Two-day workshop on “Strengthening divisional HMIS” in Khulna Division
Date: 24 April – 25 April, 2016
Venue: Conference Room, Khulna Divisional Health Office
A two-day workshop was organized by MIS, DGHS with key stakeholders supporting strengthening divisional MIS for Khulna division from 24 April to 25 April, 2016 in Conference Room, Khulna Divisional Health Office from 9.00 AM to 5.00 PM. The workshop was supported by DGHS, UNICEF, GIZ, icddr,b EU-supported project ‘Strengthening Health,Applying Research Evidence (SHARE)’
The main objective of this workshop was to increase district health managers’ capacity of use and interpretation of data and present their current situation based on DHIS2 data.
Day-1
Registration and inauguration
Participants: Civil surgeons from Khulna, Jhenaidaha, Jessore, Chuadanga, Kustia,Meherpur,Satkhira, Narail,Bagerhat and Magura, Superintendent from district hospitals, MOCS from all CS office , Statistical Asst. from all CS office and 250 bed hospital Kustia and Jessore, RMO from Sadar hospital.
The two-day HMIS workshop started with registration and inaugural session. The inaugural session was chaired by Dr. Md. Masum Ali, Director Health, Khulna Division. Then welcome speech was provided by Dr. Abdul Matin Sarkar, Deputy Director, Director Office Khulna. Objectives of the workshop were presented by Dr A.T.M. Iqbal Anwar, Scientist and Project Director, Health System and Population Studies Division, icddr,b. In his speech he expressed the key objectives of this workshop. He said that strengthening divisional MIS will bring change in the management of health delivery system and the health manager should be on board to use information technology. He also emphasized on the accuracy and timeliness of the data so that the managers can properly interpret routine HMIS data and can make the proper decision on time.
Video message from Prof. Abul Kalam Azad
A video message from Professor Dr. Abul Kalam Azad, Additional Director General (Admin) & Director, Management Information System (MIS) was shared at the beginning of the session. In the video message he emphasized on evidence-based policy making using the DHIS2 for the divisional and district level health managers. In his speech he provided some examples so that managers understand how to take decisions using this system.
Overview of MIS
Overview of MIS, DGHS was presented by Md. Asaduzzaman Siddique, Assistant Programmer, MIS, DGHS. In the presentation he provided brief description of all the HMIS applications and its use.
HMIS concept and indicators
Mr. Mohammad Ullah, Technical Advisor-Health, GIZ presented HMIS concept and indicators. He shared why DHIS2 was introduced in HMIS system and discussed basic concept of indicators.
Data collection forms – Aggregated
Mohammad Saiful Islam, Senior Programmer, icddr,b presented existing data collection forms-aggregated & analysis of data from the month of February, 2016 for Khulna division from EOC, IMCI, CSBA, hospital bed statement, OPD data elements etc.
Discussion:
- After demonstration on the Khulna division data from DHIS2 it was found that there was some data entry errors. In the workshop the corresponding Civil Surgeon immediately solved the error with the help of statistician and mentioned that they will monitor the data monthly.
- Considering the reporting rate status, Jhenaidaha and Jessore district were impressive and consistent throughout the last 12 months but data accuracy was not much good. Some Civil Surgeons said that they will try to improve their reporting rate as well as data accuracy and for that they will monitor data in their monthly meeting.
Data analysis and use
Dr. ASM Sayem HMIS Planning officer, UNICEF presented on how to analyze data and how to alayse and interpret data using DHIS2. After that Mr. Mohammad Ullah, Technical Advisor-Health, GIZ demonstrated how to create dashboard, pivot table, data visualizer and GIS.
Group work (analysis and presentation)
Group was divided into each district. Each district had Civil Surgeon, RMO and Upazila Statistician. For each group, one facilitator was assigned to assist them. They were requested to create ten dashboard tabs. On day one, they presented five tabs and on day two, they presented the remaining five tabs using DHIS2 pivot table, chart and GIS Map. The dashboard tabs were: Child Health, Maternal Health, Reporting Status, Logistics, Death, Diseases Burden, Indicators, Hospital Information, Nutrition and Health facilities.
Day-2
How to monitor data (cross-checking) by respective managers
Overview of all forms
Dr. ASM Sayem from UNICEF presented overview of all forms. He also presented how health managers such as line directors, divisional directors, and civil surgeons can interpret the data and how they can demand the necessary information from the statisticians and monitor data by themselves. He also demonstrated the HMIS web-portal.
- Group Task – Preparation of dashboard; five case studies were given to the corresponding district group. For each group, one facilitator was assigned to help them.
- Group work presentations – Each civil surgeon presented from the group about the reporting rates, IMCI, EMoC, Maternal death, C-Section rate, diarrhea, pneumonia, hospital equipments and logistics dashboards of that respective district.
Closing
Once the group-wise presentation and discussion was completed, the chair of the workshop Dr. md. Masum Ali, Director Health, Khulna Division made his concluding remarks of two-day’s workshop. In his concluding remarks, the chairman of the workshop said that the workshop has been very successful and thanked all the organizers and participants of the workshop and announced the closure of the workshop.