TANZANIA HEALTH MAGEMENT INFORMATION SYSTEM (HMIS) PRESENTED AT THE NATIONAL MNCH/HIV INTEGRATION STAKEHOLDERS MEETING 24 – 25 GIRAFFE HOTEL DSM BY: CLAUD JOHN KUMALIJA Ag. Assistant Director Monitoring and Evaluation (M&E)
Outlines Tanzania HMIS – Introduction to HMIS – HMIS Implementation status – Massages and Recommendations RCH Service Availability and Redness Assessment (SARA) – Family planning – ANC – BEmOC services – Immunization – PMTCT Services RMNCH Outcome Indicator Trends – Maternal Mortality Ratio (MMR) – Delivery in Health Facilities – New-born and Child Health
Tanzania HMIS HMIS is the National routine data system implemented in government and non Government Health facilities Currently the system implement revised new MTUHA tools and DHIS2 software DHIS2 is the national data warehouse for HMIS accommodate all RCH services and other vertical programs including HIV/AIDS, Malaria, TB and CCHP indicators
Average Regional Reporting Levels all HMIS Forms by January - June 2014 Source: DHIS2 July 2014
NoFacility Name Postn atal Labour and Delivery ANCDTC Child Healt h Family Plannin g IPDOPD PMTC T MC PMTC T PCR Tracer Medic ine Avera ge 1 Meru D. Council Mlele D. Council Kyela Council Masasi T. Council Mafia D. Council Ushetu D. Council Itilima D. Council Ruangwa D. Council Hai D. Council Kibaha D. Council Missenyi D. Council Mufindi D. Council Nyamagana M. Council Kilindi D.. Council Tarime D. Council Ukerewe D. Council Igunga D. Council Mbarali D. Council Ludewa D. Council Lushoto D. Council Best and Poor Performing Districts HMIS-DHIS2 Reporting January – June 2014
Use of HMIS/DHIS2 data. (Current evidence examples ) RMNCH Score card Result Based Financing (RBF) mHealth reporting Comprehensive Council Health Plan (CCHP) Big Results Now (BRN) MDG/MKUKUTA and HSSP III indicator tracking Health Program reports
Messages/Recommendations RCH supervisor assist facility staff on quality data collection. Ensure registers, tally sheets and summary forms are available and filled appropriately During supervision facilitate data summary report compilation for accuracy, completeness and timely reporting to district/council At district/Regional levels RCHco are requested to work with HMIS FP on data cleaning, supervise data entry and validation
Massages/Recommendations… Ensure feed back report is send to councils/facilities to encourage data quality utilization Mobilize implementing partners to support data collection through HMIS (Financially, TAs on planning, implementation assessing performances) Encourage RHMT/CHMT to discuss HMIS-DHIS2 data report on weekly bases and facility to use HMIS data for planning
RCH Service Availability and Reediness Assessment (SARA) 2012
Availability of Family Planning services Percent of family planning services Source: SARA Tanzania 2012
Readiness to provide ANC services 80% of Health Facilities offer ANC Services Source: SARA Tanzania 2012
Readiness to provide BEmOC services Basic Emergency Obstetric Care and new born 25 Source: SARA Tanzania 2012
Availability of child Immunization services Source: SARA Tanzania 2012
Key Message for PMTCT 78% of facilities offered PMTCT services More than 70% had staff and guidelines for PMTCT services Only 13% had the necessary equipment (auditory & visual) 44% overall, had medicines and commodities Readiness for PMTCT services was in 55% of facilities Source: SARA Tanzania 2012
RMNCH Performance Trend
16 The trend in the Maternal Mortality per 100,000 Live Births
17 The Trend of Delivery in Health Facilities
Trend in New-born and Child Health
Contraceptive prevalence rate, modern and other methods, among currently married women (%), TDHS 1991–2010