FRHS

 

Health Management Information Systems.


No public health program can be a success unless we can manage to collect and collate the data generated by the same to evaluate the impact of the program and also to gauge the effectiveness of the methods used within the program. We specialize in developing and streamlining health information systems; planning data analyses and timely feedback to various levels of program managers; enabling use of these data by different levels of program managers; and developing software to periodically analyse data and generate reports. FRHS also compiles health related data from various sources to enable easy access and use of health data by health practitioners and researchers.

Urban HMIS
Patient/ Beneficiary Tracking System
Computersied Health Card for Link Workers
Critical Path Framework for Designing Health Information Needs
Assessing effectiveness of tools for capacity building of health care providers dealing with adolescent health issues


Urban Health Initiative HMIS


FRHS is a partner under the Urban Health Initiative (UHI) and leads in the design and management of an integrated management information system (MIS) that will generate information for decision making that can be used by UHI staff and partners. The contract with FRHS was initiated in April 2010. FRHS has completed the design of the monitoring system, mapped service delivery points and sales outlets using GPS devices in 11 project cities, independently obtained feedback from potential and current clients of family planning services in these cities, which is then used to improve quality of services in these cities. The monitoring system answers the questions like: Are FP services being provided as an integral part of post Partum and post abortion services, which is known to be a cost-effective way of promoting FP; do FP clients notice and are happy with the quality of service they received; is the contribution of private sector in the urban health program increasing, which suggest long term sustainability of those services; are demand generation activities planned under the project effective in generating demand for contraceptives especially in slum areas.

FRHS special contribution in this project are GIS software that helps managers identify areas devoid of service facilities and mobile phone based application used for capturing feedback from clients as well as quickly reporting performance data from field to program managers without much additional efforts on data entry, data cleaning and standard report generation. UHI counts on this system as one of its key achievements.

Team leader: Dr. Nirmala Murthy
Funding Source: FHI
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Patient/ Beneficiary Tracking System


RHS designs health information system that aims at improving data quality, analysis and data use by program managers. After many year's of experience of designing and implementing HMIS, we came to the conclusion that one can meet these three aims only by computerizing patient / beneficiary records. Depending on the data processing capacity of client organizations we design systems that capture important information or all information; a sample of beneficiaries or all beneficiaries. The MIS Team at FRHS has developed systems for tracking beneficiary-wise information on reproductive and child health services, adolescent health services, curative care and cost of treatment; HIV/AIDS care & support services. BTS is operational in Patan district of Gujarat where it is used to improve beneficiary coverage of services for pregnant women and children. District health managers find the BTS* helpful tracking the missed out cases, which has resulted in improving data quality and services (Beneficiary Tracking System: A Pilot Experience in Patan, Gujarat). Other organizations currently using these systems are: DHAN Foundation, Madurai; Aarohi, Uttaranchal, Samraksha, Bangalore.

Team leader: Dr. Pradeep Kumar

Funding Sources: FRHS, Government of Gujarat, DHAN Foundation, Aarohi, Samraksha
Read More:-(Beneficiary Tracking System: A Pilot Experience in Patan, Gujarat) (2007).

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Computerised Health Card for Link Workers


The MIS Team at FRHS has developed, "Computerised Health Card" for CHETNA RRC in collabration with the Department of Health and Family Welfare, Government of Gujarat. 25 MNGOs who are currently using the software, finds the package helpful in monitoring, improving data quality and services of 36 critical indicators.

Team leader: Dr. Alka Barua
Funding Sources: FRHS, CHETNA RRC, Government of Gujarat,

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Critical Path Framework for Designing Health Information Needs


Health Commissioner, Government of Gujarat requested FRHS to design a set of monitoring indicators to help program officers continuously monitor the reproductive and child health program. We took this opportunity to develop a "critical path framework" (CPF) to explore the factors underlying the program performance. Based on this framework we developed a set of process indicators that assessed: adequacy of beneficiary coverage, accuracy of reporting, quality of services and adequacy of health infrastructure, arguing that they are causally linked to the program outcomes. Therefore the underlying causal factors need to be monitored more closely before managers could expect improvement in program performance.

Using this framework and data from various sources such as HMIS, surveys and sample registration schemes, we periodically prepare a monitoring report (Identification of Critical Indicators Linked to Mother and Child Health: A Report) for the state. This report is used in health officers meeting and in training programs to make officers aware of the levels of various performance determinants and the actions needed to improve them. This framework has helped improve quality and utilization of HMIS data in Gujarat state and is being used by several district health managers to improve health outcomes in their districts. We have since extended this framework to performance of curative services under the health systems development project.

Principal Investigator: Dr. Nirmala Murthy
Funding Source: Government of Gujarat

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Assessing effectiveness of tools for capacity building of health care providers dealing with adolescent health issues


The World Health Organization's Adolescent Health and Development team (ADH) has developed the Orientation Programme on Adolescent Health and the Adolescent Job Aid to build health care providers (mainly doctors at primary health centres) to respond to health needs of young patients, effectively and sensitively. In collaboration with ICRW, New Delhi, the tools were pilot tested in one block in Gujarat by undertaking training of 25 doctors and after one year assessing the impact of training on provider knowledge and attitudes, client-provider interactions, and facility preparedness to deal with young clients through before and after survey. The project did not have a control block for comparison. Baseline finding shows seeking of services is poor among adolescent because of shyness, unawareness, fear of stigma and lack of confidentiality and MO were hesitated to ask about sexual history. And did not spare time to develop rapport with adolescent.


Funding Sources: WHO and Government of Gujarat

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