MIS

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MIS

• Dr. Ejaz Ahmad Khan
• Health Services Academy

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At the end of the session , the Participants
should be able to

• Understand the existing MIS internationally
• Interpret the strength and weaknesses of the
  systems
• Conceptualize Theory versus Practicality

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Learning MIS?Participants on Board

• What is Information System?
• Can we manage without information system?
• Why is it necessary to have an MIS?
• What can be possible methods?
• Examples

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Example Hardware Framework
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HEALTH MANAGEMENT INFORMATION SYSTEM

• The HMIS has been defined as a system that
  provides an appropriate information support to
  each decision making level of the health care
  delivery system.

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MIS Application

• Communication for better management
• Effective Communication
• Flows of Communication
• Communication Networks
• Characteristics of information
• Quantity of information
• Quality of Information

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Sharing the Information

• COMMUNICATION

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Contd..

• Information is data which has been organized
• Communication is transmission of information
  (conveying meanings to others), added with
  feelings and other human elements

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Contd..

• Communicate Make known, Announce, Break the
  news, Advise, Transmit, Bestow
• When managers communicate one or combination of
  the following occurs
• information transmission
• motivation
• control
• emotive expression

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Effective Communication

• Desire of communicator (values and expectations)
• Understanding of how others learn
• Receivers clarity about purpose
• Manner according to content, importance, and
  complexity of intended message
• trust of receiver on sender (ascribed and
  achieved credibility)
• time frame (availability and allocation)

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Contd..

• For Instance.

Encode
Decode
Sender
Message
Receiver
Feedback
Barriers
Barriers
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Flows of Communication

• Downwards (info, verbal orders, instructions)
• upward flow (reports, complaints, proposals)
• Horizontal and Diagonal (interdependence)

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Communication Networks

• Chain (follows authority relationships)
• Y-shaped (2 to 1 reporting)
• Wheel pattern (4 to 1 reporting)
• Circle pattern (1 to 2 reporting)
• All-channel (wheel with all to report to each
  Other)

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Information

• Information is data which has been organized
• Information is the content of communication
• Information tends to be formal, abstract and
  impersonal, when feelings and other human
  elements are added to transmission of information
  , it is called as communication

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Characteristics of information

• Reach relevant persons at right time
• Reduce uncertainty for making decisions
• Assist relevant persons to act on it

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Quantity of Information

• Neither too much nor too little
• Information generation implies costs (time money
  and energy)
• Paradoxically less information lead to higher
  quality costs
• Desired quantity of information is a balance with
  tradeoffs (difficult but inevitable)

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Quality of Information

• Exact, Authenticated, well-timed
• Should comply Oriented in time , place and
  person
• Reliable and Validate-able
• Meets the international standards

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Information without meaning for receiver is
nothing but noise, energy and time (wasted)
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Classification of Information

• Action Vs Non-action
• Recurring Vs Non-recurring
• Documentary Vs Non-documentary
• Formal Vs Informal
• Historical Vs Future projections

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Designing an Information System

• What info should flow?
• To whom it should flow?
• When or at what frequency?
• How and through what channel?
• Who will do what?
• How it will be put together and summarized?
• How and when it will reported and to whom?

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Health Sector Related MIS

•      Ministry of Health.
•       National Programme for PHC and FP
•       Expanded Programme of Immunisation.
•       Acute Respiratory Infections Control
  Programme.
•       Malaria Control Programme.
•       National Tuberculosis Control Programme.
•       AIDS Prevention and Control Programme.
• Ministry of Population Welfare.
• Local Bodies (Municipal Corporations)
• Census and Surveys

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Relationships and Flow of Information in the
Different MIS
Federal Director General Health
National Programme Managers, EPI, Malaria, AIDS
National Programme Managers, NP-PHC/FP
Provincial DG Health Services
Provincial Programme Managers, EPI, Malaria, AIDS
Provincial Programme Managers, NP-PHC/FP
Divisional Director Health Services
District Health Offices
District Programme Implementation Unit
(NP-PHC/FP)
First Level Care Facility
LHW
Vaccinator/ CDC
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Problems

• Data is often delayed and is not analysed
  promptly
• Weak Vital Event Registration System
• Multiple information systems organized through
  public health programs work independently
• Dis-integrated Hospital-based information
• Missing information about private sector
• Quality of information generated not reliable
• Non-utilization of information at micro and macro
  levels
• MIS component missing from regular training and
  education programmes.
• The current information systems is becoming
  difficult to sustain given the available level of
  financial and human resources.

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Challenges

• User-friendly computerization
• Electronic info. sharing
• Incorporate new technology (GIS)

Priority Areas
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THANK YOU VERY MUCH

• Please Go on to your Class Exercise after a Ten
  Minutes Teasing and Relaxing