Health Management

Information System (HMIS)

George Mwasekaga, MD
 Related Tasks
• Define Health Information System (HIS)
and Health Management Information
System (HMIS)
• Explain purpose of MTUHA In Tanzania
• Explain key issues in HMIS (MTUHA)
system
• List sources of HIMS data
• Explain basic features and functionality of
DHIS-2 (computerized MTUHA version)
• Explain the importance of tools in
collecting HMIS data
 Background
• HMIS was introduced throughout the country
during the period 1994 through 1997.
• HMIS has been revised four times, in
1997,2013, 2018 and 2020.
• HMIS is a decentralized, integrated and
functional system.
• It covers all health programs and health care
services for both public and private sectors.
• Health Information System (HIS); a system
that integrates data collection, processing,
reporting and use of the information
necessary for improving health service
effectiveness and efficiency through better
management at all levels of health
services.
• HMIS is the system designed to collect
facility based health and health related
data, compile, store and retrieve for data
analysis to produce report which in turn
inform service providers, health managers,
decision markers/policy makers and the
public to make informed decision on health
planning, monitoring and evaluation and
provision of services at all levels of health
care delivery.
• HMIS in Tanzania in Kiswahili is called
MTUHA.
• MTUHA is the acronym for ‘Mfumo wa
Taarifa za Uendeshaji wa Huduma za
Afya’
 Purpose of the HMIS
• The purpose of the HMIS is to routinely
generate high-quality health information
and use that information for management
decisions to improve the health sector’s
performance
 General Importance of Data
• Preparing various health sector policies
• Planning and making correct decisions in
the health sector
• Assessing the quality of standards in
health service provision
• Managing and evaluating the
implementation of different health plans
• Assisting in initiating different research
• Following up on the trends of different
diseases, health commodities
consumption.
 Major Sources of HMIS Data
• HMIS data will be extracted from the
following major areas: Outpatient
department (including dental and eye
clinics)
• Inpatient department (IPD)
• Diagnostics services (laboratory and
Radiology)
• Reproductive child health (RCH) services
• Pharmacy
• Pathology department
• Medical records department
• Administration
• Accounts
• Information from the Community as per
Book 3
 Key Issues in HMIS
• Confidentiality
• Health Facility Management
• Tools and equipment
• Quality of Health Care
• Challenges within HMIS
 HMIS Reporting tools
• Individual patient/client paper records and
electronic medical records (EMRs)
• Books/registers
• Tally sheet forms
• Monthly report forms
• DHIS 2
 HMIS Data collection books
• Book 1: HMIS guidelines
• Book 2: Facility and hospital summary
• Book 3: Community data
• Book 4: Ledger
• Book 5: OPD register
• Book 6: ANC register
• Book 7: Child register
• Book 8: Family planning register
• Book 9: Diarrhoea treatment corner (DTC)
register
• Book 10: Annual facility report
• Book 11: Dental register
• Book 12: L&D
• Book 13: Postnatal register
• Book 14: IPD register
• Book 15: Human resource register
• Book 16: Eye care register
• Tracer medicine forms
• Laboratory register
• GBV forms
In addition, more data are collected at the
hospital level in the following departmental
registers:
• Diagnostic/laboratory
• Physiotherapy
• Mortuary
• Pathology
• HIV and AIDS
• TB and leprosy
• Safe-blood services
 HMIS register groups
• HMIS Guidelines; The HMIS guidelines
in Book 1 serve as an instruction manual
and reference tool for using Books 2
through 15
• Data Collection Books; Books 3 through
15 are the registers and other types of
data collection tools used to collect data
on different aspects of health service
delivery.
• Tally Sheet Forms; These forms are used
to summarize data recorded in the data
collection books/ registers
• Monthly Report Forms; The HMIS uses
these forms to collect and report data at
the end of each month
• Facility and Hospital Summary Book;
Book 2 is used to document important
records of the facility or hospital
 DHIS 2
• This web-based system for the
management of routinely collected health
data is the main health data management
software program in the country
• DHIS 2 replaced the older proprietary
health management information system
software called MTUHA
 DHIS 2 Design
• DHIS 2 was developed based on data
warehousing principles and a modular
structure that allows users to exploit only
the functionalities they need (and leave
the rest)
• DHIS 2 is platform-independent: that is, it
can run on any operating system and
supports both online (with the Internet)
and offline (without the Internet) modes.
• The data entry module can be operated
without Internet connectivity.
• DHIS 2 has built-in functionality for
geographic information system(s) (GIS),
basic and advanced data visualization,
and dashboards, and it can be adapted to
multiple languages
• To access DHIS 2, please go to:
https://dhis.moh.go.tz
 References
• Antony Stewart(2002). Basic Statistics and
Epidemiology A practical guide. Radcliffe Medical
Pres
• Bonita, R. Beaglehole, & T. KjellstrÖm (2006).
Basic epidemiology World Health Organization
• Bland, M. (2000). An introduction to medical
statistics (No. Ed. 3).Oxford University Press.
• Johnson, B., & Christensen, L. (2008).
Educational Research: Quantitative, qualitative,
and mixed approaches. Sage.
• HMIS Training manual