Current Information System. There is a health information system in the target area, though it does not sufficiently generate quality data. At the community level, there are community own resource persons (CORPS) trained by BASICS II and PDCs trained by UNICEF. On a quarterly basis, they collect multi- sectoral data that include latrine coverage, water and sanitation, housing status, school children enrollment, immunization coverage, agriculture and household income. Over the last one year, the UNICEF country program introduced an additional tool to capture data on deaths/births for under-fives. This information is compiled on a monthly basis. The data collected are used to inform the district on key household practices, mortality and morbidity trends including community critical needs to use for planning. During phase I, in partnership with DISH II Project, the project focused on training health workers in data collection, interpretation/ analysis and use but there was no refresher training and follow up and support supervision. This was supposed to be done by DISH II, which phased out before end of the CIMCI project thus leaving some gaps in the HIS which CIMCI Plus will address. At the health facility level, the Ntungamo Health Services uses the national MOH recommended HMIS forms. The forms capture data on care seeking of major diseases including those that relate to childhood illnesses (malaria, diarrhea, malnutrition, ARI and HIV-AIDS), health services utilization and human resources. Health workers collect data and send it to the health sub-district level. From the sub-district, it is sent to the district for basic analysis by the HMIS Officer and then to the MOH for detailed analysis and aggregation. On some occasions, health workers are provided with some skills to be able to use the data in decision-making. However, the health workers’ skills are not adequate enough and yet information use is also affected by delayed feedback at the national level. In addition to the HMIS data, the district carries out weekly diseases surveillance on notifiable and epidemic potential diseases to avoid possible widespread of epidemics. There is also on going health facility assessment by the MOH with support from WHO on an annual basis. Africare will supplement information collected from facility assessments by conducting formative/operations research described in this document. Africare will, in addition, and where necessary use the data from health assessments to formulate appropriate stra...
Current Information System. The current health information system (HIS) includes medical assistants (Feldshars) working in FAPs, and nurses and midwives working at Family Group Practitioner Centers. These personnel are responsible for submitting a detailed monthly report on their specific maternal and child health activities and cases. For maternal health, the data collected includes the name of each woman who delivered a baby in the catchment area, the age of the woman, date of childbirth, location of childbirth, gender of child, birth registration number from the local administration office, the date of the registration, the date of previous delivery, the name of the child and its birth weight. This information is compiled by the Chief family practitioners at the end of the month, and brought into the Health Information Center located at the Rayon’s Family Medicine Center. The Information Center’s HIS team (3 in the Aksy Rayon and 2 in Bazarkorgan), sits down with each family practitioner and goes over all the data and each report very carefully. Sometimes the Feldshar comes in with the family practitioner to discuss some of the information being submitted. For child health, immunization data on each child is kept in a family notebook, compiled and submitted directly by the nurse or midwife provider, and not by the supervising family practitioner – although the FGP does check this information before it is submitted. This information is submitted to the Rayon Sanitation and Epidemiology Station, not to the Information Center. For the outpatient treatment of the ill child or adult, the family practitioners complete a report on client visit and treatment provided. These particular reports are also sent on to the Information Center at the end of each month for health insurance coverage purposes. The FGP does not retain a copy at the center. This information is retained within a visit notebook at the center where service was rendered. The next level of reporting is done by the Rayon Health Information Center and Rayon Sanitation and Epidemiology Station. The prior produces a Quarterly Report compiling the 3-month activity per Chief FGP. This information includes the total number of births, number of deaths, number of deaths under age 14, number of deaths under 1 year, number of deaths under 2 years, mortality ratio per 1000 live births, early neonatal deaths (within the first 24 hours), and the number of deaths in the home. A written, detailed report on the cause of death is also done t...
