The HMIS in most developing countries are inefficient and are greatly affected by unreliability of data resulting from underreporting [ 1 ]. Again, in this study, routine HMIS was taken to constitute two components: These information forms attach themselves to various organizational management processes and key aspects of organizational routine. Data collection, processing and analysis Data collection was carried out by the author and 4 research assistants. Pre-publication history The pre-publication history for this paper can be accessed here: Lusaka is the capital city of Zambia; while Monze is a rural district in Southern Province, about miles south of Lusaka.

The study was designed as a multi-level, qualitative comparative case study and was conducted in Zambia, where health sector reforms have involved a significant delegation of decision-making responsibility to district health systems Mutemwa Routine supervisory visits to health centres provided a channel for gaining verbal and written information. Information Technology for Development. At decentralization, the Ministry of Health retained the national-level sectoral strategic functions of health policy and planning, finance and budget, legislation, advocacy and international co-operation Bergman ; MOH Bodart C, Sapirie S. The underpinning primary health care notion is that decentralization thrives on the essential involvement of primary-level health management units in the delivery of health services WHO This article has been cited by other articles in PMC.

DHMT members, as executive custodians of strategic decision-making at district level, were involved in the discursive process of recalling, suggesting and listing strategic decision-making processes, historical and on-going, which would be traced in each district. In Zambia’s decentralized health system structure, there is separation of policy and executive functions in health service provision. Local strategic decisions are central to the definition of district health management capacity and the determination of district health system sustainability, in decentralized health systems Mutemwa In other cases, the solution was nothing more than a simple disseetation of inter-related intervention activities on a one-page internal memo on file or even listed in meeting minutes as recommendations for action.

Conclusions This research has revealed a state of poor health data collection, lack of informed decision-making at the facility level and the factors for change in the country’s HMIS.

dissertation on hmis

How to start coursework. A study into expectations of peripheral health care managers from the introduction of HMIS in the Mbeya region of Tanzania.


All the eight strategic decision-making processes traced in the study exhibited an identical developmental structure. The underpinning primary health care notion is that decentralization thrives on the essential involvement of primary-level health management units in the delivery of health services WHO Assessing distance learning systems for training health workers in Tanzania.

dissertation on hmis

Thirdly, as Tables 234 and 5 indicate, written information was either from routine HMIS or occasionally commissioned formal investigative research or enquiry report documents that are in dizsertation within the district health office. Received Dec 17; Accepted Jun Experiential and training forms of information are widely acknowledged in the literature as well for instance, Simon ; Melone Administratively, the ministry of health is the main coordinating body for health information in the country, the regional level is responsible for coordinating activities in the districts and the districts are responsible for coordinating services delivery activities at the health facility levels.

The three hmiss criteria served as a backdrop to the participatory process.

Dissertation on hmis

It suggests need for new innovations including incorporation of HMIS in the ongoing reviews of the curricula for all cadres of hmid care providers, development of more user-friendly system and use of evidence-based John Kotter’s eight-step process for implementing successful changes in this system. These three forms of presentation are briefly outlined here.

Methods A cross sectional descriptive study was conducted in 11 heath facilities in Kilombero district between January and February Received Dec 17; Disxertation Jun The overall goal of this system is to optimize the performance of health services at all levels of administration through the timely provision of necessary and sufficient information needed by the health managers to monitor, evaluate and plan their activities [ 78 ].

It attempts to link the required changes in the HMIS and the evidence-based John Kotter’s eight-step process for implementing successful changes in any organizations [ 11 ].

ASN designed the study, was involved in data collection and the analyzed the data and wrote the manuscript.

Xissertation health facilities were as far as km from the district headquarters and are expected to provide all primary health care services, refer complicated cases and complete the relevant booklets. Experiential and training information existed in the memory stores of the district managers making the decisions.


Methods Study area and design Tanzania is divided into 25 administrative regions that are subdivided into districts that are further subdivided into divisions, wards and villages. Although they were generally positive they needed a better system.

Dissertation on hmis

A semi-structured questionnaire was used to interview 43 health workers on their knowledge, attitude, practice and factors for change on HMIS and HMIS booklets from these facilities were reviewed for completeness. Hmos, this paper will not cover the second objective due simply to the complexity of the dynamics involved in the micro-processes.

Direct observation took the form of participant observation, the researcher attending and witnessing decision-making sessions without taking active part, but with his status as a researcher known to the actors. In fact, not only from the health centre staff but sometimes also from the community.

dissertation on hmis

The lack of clear understanding of the purpose, users and flow pattern of health data collection was linked to poor quality of data collection and suggests that decision-making in the country health system may be less than adequately informed. An urban district health service will typically ob a district health office, one or more referral hospitals, and a significant number of urban health centres distributed among the urban and peri-urban communities.

Sign In or Create an Account. Health management information system evaluation: Consent to access data sources was also a continuous part of the research process, and was obtained both institutionally, whenever necessary, and from individuals whose personal insight on specific issues was sought through interviews from time to time.

Evidence from the eight strategic decision-making processes traced in the study confirmed the existence of different forms of information in the organizational environment, including that provided by the conventional HMIS.