Health Information System Domain | PHIT Partnership Country | ||||
---|---|---|---|---|---|
 | Ghana | Mozambique | Rwanda | Tanzania | Zambia |
Summary | Register simplification. | Improving quality of MOH’s routine HIS. | EMR. | Community health information system. | EMR using mobile phone technology. |
Integration with national HIS | Harmonizes data from routine MOH facility forms. | Focuses on national MOH information system (Módulo Básico). | Integrated into health information system, national roll-out ongoing. | Not currently integrated. | Not currently integrated. |
Strategy for data quality improvement | Simplified data capture and streamlined reporting designed to lead to more time to focus on quality. | Ongoing feedback on missing data and outliers, and ongoing data quality assessments across facility, district and provincial levels. | Quarterly data quality audits and automated data quality report based on logic errors generated when administrative and clinical reports are developed. | Facility supervisors review community health agent reports and provide data feedback. | Standardized protocols for data capture with real-time query of data gaps; subsequent follow-up during monitoring visits. |
Levels at which data are used | Community, health facility and district levels. | Health facility, district and provincial levels. | Community, health facility, district and national levels. | Community, health facility and district levels. | Community, health facility and district levels. |
Data manipulation | Data are aggregated at sub-district, district, and regional levels, and reported to the national level. | Facility and district level graphs and tables routinely updated for Primary Health Care services. | Data are aggregated and summarized to provide summary indicators. | Data are summarized in tables and graphic forms to facilitate trend analysis. | Data are aggregated and summarized into reports and graphics for easy interpretation. |
Linkage with decision making | Data used to identify priority areas, and guide planning and resource allocation. | Trend analysis at facility, district and provincial levels to identify priority problems, monitor implementation of modifications, and link with district activity plans and budgets. | Data used by clinicians to plan patient management, as well as district and health facility managers to identify service quality gaps. | Data used for community problem-solving and planning, and incorporated into facility and district planning. | Focus on data use by Community Health Workers to identify patients for follow-up, as well as clinicians and facility managers for performance assessment and improvement. |
Sustainability plans | Routine use by MOH managers facilitates ownership and continuity. | Integration with current MOH HIS facilitates adoption and continued use of tools and approach. | The EMR has been incorporated into the national HIS. | Demonstrating feasibility and utility of approach expected to generate support for sustaining the approach. | Training all health workers in the intervention area and close relationship with district managers to build HIS ownership. |