1. Prepared by : 1.Dr. Ahmed AlQasmi 2.Mr. Salah Al-Muzahmi Information Management System in Emergency (IMSE) First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

2. Topics Health System in Oman IMSE components Strategies for improving data quality and use in terms of emergency responses First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

3. Health System in Oman Total area is 309.5 thousands Km 2 3% Plans 15% Mountains 82% Wadis & Desert 9 Governorates / Regions with 61 Wilayates 11 Health Regions Upper Middle Income Total Government Expenditure millions RO 6709.5 (≈US$17,382 millions) Per Capita GDP RO 5586.5 (≈US$14,472) Total Health Expenditure 2.4% of GDP Per Capita Health Expenditure RO 145 (≈US$375) (2007) MOH expenditure R.O. 104 – (2009) Source: Monthly Statistical Bulletin, Ministry of National Economy, volume 18(4), April 30, 2007

4. Health System in Oman … cont Public Health System –Government finance and provide health care and health services –Public health expenditure accounts for 80% of total health expenditure –Public inpatient services 98%, public dental services 41% and public outpatient services 81% –Government provides 93% of hospitals and 97.6% of hospital beds –Public health services has 78% of doctors 92.5% of nurses and 85% of other paramedics Ministry of Health is the main health Care provider Other health care providers: –Other Government –Private Sector

5. Health System in Oman … cont MOH Health Facilities 50 Hospitals (4549 beds) 21 EHC 69 HC with beds (144 beds) 72 HC without beds

6. IMSE Components: 3. Data Sources 1. Resources 2. Indicators 4. Data Management 6. Dissemination and Use 5. Data Quality

7. 1. Resources Legal, regulatory and planning Financial, Human Resources Infrastructure Coordination First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

8. 2. Health Indicators First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

9. 2. Health Indicators… Key Indicators are defined as Health Status Indicators * ; these include: –Demographic indicators –Socio-economic –Health Services –Human Resources –Health Care –Nutritional and Morbidity Indicators –Mortality Indicators First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

10. Health Indicators … cont List of indicators in disasters: –Case fatality rate –Cause-specific mortality –Child mortality rate –Crude mortality rate –Infant mortality rate –Maternal mortality rate –Under-five mortality rate –Incidence rates –Prevalence rates –Morbidity rates First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

11. 3. Data Sources Population-based: Census Civil registration Pop based surveys Health services based Health & disease Records Health service records Health administrative records First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

12. Set of procedures for the : collection, storage, analysis, and interpretation of Data Health Information Management System (Facility Based) Health Statistical Information (Facility based) Birth & Death Notification System Other notification Systems Other health care providers data bases 4. Data Management

13. Data management… Computer Hardware - focus on the needs - technical expertise required at all levels Computer Software - standard packages - specialized packages Capacity Building Maintenance Maps First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

14. 5. Data Quality Data collection method Timeliness Periodicity Consistency Representativeness Disaggregation Confidentiality, security and accessibility First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

15. 6. Dissemination and Use Strengthening information use practices: Use of evidence for decision-making, Standards and guidelines for information use First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

16. Strategies for improving HIS in terms of emergency response Decentralized HIS (data are available and usable in different level of health care). Coordinate with different health Program managers to make their products responsive to the nature of data usage in emergency and disaster. Regular updates of statistics required for emergency responses First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

17. Strategies for improving HIS in terms of emergency response…. Central Health information department in collaboration with environmental & Occupational health department and other end-users have the responsibility of setting standards, controlling quality and overseeing the use of information. Periodic assessment carried out to measure the extent of information use and to devise measures for improvement. First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

18. Strategies for improving HIS in terms of emergency response…. Strengthen evidence-base to inform management, health planners, health care providers. Improvement of tools for health data management and better understanding of their use in emergency and disaster response Increase dialogue between national, regional and international organizations and actors working in emergency and disaster response.

19. Strategies for improving HIS in terms of emergency response (Contd.): Make use of AlShifa program in health institutions and provide Electronic linkage between regions to ease the flow of data transfer, particularly during disasters. Introducing GIS in order to increase the efficiency of the Health information system (through integration) First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman

20. Thank You First National Course on Public Health Emergency Management 12 – 23 March 2011. Muscat, Oman