Professional Documents
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HuRIS and HMIS in Nepal
HuRIS and HMIS in Nepal
Sagar Parajuli
MPH (PHSM) Third Semester 2023
School of Health & Allied Sciences
Pokhara University
Presentation Outlines
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Information System in Health
HMIS
IPD FMIS
Types of Information System
Routine Information: HMIS EHRS LMIS
Disease Surveillance: EWARS, MDS
Logistics: LMIS EMRS HIIS
Routine
Financial Management: FMIS Health
Infrastructure: HIIS HFR Information PLAMAHS
Systems
Human Resource: HRH, TMIS
Assets: PLAMAHS HBIS HuRIS
Drug: DIN
EWARS TMIS
Ayurveda: AHMIS
DIN AHIMS
Insurance: HBIS
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Health Management Information System (HMIS) in Nepal
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HMIS: Origin and Development in Nepal (AD)
• HMIS Online reporting from D(P)HOs, HFs and LGs 2015 onwards
2015
• Revision of HMIS Tools
2020 • IHMIS Roadmap 2022-2030 approved by the cabinet
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HMIS: Major Milestones in Development
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Health Management Information System (HMIS) in Nepal
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Health Management Information System (HMIS) in Nepal
Key Features
• Online entry and reporting
• Data Access based on need
• Dashboard & Data visualizer
• Pivot table, GIS
• Data quality modules
• Event Capture
• Standard reports
• Feedback and messaging
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Institutional Framework for HMIS
Ministry of Health and
IHMIS Section responsible for HMIS in Nepal: Population (MoHP)
- Formulating policy and guidelines related to the national
level HMIS,
- Effective management of health information, Department of Health
- Integration of existing health system and Services (DoHS)
interoperability,
- Develop and modify indicators and reporting
mechanism, prepare annual report Management Division
Planning, monitoring and regulation section under
PHD responsible for overall health information
management in the province level. IHMIS Section
Health section under the local level
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HMIS Revision 2019/2020 AD
HMIS Recording and Reporting Tools before revision Updated: HMIS Recording and Reporting Tools
SN Sub no. Group SN Sub no. Group
1 1.1 -1.6 Common forms-6 1 1.1 -1.8 Common forms -8
2 2.1 – 2.7 Infants and child health-7 2 2.1 – 2.8 Infants and child health-8
3 3.1 – 3.7 Maternal and Neonatal
Health -7 3 3.1 – 3.8 Maternal and Neonatal
Health-12
4 4.1 – 4.3 Community services-3
4 4.1 – 4.4 Community services-4 Total Forms:73
5 5.1 – 5.6 Malaria, Kalazaar & 68 Recording
Total Forms: 73
6 6.1 – Tuberculosis -15
6.10 6 6.1 – 6.10 Tuberculosis -15
7 7.1 – 7.6 HIV/AIDS & STI-6 7 7.1 – 7.6 HIV/AIDS & STI-5
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Health Management Information System (HMIS) in Nepal
SN Previous Now
Program # % # of % %
indicators indicators change
1 Safe motherhood/MNH 36 13.6 47 12.8 30.6
2 Family planning 2 0.8 3 0.8 50.0
3 Female community health volunteers 10 3.8 7 1.9 -30.0
4 Primary health care outreach services 4 1.5 3 0.8 -25.0
5 Immunization 28 10.6 32 8.7 14.3
6 Integrated management of childhood illnesses 31 11.7 31 8.5 0.0
7 Nutrition 25 9.4 34 9.3 36.0
8 HIV/AIDS 24 9.1 16 4.4 -33.3
9 Tuberculosis 18 6.8 8 2.2 -55.6
10 Epidemiology and disease control (Malaria, Kalazar, 33 12.4 78 21.3 136.4
Leprosy, NCD & Mental Health, Injury)
11 Curative services 26 9.8 31 8.5 19.2
12 Health facilities(service availability, MSS, reporting 28 10.6 23 6.3 -17.9
and data quality)
13 RH morbidity- New Added 5 1.4
Population Program (OCMC/SSU/Geriatric)-New 46 12.6
Added
Health promotion and education-New Added 2 0.5
Total 265 100.0 366 100.0
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HMIS Role, Importance and Implications
Assessment of population health
Health Care Delivery monitoring
and evaluation
Program performance evaluation
Process Implementation
Evidence-based actions
Program and policy development
Resource evaluation
Health Alerts and Warning
Preparedness, planning and
readiness
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HMIS Role, Importance and Implications
Health System Strengthening
Human resource planning
Infrastructure and Health Facilities
Mapping
Development of targeted intervention
based on data disaggregation;
implications of need-based approach
Tracking National targets and global
commitments
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Critical Appraisal on HMIS
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Critical Appraisal on HMIS
Under Development
Information System
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Human Resource Information System
(HuRIS) in Nepal
Human Resource Information System
Employee Operations Job Design & Analytics Workforce planning Combination of all
Recruitment HR Functions Operational, Tactical
Benefits and Strategic HRIS
Compensation
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Human Resource Information System Functions
Personal Administration
Recruitment and retention
Time and Labor Management
Payroll Functions
Benefits Management
Performance Appraisal
Reward Management
Leave & Employee Services
Trainings Information
HR Analytics & Reporting
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Human Resource Information System Functions & Benefits
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Minimum Data Set for HRH Registry- WHO
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HuRIS in Nepal; Origin and Development
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Personal Information System (PIS)
Managed by MoFAGA
Originally access database for the whole
public sector.
Upgraded to a fully functional HRIS
database, using Oracle 9i and Redhat Linux.
Advantage of remote data capture
Implemented with WorldLink Technologies
Civil service wide system, devolved to
support the main aspects of human
resource administration.
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HuRIS vs PIS
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HuRIS vs PIS
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Critical Appraisal on HuRIS & PIS
Policy Commitment and New Initatives
Development of National HRH strategy Roadmap and IHMIS
Roadmap 2022-2030 prioritizing ‘need of strengthening human
resource information system’
Workload Indicators and Staffing Norms (WISN) piloting
Integrated HRH database i.e, iHRIS software implemented through
two professional councils (Nepal Pharmacy Council and Nepal
Ayurvedic Medical Council) with the plan to extend to other
remaining professional councils
Planning of information system integration and inter-
operationability
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Critical Appraisal on HuRIS & PIS
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Critical Appraisal on HuRIS & PIS
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Critical Appraisal on HuRIS & PIS
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Way Forward
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References
1. Health Management Information System [Internet]. [cited 2019 Aug 13]. Available from:
https://dohs.gov.np/information-systems/health-management-information-section
2. HR_MIS_assessment_september2011.pdf [Internet]. [cited 2023 Jul 27];Available from:
https://www.nhssp.org.np/NHSSP_Archives/human_resources/HR_MIS_assessment_september2
011.pdf
3. Improving the use of HMIS for Evidence Based Decision.pdf [Internet]. [cited 2023 Jul
27];Available from:
https://www.nhssp.org.np/Resources/EA/Improving%20the%20use%20of%20HMIS%20for%2
0Evidence%20Based%20Decision.pdf
4. NHSSP Achievements Learning and Future Approaches.pdf [Internet]. [cited 2023 Jul 27];Available
from:
https://www.nhssp.org.np/Resources/QuarterlyReport/NHSSP%20Achievements%20Learning
%20and%20Future%20Approaches.pdf
5. Health management information system [Internet]. [cited 2023 Jul 27];Available from:
https://www.slideshare.net/stephipoulose/health-management-information-system-60612975
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References
6. Integrated Health Information Management Section – Department of Health Services [Internet].
[cited 2023 Jul 27];Available from:
https://dohs.gov.np/integrated-health-information-management-section/
7. Health information system transformation framework for decision making [Internet]. 2021
[cited 2023 Jul 27];Available from:
https://www.slideteam.net/health-information-system-transformation-framework-for-decision-
making.html
8. Marasini B. Health System Development in Nepal. JNMA J Nepal Med Assoc 2020;58(221):65–8.
9. SHRESTHA MR. [Nepal]Present Progress of Information Technology in Health Care System of
Nepal. Jpn Med Assoc J JMAJ 2014;57(4):203–6. https://pubmed.ncbi.nlm.nih.gov/32335645/
10. DFID/Nepal Health Sector Programme III (NHSP 3), Framework for improved management of
health information in the context of federal governance structures in Nepal June 2017
https://www.nhssp.org.np/Resources/EA/Framework_for_Improved_Health_MIS_June2017.pdf
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Thank You!
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