Stranded alone on an island essay. Evidence-based decision making is critically important for the appropriate use of scarce resources particularly in resource limited countries like Tanzania. Routine and specially commissioned monitoring of activity provided the channel for observational information in the district. Of these facilities, 5 were governmental and 6 non-governmental. Proportions of health workers with training, knowledge, positive attitude and utilized HMIS data in Kilombero district. The parameters recorded in booklet 6 antenatal services register included: In addition, task forces specially convened for the decision process also became channels for not only pooling information from various stakeholder experiences and expert knowledge, but also served as entry points for that information into the decision-making process.

Guldner and Rifkin observed from their field observations in Vietnam that data were being widely used to justify rather than clarify decisions. Our findings revealed a wide range of interlinked factors responsible for the inefficiency and ineffectiveness of the HMIS in Tanzania. To facilitate participant observation, the researcher negotiated for office space within the district health office and focused data collection in each district for 6 months each; that is 12 months in all. In fact, not only from the health centre staff but sometimes also from the community. Tracers are concerned with the elucidation of processes and are generally associated with the description of activities over time Barnard et al. Findings from this region indicate that the problem of under reporting is huge and is linked to lack of knowledge and practice among the health workers characterized by insufficient analysis skills, training and lack of initiative for using information [ 4 – 6 ]. Reproductive and child health; VDRL:

dissertation on hmis

The paper describes a comparative study of two district health systems in Zambia, and its main intention is to highlight one major implication of the study findings. Abstract At the onset of health system decentralization as a primary health care strategy, which constituted a key feature of health sector reforms across the developing world, efficient and effective health management information systems HMIS were widely acknowledged and adopted as a critical element of district health management strengthening programmes.


A total of 43 health care providers from 11 health facilities were interviewed.

HMIS , Government of Bihar, non uniformity, DEO/BHE

Tanzania Joint Health Technical Review Thus, there has been a deliberate movement to strengthen the management capacity of district health systems for instance, Cassels and Janovsky Our findings revealed a wide range of interlinked factors responsible for the inefficiency and ineffectiveness of the HMIS in Tanzania. These, it was felt, were sufficient to provide empirical insights into how the rural and urban contexts differentially affect managerial decision-making and decision-making processes, particularly in terms of information variety and volume, and decision-making activity.

Thus, the symbolic use of information directly defies the traditional logic of the functional value of information to the production process. Health management information system evaluation: These findings suggest a declining knowledge on this important system. District health managers referred to a variety of information forms in the course of strategic decision-making.

Abstract Of Health Stream Student

These three forms of presentation are briefly outlined here. Liebenau J, Backhouse J. A stratified random sampling technique was hmiss to obtain one hospital, one health centre and 9 dispensaries.

Integrated health infomation systems in Tanzania: Zambia’s district health system profile consists of two main types of district groups: Of these facilities, 5 dissertwtion governmental and 6 non-governmental. Reports from sub Saharan Africa indicate that vital health decisions, in this context, are made based on crude estimates of disease and treatment burdens [ 23 ].

Dissertation on hmis

In the cases of frequent incomplete records, the research team inquired about reasons for the incompleteness. Contemporary philosophy of organizational management information systems including HMIS is centred on formal structured information systems with, among others, specified formal encoding, transmission and decoding rules that govern those structures Liebenau and Backhouse ; Ward and Griffiths ; Boman et al.

First, the structure also recognizes the transitional linkages between the stages, and the activities that constitute these linkages. Last but not least, the author’s disaertation gratitude goes to Dr Steve Cropper, Centre for Health Planning and Management, Keele University, for all the support and academic guidance during the period of study. These three forms of presentation are briefly outlined here.


Dissertatioh coalitions and the dissertatikn of nutrition policy to Zambia.

Argumentative essay simple topics. Unstructured in-depth interviews were dkssertation with key informants on each strategic decision case traced. Each decision-making process was informationally distinct; as was each decision-making stage within a process.

Discussion Our findings revealed a wide range of interlinked factors responsible for the inefficiency and ineffectiveness of the HMIS in Tanzania.

dissertation on hmis

Email alerts New issue alert. In the second stage, the eight constructed decision process stories were structured. These services were not recorded in these booklets despite the fact that it was assumed that these important disserttion interventions had been given to the clients.

The “mailbox syndrome” is a dissertatlon whereby a crucial information generated at the health facility level is mailed rather than used locally for quality care improvement [ 16 ]. Disserhation total of 43 health care providers from 11 health facilities were interviewed. There appears to be no other immediate explanation for this distribution in the nature of traced decision processes, apart from the apparent inter-play between the tight decision process selection criteria, coincidence and the timing of the study.

The critical events principle helped identify key milestones or turning points in the decision case stories, dissertation were used for constructing the frame of the structure. Abstract Background The Health Management Information System HMIS is crucial for evidence-based policy-making, informed decision-making during planning, implementation and evaluation of health programs; and for appropriate use of resources at all levels of the health system. Novel evidence from Malawi.