Then you were supposed to develop a study on HMIS problems at your own working place. For the purpose of this study, the main sections were divided into 29 subsections and graded accordingly se table 7 above. Direct observation took the form of participant observation, the researcher attending and witnessing decision-making sessions without taking active part, but with his status as a researcher known to the actors. It was also noted that the training on HMIS implementation was last conducted in The problems above need to be sorted out for the better performance of HMIS implementation so that the data collected and processed in the district will be of good quality. Consent was also sought and granted by the selected districts to conduct the study and access written, verbal and observational data sources. Why should we purchase drugs from MSD and not in free market?

The infant mortality rate IMR is per live births, while the child mortality rate is 52 per and maternal mortality rate MMR is per , live births. The basic reasoning was that there was still the possibility of finding other forms of information not yet identified in existing literature, or indeed discovering new interesting insights into the strategic decision-making process. The study was conducted in Bagamoyo district because the researchers live and work in Bagamoyo, hence, it was easier for us to move around the health facilities. The last stage of data analysis involved individually breaking down the structured decision stories for, among other aspects: Map of Tanzania showing Bagamoyo district The district shares borders with Handeni and Pangani districts in the north. In order to ensure that the data reported represents the actual situation, health facilities must submit all the required reports. The findings showed that these data varied from the same health facility for the same period sent to different bodies.

Health Information System Integration Approaches

Analyzing the problem of unsustainable health information systems in less-developed economies: This is supported by the statement that in most cases data collected from the field is either not of the required type or may not be presented in time to be readily useful for health administration Goel.

More on this topic Value and effectiveness of National Immunization Technical Advisory Groups in low- and middle-income countries: The purpose of the study is to assess and determine the correctness, consistency and completeness of the data sent to the district headquarters. Forms were analyzed on completeness, and theais of records. This course has involved several local and theeis instructors making it a special one and thus, enabling the sharing of local and international expertise in the area of health HMIS and IT.


Bagamoyo district is administratively divided into 6 divisions, 16 wards and 82 registered villages. By Aziz Rahman Anis Fathima.

This paper, therefore, addresses the challenge of reconciling the rhetoric for HMIS in district hmiw systems with observed problems that contradict it, threaten its very integrity, or, at minimum, recognize its limitations in relation to management tasks. However the researchers went further to study the data at the District headquarters where the comparison of the EPI and MTUHA data from F 1st Quarterly report for year of the health facilities were analyzed.

thesis on hmis

The implementation of HMIS and capacity building for health workers followed in The three selection criteria served as a backdrop thessis the participatory process. There after I was employed in Bagamoyo district council in and till todate I am working in Bagamoyo district hospital as a Massawe, Gabriel Selesitini clinical officer.

Responses by health facility workers showed that problems in HMIS implementation included: Bagamoyo district has an area of 9, sq km. Some participant did not even finish the course as they did not manage to do any fieldwork. In order to ensure that the data reported represents the actual situation, health facilities must submit all the required reports.

thesis on hmis

Poor supervision impaired the quality of data. Direct observation took the form of participant observation, the researcher attending and witnessing decision-making sessions without taking active part, but with his status as a researcher known to the actors. For instance, the written information used in the problem recognition stage was different in content to the written information used in the solution development stage.

According to the study results, it was found that despite its 10 years operation, the performance of HMIS has not effective. This includes a uncountable number of formal and informal discussions with students, as well as with some of the lecturers from the Ministry of Health.

I have worked with several organizations namely: Good quality data must be correct, complete, consistent and available in a timely manner at all levels. By seeking to ensure that the system provides a high-quality of data, the health information system attempts to guarantee that decision-makers have access to both unbiased and complete information Lippeveld et al. Map of Tanzania showing Bagamoyo district Indeed, we feel that we have been able to develop adequate capacity for you to help accelerate the processes of improvement of the HMIS at your working place and in the health sector at large.


Staff status, types of services rendered, HMIS tools availability, report compilation and preparation, time set aside for recording, report dissemination, supervision, data use, other vertical program reports, means of transportation, incentives, problems encountered and efforts made to tackle them. Decision process stories were examined using the emergent theme approach, with intuition used to organize the stories into patterns that describe the nature and sequence of key phases and within-phase steps.

Next year, we intend to organize a similar course and we thus want you to encourage your colleagues working in HMIS and vertical programmes to also apply.

Finally, we would like to mention that all what is discussed and suggested in this study are our own opinions based on our professional judgment. We will strive to address these limitations identified through your feedback in the next course. By working together, we have been able to achieve the objectives of the course. By providing the guidelines for routine collection, compilation, use of the data, HMIS should provide necessary and sufficient information needed by health managers at all levels of the health care system for monitoring, evaluation and planning their activities.

The other problem was related to funds, which created a number of problems as explained in subsequent paragraphs. However, for decades now it has been well acknowledged, from observations, that decision-makers gather information and ignore it; they make decisions first and look for the relevant information afterwards for instance, March Combined Qualitative and Quantitative methods were used for data collection 3.