1. HMIS
ADHS, HQ, Mumbai

2. Important Softwares Subject Software HMIS DHIS 2 - State Specific
HMIS Portal – GOI
MCTS
MCTS – GOI
Drug
Inventory
E-Aushadhi – State Specific

3. Same Facility Master for both Software
HMIS Software
DHIS2
State Specific – All Programmes
Designed as per Bureau requirement
Data Entry for all Institutions (SC/PHC/Hospitals/Other)
Reports
GOI Reports for uploading
All types of reports & Programme Specific reports
HMIS National Portal
GOI FBR – Mandatory
Only report uploading (facility reports generated from DHIS2)
GOI Evaluation as per National Portal Data
Same Facility Master for both Software

4. DHIS2 FBR SC PHC Hospitals/Corp./Dist.level reports
State Software
GOI & State Requirement
Users -Facility/Dist/Circle/Bureaus
Data entry Sets & Reports
FBR SC
Manual Report 1st of every month
DHIS2
PHC
3-5th of every month
Online/Offline
Data Entry SC & PHC
Hospitals/Corp./Dist.level reports
3-5th of every month
Online Data Entry
Hospitals/Corp/Mcl
District level data entry DMO/NPCB

5. Downloading Report for GOI Portal & Save
DHIS2
Facility Level
Data entry Complete
Validation Check
&
Report Correction
Downloading Report for GOI Portal & Save
State Specific reports can also be downloaded

6. GOI Portal Block Level Block Reporting Status Data Quality Check
Validation Errors, Outliers & Critical Data
Block Forwarding Facility wise reports

7. Validation Errors, Outliers & Critical Data
GOI Portal
District Level
District Stock
Entry
District Forwarding
(i.e. District Final)
Dist. Reporting Status
District
Compilation
Data Quality Check
Validation Errors, Outliers & Critical Data

8. Validation Committee Meetings - District / Block / PHC /SC level
Sr. No.
District
Sub-centres
PHC
Taluka
Total Inst.
No. Held % 1
Thane
491
391 80 78
100 13 2
Raigad
288
287 52 15 3
Ratnagiri
378 67 9
Thane circle
1157
1056 91
197 37 4
Nashik
577
 568 98
103
103 
15 
1000 1  5
Dhule
232
231 41 40 6
Nandurbar
290
290  58
58  6  7
Jalgaon
442
 431 77
77  8
A'nagar
555
554  96
96  14
14 
Nashik circle
2096
 2074 99
375
374  54
54  5 
Pune
539
512 95 10
Solapur
427 11
Pune circle
966
939 97
173 24

9. Sub-centres PHC Taluka
Sr. No.
District
Sub-centres
PHC
Taluka
Total Inst.
No. Held % 11
Satara
400
388 97 71 69 9 82 1
100 12
Kolhapur
413
405 98 73 68 93 13
Sangli
320
311 59 58 10 14
Sindhudurg
248
236 95 38 8
Kolhapur circle
1381
1340
241
233 41 39 4 15
Aurangabad
279
 279 50
50  9  1  16
Jalna
213 40 17
Parbhani
214
207 31 18
Hingoli
132
132  24
24  5 5 
Aurangabad circle
838
831 
145
145 
31  4  19
Latur
252 46 20
Osmanabad
206
202 42 21
Beed
280
257 92 22
Nanded
377
371 65
Latur circle
1115
1082
203 45

10. Sub-centres PHC Taluka
Sr. No.
District
Sub-centres
PHC
Taluka
Total Inst.
No. Held % 23
Akola
178
174 98 30
100 7 1 24
Washim
153
144 94 25 6
Amravati
332 56 14 26
Yavatmal
435
431 99 63 61 97 16 27
Buldhana
280
270 96 52 13
Akola circle
1378
1351
226
224 5 28
Nagpur
316
 316 49
49 
13  1  29
Wardha
181
175 8
Bhandara
193 33 31
Gondia
238 39 32
Chandrapur
339 58 15
Gadchiroli
376
352 45 12
Nagpur circle
1643
1613 
251
251 
63  6 
State Total
10580
10286 
1811
1800 
353
349 
33 

11. Validation Committee Meetings - Hospitals
Sr. No
District RH
SDH WH
DH/CS
Total Inst.
No. Held % 1
Thane 14 10 71 5 4 80 1 
100 3 2
Raigad
Ratnagiri 8
Thane circle 32 28 88 11 91
Nashik 23
Dhule 6
Nandurbar
11  2  7
Jalgaon 17 15
A'nagar
 22 96
Nashik circle 79
 76 13
13  4  9
Pune 20
Solapur
Pune circle 33

12. Sr. No.
District RH
SDH WH
DH/CS
Total Inst.
No. Held % 11
Satara 15 13 87 2
100 1 12
Kolhapur 16 4
Sangli 14
Sindhudurg 7 3
Kolhapur circle 51 49 96
Aurangabad 10
10  3  1 
Jalna 8 8  17
Parbhani 6 18
Hingoli
Aurangabad circle 27
 27 7   2 2   4 19
Latur 20
Osmanabad 21
Beed 22
Nanded
Latur circle 39 4 

13. Sr. No.
District RH
SDH WH
DH/CS
Total Inst.
No. Held % 23
Akola 5 5 
100 1 24
Washim 7 7  25
Amravati 9 4 26
Yavatmal 13 3 27
Buldhana 12
10  83 2  2
Akola circle 46 44 96 10 2  28
Nagpur 29
Wardha 6 30
Bhandara 31
Gondia 32
Chandrapur 11 33
Gadchiroli  9 3  1 
Nagpur circle 51
41  80 50
State Total
358
337  94 82
 79
11 
 32 97

14. 2014-2015 April 2014 Facility Based Reporting Defaulter Facilities

18. (21/05/2014)

19. HMIS National Portal

20. Data Elements Showing Increase
Year wise Comparison
Data Elements Showing Increase %
Total number of pregnant women Registered for ANC
2,177,106
2,159,123
0.83
% 1st Trimester registration to Total ANC Registrations
60.9
59.9
1.0
% Pregnant Woman received 3 ANC check ups to Total ANC Registrations
80.5
74.1
8.6
% Pregnant women given 100 IFA to Total ANC Registration
75.8
58.8
17.0
% SBA attended home deliveries to Total Reported Home Deliveries
75.5
28.4
% Women discharged in less than 48 hours of delivery to Total Reported Deliveries at public institutions
37.7
35.3
2.4
% C-section deliveries (Public + Pvt.) to reported institutional (Public + Pvt.) deliveries
14.9
14.8
0.7
% Newborns having weight less than 2.5 kg to Newborns weighed at birth
16.5 16
0.5
% cases of Pregnant women with Obstetric Complications and attended to reported deliveries
9.3
6.7
2.6
% Complicated Pregnancies treated with IV antihypertensive/Magsulph injection to Total  Women with Obstetric Complications attended
14.6 12
% Post Partum Sterlisations to Total Female Sterilisations
14.5
13.8
% IUCD insertions in public plus private institutions to all family planning methods ( IUCD plus permanent)
42.4
39.2
3.2
% Infants 0 to 11 months old who received Measles vaccine to reported live births
115.5
103.6
11.9

21. Data Elements Showing Decrease
Year wise Comparison
Data Elements Showing Decrease %
% Pregnant women received TT2 or Booster to Total ANC Registration 80 83 -3
% Pregnant women having severe anaemia (Hb<7) treated at institution to women having hb level<11
2.6
5.6
-3.0
% Institutional Deliveries to total ANC registration
71.9
81.9
-10.0
% C-sections conducted at public facilities to Deliveries conducted at public facilities
11.2
13.3
-2.1
% Women receiving post partum check-up within 48 hours of delivery to Total Reported Deliveries 60
61.8
-1.8
% Women getting Post Partum Checkup between 48 hours and 14 days to Total Deliveries
26.6
33.2
-6.6
% Newborns weighed at birth to live birth
94.2
97.2
% Newborns breast fed within 1 hour of birth to Total live birth
87.1
91.3
-4.2
% newborns visited within 24hrs of home delivery to total reported home deliveries
64.3
73.9
-9.6
% Male Sterlisation (Vasectomies) to Total sterilisation
3.3
3.4
-0.1
% AYUSH services provided to Total Patient Services ( Ayush, Dental, Adolscent Counselling)
76.9
85.1
-8.2

22. Districts Indicating Increase Districts Indicating Decrease
Total Number of Pregnant Women Registered for ANC
Districts Indicating Increase
Aurangabad
26.27
Pune
21.92
Bhandara
18.79
Chandrapur
11.88
Districts Indicating Decrease
Nashik
-9.93
Ratnagiri
-10.65
Amravati
-12.80
Brihan Mumbai
-17.70
Raigad
-19.64

23. Total Number of Pregnant Women Registered for ANC

25. % Newborns having weight less than 2.5 kg to Newborns weighed at birth

26. % Institutional Deliveries to total ANC registration
Facility Based reporting - Verification

27. FP Quality Indicator (Critical Data - GOI)
– Deaths following Sterilization Operations

28. AEFI - Abscess
(Critical Data - GOI)
Reporting Error

29. AEFI – Deaths
(Critical Data - GOI)

30. Childhood Diseases
(Critical Data - GOI)

31. Outliers - 2013-2014 S.N. Outlier Month State Defaulter district 1
Death Causes not known
May
340
Washim-237 2
AEFI abcess
August
2830
Nashik 3
No. of wet mount tests conducted
September
1209
Pune-276, Mumbai- 459, Hingoli-387 4
Diphtheria 67
Gadchiroli-33, Yavatmal-28 5
No. of mothers paid JSY incentive for Home deliveries
November
4367
Amravati-194, Dhule-199, Nandurbar-479, Nashik-444, Thane- 2331 6
Gynecology- Hysterectomy surgeries
4374
Bid- 3633, Parbhani-194 7
NSV At Private facilities
December
225
Buldhana-88, Yavatmal-46 8
Vit A Dose 5
February
310,391
Ahmednagar-25314 9
Vit A Dose 9
314,784
Ahmednagar-24744 10
Measles
1163
Hingoli-520

32. Outliers - 2013-2014 S.N. Outlier Month State Defaulter district 11
No. of children provided free glasses
February
7001
Amravati-257, Aurangabad-269, Bhandar-321, Bid-456, Gadchiroli-539, Gondiya-560, Thane-1238, Washim- 1260 12
HIV tests Female Non ANC Positive
2746
Bid-1661, Thane-589 13
HIV tests Female ANC Positive
2714
Bid-1923, Jalgaon-129, Yavatmal-121 14
No. of MTPs conducted at Public Insti. upto 12 weeks of pregnancy
March
6751
Ahmednagar-157, Mumbai-2866, Klhapur-201, Nagpur- 137, Nashik-273, Pune- 609, Sindhudurg-180 15
No. of complications foll. sterilization MALE 10
Jalgaon-8 16
No. of complications foll. sterilization FEMALE 35
Jalgaon-16, Yavatmal-11 17
Tetanus others 8
Raigad-7 18
Measles
1138
Raigad-105, Nandd-80, Jalna-295, 19
In-Patient Head Count at midnight
557,985
Amravati-77310, Bhandara-20665, Mumbai-88278

33. FBR Performance
March 2013
(Reporting %)

36. IPD - Public Facilities – March 14DH
SDH
CHC
PHC
No of Facilities 61 82
380
1811
Facilities with NIL Performance 10
(9 Cor+1WH Osm) 27
252
Overall Average
1426
544
387 52
Maximum
5380
2123
1358
4359
Minimum
162
133 2 1
Facilities Below Average 18 53
321
1113

39. DHIS2 and GOI HMIS Portal
IMR & MMR Analysis
DHIS2 and GOI HMIS Portal
Indicators
Maharashtra
India
DHIS
GOI Portal
Std. Surveys
Still Birth Rate (Comparison)
14.8
14.83 -
Still Birth Rate (Actual)
14.58
14.61
Maternal Mortality Ratio
106
75.8 87
(SRS )
178
Infant Mortality Rate
16.93
6.1 25
(SRS 2013) 42

40. Observations – MMR & IMR
Objective
– To study the trend in Portal data
Steep decline from April 2013 to Feb 2014.
Sharpest decline – Oct.13 onwards
Coincides with shifting to FBR in the State
Decline due to low FBR line listing deaths
GOI indicated lower Mortality Reporting

41. Line Listing Deaths Reporting % - March 14.
More than 50%
Wardha 83
Gondia 81
Hingoli 71
Chandrapur
Raigad 69
Akola 64
Satara 61
Sindhudurg
Solapur 50
Less than 20%
Yavatmal 19
Buldhana 18
Latur 16
Parbhani 15
Aurangabad 12
Thane 10
Jalna 7
Mumbai

42. What is to be achieved ? Strengthening HMIS at all level
Supervision by MO/THO/RCHO/Dist.& Circle level officials
Data Quality improvement
Timely monitoring / correction of Critical Data elements
Finalization of facility / block / district reports in the same reporting month
Emphasis on GOI HMIS Portal data for analysis