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  • MINISTRY OF HEALTH

    RESOURCE CENTRE

    QUARTERLY REPORT

    JULY SEPTEMBER 2011

    Q1 Financial year 2011/12

    Compiled: 29th

    November 2011

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    Table of contents

    1.0 Introduction .............................................................................................................................. 3

    2.0 HMIS Reporting ......................................................................................................................... 4

    2.1 Completeness ........................................................................................................................ 4

    2.2 Timeliness .............................................................................................................................. 7

    3.0 Section Analysis ......................................................................................................................... 8

    3.1 Maternal and Perinatal conditions........................................................................................ 8

    3.2 Antenatal ............................................................................................................................... 8

    3.3 Maternity ............................................................................................................................. 11

    3.4 HIV/AIDS Counseling and Testing ........................................................................................ 13

    3.5 Essential Drugs, Vaccines and Contraceptives .................................................................... 14

    4.0 Quarterly League Table ........................................................................................................... 18

    4.1 Sorted by district ................................................................................................................. 18

    APPENDIX: ..................................................................................................................................... 25

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    1.0 Introduction

    The Health Management Information System facilitates data collection during health service

    delivery which is critical for tracking performance and trend analysis. The HMIS has the

    following categories of information: data on individual clients, information on curative services,

    information on preventive services, resource management e.g. inventories (staff list, health

    facility, equipment), logistics and commodities, finance / user fees and Village Health Teams

    (Integrated Community Case Management).

    The Ministry of Health Resource Centre is responsible for the collection, processing, analysis,

    and dissemination of national health data collected through the Health Management

    Information System (HMIS). The MoH Resource Centre is ensuring that quality and timely data

    is collected through the revised HMIS tools to facilitate decision making, policy formulation as

    well as accountability. The roll out and utilization of the revised HMIS tools by all the health

    facilities nationwide started in July 2011 and the process is still continuing. The Resource

    Centre has provided support to the district health teams and the health facilities throughout

    this reporting period to appreciate and correctly utilize these HMIS tools through trainings and

    support supervisions.

    This report gives an account of the reporting from the health facilities across the country for the

    period July September 2011. The activities from the functioning health units are reported

    using HMIS 105 and 108 for Outpatient and Inpatient, respectively to the districts. The district

    then aggregates the health unit reports within their respective districts into HMIS 123 and HMIS

    124 for Outpatient and Inpatient data, respectively.

    This report compares performance for the various indicators with previous quarterly

    performance. Also provided is the Quarterly District League Table for Q1 of FY2011/12

    Information in this report has been generated to reflect trends of certain diseases/ conditions

    in specific thematic areas like Malaria, Antenatal, Maternity, HIV/AIDS counseling and testing

    Maternal and perinatal conditions and Essential drugs, vaccines and contraceptives.

    In order for us to comprehend and appreciate the reporting status from the different districts in

    terms of completeness and timeliness, graphical presentations have been incorporated.

    The Resource Centre however still has a challenge of limited personnel who are dedicated to

    data entry, cleaning and supporting in the basic analysis. This has contributed to a backlog in

    the databank for reports to be entered in the electronic system especially for Inpatient data.

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    2.0 HMIS Reporting

    2.1 Completeness

    Table 1 below shows the extent to which the HMIS reports are submitted and captured in MoH-

    RC from the various districts across the country. The total number of districts as of Q1

    FY2011/12 is 112. All these districts are supposed to receive HMIS 105 and HMIS 108 reports

    from the various health units and aggregate them into HMIS 123 and HMIS 124, respectively.

    The HMIS 123 and HMIS 124 reports constitute information collected from the Outpatient and

    Inpatient sections of the health units, respectively. It can be observed from Table 1 below and

    Figure 1 below that Inpatient completeness in reporting is low as compared to Outpatient

    completeness in reporting with an average of 67% for inpatient and 87% for outpatient for this

    reporting period

    Table 1: Reporting Trends 2010/2011

    Reporting Trends 2010/2011

    Q1

    2010/11

    Q2

    2010/11

    Q3

    2010/11

    Q4

    2010/11

    Q1

    2011/12

    % OPD Completeness 90 86 96 94 85

    % IPD Completeness 74 62 87 86 80

    % of HFs Reporting OPD 94 94 92 94 91

    % of HFs Reporting IPD 75 86 83 82 73

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    Figure 1: Reporting Trends FY2010/2011 and Q1 FY2011/12

    74%

    62%

    86%80%

    94% 94% 94%91%

    86%83%

    73%

    92%

    0%

    20%

    40%

    60%

    80%

    100%

    120%

    Q1

    2010/11

    Q2

    2010/11

    Q3

    2010/11

    Q4

    2010/11

    Q1

    2011/12

    Quarters

    Pe

    rce

    nta

    ge

    % OPD Completeness % IPD Completeness % of HFs Reporting

    OPD

    % of HFs Reporting

    IPD

    Furthermore on the results above, the proportion of health units reporting for Outpatient

    (average=93%) is consistently higher that for Inpatient (average = 80%) as seen in Fig 1 above.

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    Figure 2: Outpatient Reporting per month

    Figure 3: Inpatient Reporting per month

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    Figure 2 and 3 above show the trends in number of reports for Outpatient and Inpatient

    respectively by month from July 2010 to September 2011 the end of this reporting period.

    2.2 Timeliness

    The timeliness of reporting in HMIS is derived from the reports received and compared to the

    date at which the report was submitted and received at MoH-RC through any means (hand

    copy, email/electronic, faxed/scanned, etc...) and the expected date for these reports to be

    submitted that is 28th

    of the following month for HMIS 123 and HMIS 124. The computation is

    independent of the districts who never submitted reports but dependent on reports submitted.

    Figure 4: Outpatient & Inpatient Reporting Timeliness FY 2010/11 and Q1 FY2011/12

    All efforts have been undertaken by the MoH-RC team to encourage the District Heath Teams

    through the DHOs and district biostatisticians to compile and submit these reports in a timely

    manner.

    From Figure 4 above, it can be seen that for Inpatient and Outpatient timelines, the trend

    evolves almost similarly. This is expected because in most cases the district

    biostatisticians/HMIS focal persons compile and submit these two reports together. Its only in

    a few cases where report submission for HMIS 123 and 124 are different in time. Furthermore,

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    for reports that have been submitted over time per month the trend shows an improvement in

    timeliness reporting.

    3.0 Section Analysis

    3.1 Maternal and Perinatal conditions

    In this section we present a view of the total cases reported from Q1-2010/11 to the current

    quarter Q1-2011/12 for abortion and Malaria in pregnancy. There is decline in the number of

    abortions reported from the previous quarter 67883 to the current quarter 51235. The malaria

    cases in pregnancy have also reduced from an average of 13500 to 9880 in the current

    reporting period.

    Figure 4: Trends of Malaria in Pregnancy and abortion for the periods given below

    3.2 Antenatal

    This section