E-Health–Oriented Community Health Information System in China: Our Challenges, Solution, and Experience

2011 ◽  
Vol 17 (7) ◽  
pp. 584-588 ◽  
Author(s):  
Junping Zhao ◽  
Zhenjiang Zhang ◽  
Huayuang Guo ◽  
Yi Li ◽  
Wanguo Xue ◽  
...  
Keyword(s):  
Information System ◽  
Community Health ◽  
Health Information ◽  
Health Information System

scholarly journals Tracking of antenatal services and outcomes using community health information system in a slum population of North India

2019 ◽  
Vol 6 (10) ◽  
pp. 4257
Author(s):  
D. S. Faujdar ◽  
Neha Dahiya ◽  
Har Ashish Jindal
Keyword(s):  
Risk Factors ◽  
Information System ◽  
High Risk ◽  
Community Health ◽  
Health Information ◽  
Health Information System ◽  
North India ◽  
High Risk Factors ◽  
Slum Population ◽  
Antenatal Services

Background: Despite of improvement of public health service, the reach of these services has remained low in urban slums due to various socio cultural and environmental factors.Methods: An information and communication technology (ICT) based community health information system was installed in a urban primary health centre catering to urban slum populations in North India. The system was used to track all the antenatal cases registered over a period of one and half years for antenatal services, risk factors and antenatal outcome. The system allowed for tracking of antenatal cases for antenatal care (ANC) visits, investigations, high risk factors, delivery and perinatal care. Real-time monitoring of antenatal cases was made possible through dynamic dashboard with indicators.Results: Among 614 women tracked for ANC and outcome, majority were below 30 years of age (78.3%), belonged to lower caste (85.7%) and many were illiterate (42.8%). Out of all antenatal cases 68% got registered in 1st trimester and only 47% completed 4 ANC visit. Majority delivered in government hospitals (95.4%) with 22.8% delivered through caesarean section. Illiteracy was found to have significant association with higher gravida (>2) (p<0.001). The high risk factors were present in 29.5% of antenatal cases and it was found to be significantly associated with increasing age (p=0.02) and preterm deliveries (p<0.001). Twin pregnancy was also found to be significantly associated with increasing age (p<0.001).Conclusions: An ICT based community health information system can be an effective tool for real-time monitoring of health services, identifying the gaps and tracking of antennal cases especially in difficult to reach slum population.

scholarly journals Lessons Learned from Introducing a Village Health Registry in Malawi

2018 ◽  
Vol 10 (2) ◽  
Author(s):  
Prestor J Kubalalika
Keyword(s):  
Information System ◽  
Community Health ◽  
Health Information ◽  
Health Information System ◽  
Lessons Learned ◽  
Growth Monitoring ◽  
Full Potential ◽  
Ministry Of Health ◽  
Health Registry ◽  
Village Health

The Village Health Registry (VHR) was a community health data collection tool introduced in 1998. It was first introduced in Mwanza district of Malawi with the objectives of collecting community-based data, analysing and taking action in a local setting. The tool was collecting and updating data such as demography, immunization status for children under one year, growth monitoring for children under five, monitoring of all pregnant women, incidence of malaria, acute respiratory infections, diarrhoea cases, water and sanitation and deaths, by visiting households in every village every month.The tool was able to collect all targeted information as required. The data collected by the tool appeared to be more reliable than that obtained through a national information system used by the Ministry of Health (MoH) for the same district and the same year.  It was easy for health centres to accurately order supplies based on actual requirements, to follow-up cases during disease outbreaks and to identify deficiencies in immunisation coverage rates.Despite promising results, the VHR registry fell into disuse following the establishment of a national register.  The MoH’s Health Information System (HIS) data used projections which normally did not represent the actual situation on the ground while the VHR registry gave real physical data which was representative and verifiable. The potential of the VHR outweighed that of the HIS. Although the HIS had been rolled out nationally, there were shortfalls which MoH could consider rectifying to reach its full potential. In conclusion, the VHR was worth adopting as it would give MoH realistic statistics to be effectively used at all levels.Keywords: Village Health Register, Mwanza district, Ministry of Health, Community Health Workers, Health Information System. 

scholarly journals Process Evaluation on Community Health Information System in South-East Zone Tigray 2016

2020 ◽  
Author(s):  
Mesaud Mohammedbirhan Adem ◽  
Tesfay G Gebrehiwot ◽  
Mengistu H Tequar ◽  
Taddele W Awalom
Keyword(s):  
Health Care ◽  
Information System ◽  
Data Collection ◽  
Community Health ◽  
Health Information ◽  
Process Evaluation ◽  
Health Information System ◽  
World Health ◽  
Health Post ◽  
Implementation Status

Abstract Back ground: As per the world health organization (WHO), Health Information System (HIS) is one of the six building blocks of the health system. Nations establish their HIS as per their context. Generally HIS regarding data management (the ability to collect, store, analyze and distribute data) is limited in Sub Saharan African countries (1).However, literatures found were not able to show the magnitude of the problems of the program implementation status. As the result of the announcement of WHO “health for all”, global health initiatives started to improve community health aligned with millennium development goals which emphasized the need to strengthen the primary health care to decrease child mortality, improve maternal health, and combat HIV/AIDS, malaria, and other communicable and non-communicable diseases. So community health information System became public health issue in Ethiopia (2).Cognizant of the importance of health information Federal Ministry of Health (FMOH) started reform of health information system and monitoring and evaluation (M&E) components to solve the data collection, reporting gaps and to strengthen the information Utilization (2).As the result of the above scenario, FMOH started to strengthen the HMIS and its principles standardization, specification, integration so as to improve the data collection, summation, analysis and dissemination for decision and action. Here Community Health Information System was scaled-up along with HMIS (2). Community Health Information System (CHIS) was designed to standardize data collection and integrate data systems to provide relevant information for decision-making at the health posts and to feed the HMIS on a regular basis. Family folder is a pouch, which is the main part of CHIS, is a data collection tool designed by the FMoH for Health Extension Workers (HEWs) to document both individual and household level data to be utilized as a source of information at the grass root level(3)Unlike the health centers` and hospitals` in health post there were different types of unorganized registers which were used to collect information on services provided within a single health domain, sometimes requiring a large group of registers to cover all health domains related to population. In addition, there was no any mechanism to identify which group of people needs, which type of health care services .But family folder informs patient care through the data contained in individual and family records, identifies patients in need of care through a set of tickler files, and enables reporting through supplementary tally sheets and family folder cards. The overall design of the FF innovation was to simplify the workflow of the community health worker and focus health care delivery at the community level (4).Methods: The study focused on process evaluation, on the implementation of CHIS in South-East Zone in Tigray. South East Zone was purposely selected due to the short distance to Mekelle that indirectly helped to reduce cost. Process evaluation, normative evaluation approach was used; Quantitative data was used to assess the implementation of CHIS in south east zone Tigray. A descriptive evaluation designs also used to describe activities which the program carried out. The sampling area was health posts found in south-east zone Tigray which were randomly selected from the nearest kushet to the health post and the Sample size was 634 family folders & respective houses. The dimensions used for the evaluation were: availability, compliance, completeness and consistency. These dimensions were helped to assess the CHIS implementation status in the south-east zone in Tigray.Results: Generally the result of this study is very good (87.48%), the availability of CHIS tools is 88.7%, compliance 92.54%, completeness 95.8% & consistency is 68.16%. The availability of Inks & brushes was 29% which is very low. 30% of the HEWs were using field book as a replacement of FF, 64.7% of health posts used more than 10 parallel recording and 76.4 % of health posts used reporting formats. In some health posts there was difference between expected and actual households registered in family folder. The consistency of the data between family folder and master family index was 97.7% and between family folder and households was 80%.Conclusion & recommendation: the implementation status of CHIS is very good but TRHB & stakeholders should give attention to strengthen the program and to stop parallel recording & reporting tools and CHIS should be revised and transformed in to e-CHIS.

scholarly journals Evaluation on Recording and Reporting System of Maternal Child Health in SIKDA (Regional Health Information System) of Public Health Affair Surakarta

2017 ◽  
Vol 5 (3) ◽  
pp. 43-47
Author(s):  
Nopita Cahyaningrum ◽  
Farid Agushybana ◽  
Atik Mawarni
Keyword(s):  
Information System ◽  
Child Health ◽  
Community Health ◽  
Health Information ◽  
Community Health Centers ◽  
Reporting System ◽  
Health Information System ◽  
Health Centers ◽  
Maternal Child Health ◽  
Maternal Child

Regional Health Information System (RHIS) is an integrated Health Information System which effectively functions as data communication in a region. This system has been used since 2012. However, it has not shown best performance. Puskesmas (Community Health Centers) send their regular reports in the form of soft copy or hard copy. However, DKK has not verified the reports on the maternal child health regularly. Moreover, they retype the report to be sent to the Ministry of Health. It results in possibility of errors in its accuracy and validity. Thus, it requires further evaluation to improve the implementation of RHIS especially in recording and reporting maternal child health to the Ministry of Health. The objective of this research is to analyze the maternal child health data recording and reporting system in RHIS Surakarta.This is a qualitative research. Data were collected by deep interview and direct observation on the implementation of the RHIS. Object of this research is the recording and reporting system of Maternal Child Health in the RHIS DKK Surakarta. The main informant is the head and the staffs of SIMKES, midwifes coordinators of SIK in 6 Community Health Centers.The results of this study propose that improvement on human resources competences should be done regularly. The data of maternal child health are taken from community health centers. That is why, there should be proper policy on the reporting the data of maternal child health. The report sent should be filed in soft copy and hard copy. Nevertheless, the available data have been processed by community health centers and are accessible for public needs.This study proposes that the recording and reporting system of maternal child health data should be developed by improving the competences of human resources, decreeing operational policy, and providing standard operating procedure.

scholarly journals Systematic Review: Factors Associated with Implementation of Health Information Management in Community Health Centers

2020 ◽  
Author(s):  
Sri Umiati ◽  
Keyword(s):  
Information System ◽  
Community Health ◽  
Health Center ◽  
Health Information ◽  
Information Management ◽  
Community Health Centers ◽  
Community Health Center ◽  
Health Information System ◽  
Health Information Management ◽  
Network Speed

ABSTRACT Background: Community health center (puskesmas) management information system or often referred to as SIMPUS is a local health system aimed at providing health information at primary health care level. This health information systems have been implemented in many districts. However, their performance is yet to be improved caused by several factors such as a lack of human resources and hardware. This study aimed to investigate factors associated with implementation of health information management in community health centers. Subjects and Method: This was a systematic review by collecting published articles in open-access journals and proceedings from Directory of Open Access Journal, Elsevier, and Google scholar databases. “Health information system”, “implementation health information system”, and “evaluation health information system” were used as key findings. The selected articles were reviewed by meta-aggregate. Results: Previous studies reported that implementation of health information management in community health center faced several barriers, including (1) incomplete data, and (2) low monitoring and safety control. To implement health information management properly, the following components need to be fulfilled: (1) infrastructure availability (software, hardware, data safety, and internet network speed), (2) human source (user knowledge, experience, skill, accuracy), and (3) funds. Conclusion: Implementation of health information management in community health center is affected by infrastructure availability, internet network speed, user knowledge and experience, and funds. Keywords: health information management, community health center Correspondence: Sri Umiati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: [email protected]. DOI: https://doi.org/10.26911/the7thicph.04.48

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