Faculty of Public Health - Andalas University - OCS, 13th IEA SEA Meeting and ICPH - SDev

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Health information system in a district of Western India: A Process evaluation
Amit Kumar Mehto, Neeti Rustagi, Pankaja Ravi Raghav

Last modified: 2018-08-06

Abstract


Background

Health information system (HIS) is crucial to informing Public health policy. The present study objective was to assess the Health information system (HIS) in a district in Western India.

Materials and methods

Data from various sources (Annual reports from Government health centers, National Integrated disease surveillance Project (IDSP) for the year 2016 and 2017) were procured to find out the consistency and quality of data flow. Telephonic interview was conducted amongst the Medical officers (MOs) (n=148) posted at the health centers. Data was also collated using Geographic information system (GIS) maps.

Results

Only about one-third of the health centres sent annual reports (37.2% and 30.4% for 2016 and 2017 respectively), Not all variables were captured (out of 261 as per ICD-10), reports were hand written and, in most cases, illegible. IDSP, despite having regular reports captures only 22 health conditions and is biased towards communicable diseases. The sensitivity of annual reports was 6.7% to 29.9%. Only 31% MOs were trained in surveillance, 75% denied the presence of any feedback mechanisms, 82% confirmed personnel deficiency.

Conclusions

The reported data is irregular and incomplete; a robust HIS is the need of the hour to inform policy and improve Public health.