1. Health Management Information system in Nigeria
Dr AA Abubakar
Department of Community Medicine
Ahmadu Bello University Zaria
Nigeria

2. Learning objectives At the end of this lecture you should be able to:
Define Health Information system (HIS)
Describe the National HMIS in Nigeria

3. Introduction
Effective and efficient planning, monitoring & evaluation of health services depends on reliable data

4. Definition of HIS
A mechanism for the collection, processing, analysis and transmission of information required for organizing and operating health services and also for research & training

5. Historical development of the National Health Management Information System (NHMIS)
Since 1960s
FMOH medical statistics system in place: Health manpower, Hospital activities, mortality & morbidity data, records of birth & deaths in hospitals used to be published annually or quarterly
1988
Reorganization of the civil service led to creation of the Department of Planning, Research & Statistics
Adoption of the first National Health Policy which called for establishment of a national health information system by all levels of government

6. National HMIS Operational in 1999 Reviewed in 2004 Problems
Data collection forms not accurately & completely filled
Forms were complex & cumbersome
Reviewed in 2004
Health Sector Reforms highlighted the inadequacies of the NHMIS
NHMIS needed to be repositioned to track the Millennium Development Goals (MDGs)

7. Focus of the 2004 review of the NHMIS
Review of the NHMIS policy
Agreement as regards to the role & functions of the Technical Working Group that would provide technical assistance to the NHMIS process
Assessment & review of health indicators & health data systems

8. Focus of the 2004 review of the NHMIS 2
Revision of routine NHMIS forms, registers & manuals
Donor/Partners resource mobilization
Advocacy & sensitization at all levels of health care delivery
Training of stakeholders on NHMIS
Budgetary line & release of funds by all tiers of government for the NHMIS

9. Focus of the 2004 review of the NHMIS 3
Community Health information incorporated into the health facility based Health Information system
PHC information system streamlined into the HMIS to give a unified system

10. Goal of the NHMIS
The establishment of an effective NHMIS by all levels of government in the Federation to be used as a management tool for informed decision making at all levels

11. Objectives of the NHMIS
Provision of information:
To assess the health status of the population
To identify major health problems
To set priorities at LGA, state & national levels

12. Objectives of the NHMIS 2
To monitor the progress towards stated goals & targets of health services
To provide information for decision makers, those who provided data & the general public

13. Problems with the NHMIS
Finance
Shortage of staff
Shortage of materials
Inadequate coordination of data flow
Complexity & overlap of data collection instruments
Lack of feedback to peripheral levels
Huge backlog of unprocessed data

14. Revised NHMIS forms A. Routine Data collection summary forms
NHMS 000: Community based summary forms
used by community Village Health worker to summarize activities at monthly intervals
sent to the health facility through the Community Health Extension worker (CHEW)

15. Revised NHMIS forms 2 2. NHMIS summary forms 001A & 001B
Health facility community outreach forms
Used by the health facilities to summarize community outreach activities at monthly intervals
Aggregate transferred to health facility form 001

16. Revised NHMIS forms 3 3. NHMIS summary form 001
Health facility based forms
Used by health facility to summarize activities in the health facility at monthly intervals from a daily register
Sent to the LGA

17. Revised NHMIS forms 4 4. NHMIS summary form 002
Used by the LGAs to summarize data from all health facilities in their area at quarterly intervals
Sent to the SMOH, HMIS unit
5. NHMIS summary form 003
Used by the state to summarize data from all LGAs
Sent to the Federal NHMIS every 6 months

18. Questions ????