpur 17-Kurnool 18-Mahbubnagar 19-Nalgonda 20-Rangareddi 21-Medak 22-Nizamabad

15. Health Centre 1 lab
Health Centre 2 lab
Health Centre 3 lab
District lab data compiled in a Rural Hospital lab
Nucleus for Planning and Statistics
(Aggregation of health district data)
Department for Planning and Statistics
Community level
District level
Other relevant data from the community and health facilities
Provincial level
Provincial lab data compiled and analysed by the lab manager
National level
Health Information Department
National Section for clinical labs
Reporting system usually delayed
Feedback reports and supervision less frequent
Figure 1 – The vertical top-down approach of lab information system coupled to the complex health information system in the National Health System

16. Interplay of institutions
Central Government
(Ministries/Departments)
State Government
Scientific Institutions
District Administration
Line Departments
Funds
Policy Issues
Feedback
Prog. Priorities & Monitoring
GIS S/W and data
Beneficiaries, Local People, NGOs
Technology Development & Related Policies

17. Figure 2: Comparison of the new tally sheet in the injection room on the left with the old reporting form on the right, reporting 66 and 59 ‘events’ respectively. Note the columns marked ‘E’, ‘C’, ‘B’ and ‘A’ in the old form, for European, Coloured, Black and Asian. These columns are not in use anymore, and the space is used for marking the categories of the events reported.