Two-day workshop on “Strengthening divisional HMIS” in Rangpur Division Date: 20 April – 21 April, 2016 Venue: BRAC Learning Center, Rangpur

A two-day workshop was organized by MIS, DGHS with key stakeholders supporting strengthening divisional MIS for Rangpur division from 20 April to 21 April, 2016 in BRAC Learning Center, Rangpur from 9.00 AM to 5.00 PM.  The Work-shop was supported by DGHS, UNICEF, GIZ and 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 Rangpur, Dinajpur, Gaibandha, Kurigram, Lalmonirhat, Nilphamari, Panchagarh and Thakurgaon district, Superintendent from district hospitals, MOCS from all CS office , Statistical Asst. from all CS office and 100 bed hospital Lalmonirhat, RMO from Sadar hospital.

The two-day HMIS workshop started with registration and inaugural session. The inaugural session was chaired by Dr. Md. Mozammel Hossain, Director Health, Rangpur Division. In his speech he said the data that we are providing should be accurate and the managers should understand the data, and, based on that they can make an evidence-based management or policy decision. Then welcome speech was provided by Dr. Shamim Ara Nazneen, Civil Surgeon, Rangpur. Muhammad Abdul Hannan Khan, Senior Technical Advisor, GIZ presented the objectives of the workshop. In his speech he expressed the key objectives of this workshop. He emphasized on the use of data and the health managers should use the system and can take necessary decision based on HMIS information.

 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: DHIS2.

Overview of MIS

Overview of MIS was presented by Dr. Jannat from MIS, DGHS. In the presentation he provided brief description of all the HMIS applications and its use.

 HMIS concept and indicators

Muhammad Abdul Hannan Khan, from 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 form the month of  March, 2016  for Rangpur division from EOC, IMCI, CSBA, hospital bed statement, OPD data elements etc.

Discussion:

  1. After demonstration on the Rangpur division data from DHIS2 it was found that there were some data entry errors.
  2. Need to review the EMOC form data especially on misoprostol section
  3. Still there were some organization units assigned under district which were not functional. Those have to be removed, otherwise reporting rate will be decreased. It was suggested that an updated list of facilities should be sent to the DHIS2 team.

Data Analysis and Use

Dr. ASM Sayem HMIS Planning Officer, UNICEF presented on how to analyze data and how to interpret data using DHIS2 software.

After that Mr. Mohammad Ullah, Technical Advisor-Health, GIZ demonstrated how to create dashboard, pivot table, data visualizer and GIS.

Dr. Lianne Kuppens, Chief of Health, UNICEF presented her valuable speech. In her speech she mentioned data analysis gives us the knowledge and hence give us the power. She suggested all the health managers should be on board to use that power to change the future health sector.

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

Recap of Day-1 and How to monitor data by respective managers

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.

  1. 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.

2.Group work presentations – Each civil surgeon presented from the group about the reporting rates, IMCI,            EMoC, Maternal death, C-Section rate, diarrhea, pneumonia, hospital equipment and logistics dashboards of that     respective district.

Closing

Once the group-wise presentation and discussion was completed, the chair of the workshop Dr. Md. Mozammel Hossain, Director Health, Rangpur Division made his concluding remarks of two-day’s workshop. In his concluding remarks, the chairman of the workshop said the objective of the workshop was achieved. Every Civil Surgeon tried to interpret their own data with the help of statistician and we need to continue this practice. Finally he thanked all the organizers and participants of the workshop and announced the closure of the workshop.