Country presentation Myanmar MA4Health/Inter-country Measurement - - PowerPoint PPT Presentation

Country presentation Myanmar

MA4Health/Inter-country Measurement and Accountability Conference

26-28 April, 2016, Dhaka,Bangladesh

Country Profile

• Nay Pyi Taw Council Territory and 14 States and Regions
• 74 Districts, 330 Townships, 398 Towns, 3065 Wards, 13,619 Village

Tracts and 64,134 Villages

• Great diversity of topography exists between the regions; Delta, hilly,

coastal and the central plain

• Area of 676,578 square kilometers
• Area of 676,578 square kilometers
• Total population – 51.42 Millions (76 persons per square kilometre)
• Urban:Rural – 3:7
• 135 national races speaking over 100 languages and dialects
• Pluralistic mix of public and private system both in the financing and

provision of Health Care

• MoH remains the major provider of comprehensive health care

Background

• No policy related to health information in

current national health policy

• Proposed to put policy related to health

information in revised national health policy information in revised national health policy

• No separate health information policy in

written and plan to have in future

HIS Strategic Plan

• HIS strategic Plan (2011-2015) – Present
• Plan to develop next 5 years HIS strategic plan

is in urgent matter

HIS Five Years Strategic Plan (2011-2015)

Vision

HIS Strategic plan (2011-2015)

A simple, effective and systematic health information system established at all levels of health care delivery for the strengthening of health system

General objective

To improve the availability, accessibility and utilization of quality health information

Strategic objectives

To enhance the HIS commitment, coordination and HIS resources To improve the quality of the hospital data recording and reporting To improve the quality of the hospital data recording and reporting To improve the quality of the public health data recording and reporting To develop a reporting system for private health sector To improve the coverage and quality of vital registration system To improve surveillance system on disease and health To encourage population based survey To improve data management, and data sharing encompassing IT development To promote utilization of health information in decision making process

Investment in Health Data System

• WHO regular budget support for capacity building of

medical record technicians and medical doctors in ICD-10, Fellowship for ICD-10 and advanced data analysis, supervision visit to hospitals

• Global fund support to give Training on DHIS2 in (9)

Regions/States, workshop on integration with HIV,TB and Regions/States, workshop on integration with HIV,TB and Malaria and also training for vertical staff

• 3 MDGs fund support training on DHIS2 in two batched

covering 26 Townships

• JSI and Pact Myanmar cover DHIS2 training in one township

each and also provide laptops to RHC

• Previously UNICEF and UNFPA provide for printing cost of

HMIS data dictionary

Supporting Manuals

Data Dictionary (English Version))

Data Dictionary (Myanmar Version)

For all townships For all staffs

Training ******* Medical record technician

Training on ICD 10 to Medical Doctors

Data Quality Assessment

• Quality assessment on Data Flow (reporting

flow from sub-center to township)

• Quality assessment on Data generation

( from Register to report) ( from Register to report)

• Quality assessment on Registers and Record

( checking with home visit)

• Service Quality

Data Quality assessment through the data flow

Each Township RHC RHC RHC

Randomly selected at each steps

MCH RHC

SC

RHC RHC

SC SC At least 20

Randomly selected at each steps

MCH

88% (2010) 84% (2010) 79.8% (2011) 82% (2011) 82.5% (2012)

Overall Data Quality in 2013 - 82.7%

Data Consistency between Township report(n=40)and RHC report(n=148) Data Consistency between RHC report(n=148) and Subcenter report(n=159) Data Consistency between Subcenter report (n=159)and register(n=159) Data Consistency between sample of register (n=110)and Home Total Quality Percent Home visit(n=2329) AN 100.00% 100% 91.20% 95.50% 87.1% Delivery 100.00% 100% 90.00% 74.90% 67.4% DPT 98.00% 100% 100% 77.00% 75.5% TT 100.00% 100% 100% 88.90% 88.9% U5 100.00% 100% 91.40% 92.00% 84.1% Overall 98.40% 100% 93.30% 90.10% 82.7%

Training on DHIS2 customization Nay Pyi Taw (13-1-2014 to 15-1-2014)

DHIS2 Training

• Patheingyi – 1.9.2014 – 5.9.2014
• Nyaunglaybin – 20.10.2014 – 24.10.2014
• Chaung U – 22.3.2015 – 26.3.2015
• Madaya – 1.6.2015 -5.6.2015
• Madaya – 1.6.2015 -5.6.2015
• (26) Townships – 7-11Dec 2015,14-18 Dec

2015

Data Entry Form for aggregate data

Dashboard

Problem/Issues

• How to improve routine health service

information system in Myanmar Three Main characteristics of the problem Three Main characteristics of the problem

• lack of written health information policy
• Insufficient manpower and capacity of those who

are working in health information area

• Inadequate facilities for advanced information

technology

Three programmatic options to address the problem

• Regulations, laws and policy
• Education and professional support

Infrastructure for advanced technology

• Infrastructure for advanced technology

Three implementation considerations that will be need to be addressed

Regulations

• Expand organizational set up and assign vacant

post

• Enhance scope of service by medical record

technicians technicians

• Expand the coverage of health information to

private sector

• Compulsory service in health and hospital profile

and statistics

• Encourage evidence based decision making and

actions

Education and professional support

• Establish medical record technician training school as
• ther paramedics
• Curriculum that include health information management

in every level of health staff including medical doctors

• In-service training that reflect current implementation

issues related to health information management issues related to health information management

• Continuous professional development like CME as well

as master and PhD course nationally and internationally

• Career development
• Public recognition measure
• Favourable working environment
• Supportive field supervision

Development of Infrastructure

• Computer, laptop, smart phone, internet

access, electricity and networking

• Development of open MRS software for

hospital

• Prototyping software of DHIS2 for public

health information

• Mobile phone application especially in hard to

reach area

• Establishment of unique health identifier