Strengthening his in lac global health council meeting may30 2007
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PAHO and Measure Evaluation Project collaborative work to strengthing Health Information System (HIS) in
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Strengthening his in lac global health council meeting may30 2007
- 13. Framework and Assessment Tools HMN Framework HMN Situation Analysis and Monitoring Tool (SAMT) PRISM Conceptual framework Monitoring process Successful experiences Key processes & Lesson learned Identification of determinants of positive HIS performance Diagnostic Tool Quality of Data Use of Information HIS Overview Health Facility Check List HIS Management Assessment Tool Organizational & Behavioral Assessment Tool (OBAT) Less detail more detail
- 16. Regional workshop to disseminate HIS Experiences
- 17. Virtual Collaboration & Sharing Tools HIS SharePoint Sites
- 18. Open Web Site for Disseminating Results http:// www.lachealthsys.org
Notes de l'éditeur
- Put in : Global Health Council May 31, 2007
- Strengthening of Health Information Systems is one of the priority areas for the Pan American Health Organization’s Strategic Plan 2003-2007. The development of solid and efficient health information systems are also part of the World Health Organization and Health Metrics Network working agenda .
- In 2004, MEASURE Evaluation and the Pan American Health Organization, formed a partnership first within the two organizations and later with the Ministry’s of Health from Mexico and Brazil, academic institutions and non-government organizations. In a second phase partnerships were also formed with the Ministry’s of Health in Honduras and Paraguay . The objective of the partnership was to strengthen health information systems in the Americas. Health Analysis and Statistics Unit (HDM/HA), Pan American Health Organization (PAHO) MEASURE Evaluation, Carolina Population Center, University of North Carolina (UNC), Chapel Hill USAID/LAC Ministries of Health and other Institutions from Mexico, Brazil, Honduras and Paraguay
- Health Information Systems Project Objectives: -Identify, document and disseminate successful experiences, key processes and lessons learned in two countries: Brazil and Mexico. These two examples provide insight into relative well functioning systems in the Region -Make available for other countries in the region a standardized framework, methods and tools in order to successfully monitor Health Information Systems performance Support the bases for instrumenting a Health Information Systems performance monitoring process that will facilitate the orientation of interventions more objectively Purpose: - Contribute to the strengthening and development of Health Information Systems in the Americas.
- Phases of the Project Phase 1. Document the two case studies, Brazil and Mexico. Both have consolidated systems and are relatively advanced, both use information produced effectively for decision making, each has its own specific characteristics. -Brazil: Unified health information system, well integrated and fairly sophisticated organizationally, operationally and technologically. -Mexico: While highly developed not at all integrated. High level of technological development but decentralized and fragmented. Phase 2. Promote, disseminate and provide technical assistance in instrumenting best practices for health systems development: -Instrumentacion of a performance monitoring system based on the Health Metrics framework and standardized tools as well as the PRISM conceptual framework and tools. PRISM stands for Performance of Routine Information Systems Management. -Disseminate results from the two case studies, of particular interests are the successful experiences, key processes and lessons learned so that national health authorities in neighboring countries can determine interventions based on this evidence.
- For those who do not know about HMN framework, it is about understanding all kinds of information systems, routine and non-routine, and their linkages with each other and with the health system. For more details consult HMN website …… PRISM stands for Performance of Routine Health information system management and identifies the performance of the system and its determinants. For more details go to MEASURE evaluation website
- First regional meeting where Partners and countries all came together to inter-change experiences and establish working relationships for future south-to-south technical assistance
- Example of tools used for collaboration among partners and countries
- Has this website changed?
- The partnership renewed interest in strengthening HIS, resulting in many other initiatives where initial partners continue to play a major role
- Participants need to perceive that the larger intersectoral collaborative process involves people with actual decision-making power, so that their input can be acted upon. To ensure its implementation, the plan needs the buy-in and support of other public, private and NGO sectors engaged in HIS An intersectoral collaborative group needs to take time early in the process to clarify its vision. This makes it easier to be explicit about what it is they are committing to, and helps avoid future confusion or misunderstanding. Their enthusiasm and interest in the underlying issues are critical factors in the success and impact of the endeavour.
- If this were easy to do all projects would have reached an advanced stage, although institutional interests and agendas can never be eliminated, participants have learned to manage them Projects have to tackle the issues that come up with an attitude of respect for local culture, politics and health system enivronment. The lessons that countries can learn form one antoher must be tailored to their own local conditions Releasing good information is a more effective route to change, early agreement on how the information will be used is essential, although the partners recognize that this consensus will be susceptible to change!