The Community Health Information System (CHIS): delivering web-based customised healthcare using an AI-infused expert system

2010 ◽  
Vol 5 (3) ◽  
pp. 303
Author(s):  
Muhammad Razi ◽  
Kuriakose Athappilly ◽  
Alan Rea
2011 ◽  
Vol 29 (4) ◽  
pp. 313-319 ◽  
Author(s):  
Michelle T. Dang ◽  
Kimberley D. Whitney ◽  
Maria Catrina D. Virata ◽  
Melissa M. Binger ◽  
Elizabeth Miller

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

Author(s):  
D. S. Faujdar ◽  
Neha Dahiya ◽  
Har Ashish Jindal

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.


2018 ◽  
Vol 10 (2) ◽  
Author(s):  
Prestor J Kubalalika

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. 


2020 ◽  
Vol 5 (3) ◽  
pp. 1-11
Author(s):  
Moses Kwasi Torkudzor ◽  
Patrick Atsu Agbemabiese ◽  
Wellington Amponsah

Health Information System aims at improving and enhancing the delivery of quality, data availability and administrative effectiveness of people’s health. Medical record has come under severe threat as a result of the manual system of medical record keeping in spite of its important functions. This system of record-keeping involves taking down patient data on pieces of paper, which are put into files and kept in cabinets. In fact, this is an improper means of documentation resulting in loss and mismatch of patient data, and time wastage. It is alsocumbersome, bulky and consumes a lot of the office space. In this paper, a complete web-based health information system is designed to solve these problems so as to enable users handle details on policies efficiently and effectively. A test of the system over various network topologies reveals that time taken to move a packet and received acknowledgment for standalone, LAN, WAN and Intranet is 3ms, 4ms, 8ms and 10ms respectively. These short periods of time show faster and efficient delivery of health activities. The Web Based HealthInformation System thus provides significant benefit to institutions as it can capture data and store it in the developed database for future use. Citation: Kwasi, T. M., Patrick, A.A, Amponsah Wellington, A. Design and Implementation of a Web-BasedHealth Information System, 2020; 5(3): 1-11. Received: August 4, 2019Accepted: September 30, 2020


2020 ◽  
Author(s):  
Mesaud Mohammedbirhan Adem ◽  
Tesfay G Gebrehiwot ◽  
Mengistu H Tequar ◽  
Taddele W Awalom

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.


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