Situation Assessment Of Computerization Of The Health Statistical Information Systems in EMR Countries :1 Situation Assessment Of Computerization Of The Health Statistical Information Systems in EMR Countries Dr Amina Elghamry Regional Advisor Evidence And Information For Policy


Presentation components :2 Presentation components Introduction and objectives Survey methodology and questionnaire content Findings and results preliminary results conclusions Recommendations


Introduction :3 Introduction National Health Information System: Definition and concept Utilization of informatics’ technology in National Health Information System


SURVEY METHODS :4 SURVEY METHODS Survey: A comprehensive survey for the EMR Member States was conducted during March and May 2002. A special questionnaire was designed and sent to the Member States to be filled by the staff in charge of Health Statistics Department and the staff in charge of the Informatics Department at the Ministry of Health.


Questionnaire :5 Questionnaire The Questionnaire is composed of: First part: Deals with the existence of Health Statistical Information System (HSIS) department in the Ministry of Health Second part: Deals with the existence of informatics department or computer center, independent from the HSIS department within the Ministry of Health


First part: :6 First part: Deals with the existence of Health Statistical Information System (HSIS) department in the Ministry of Health Position of the department in the organ gram of the Ministry of Health Structure and activities of the department Human resources information Financial resources information Informatics hardware equipments information Statistical software information Statistical database information


Second part: :7 Second part: Deals with the existence of informatics department or computer center, independent from the HSIS department within the Ministry of Health Position in the organ gram of the Ministry of Health Structure and activities Human resources information Financial resources information Informatics or hardware equipments information Statistical software information Statistical database information. Other computer applications and databases.


EMR Countries Respondents and Non Respondents :8 EMR Countries Respondents and Non Respondents IRQ, UAE, YEM No response QAT, TUN Late response


RESULTSPart I :9 RESULTSPart I Health Statistical Information Systems (HSIS) In EMR Countries


Position of Health Information System Department and Informatics Department in MOH Organogram (1 / 2) :10 Position of Health Information System Department and Informatics Department in MOH Organogram (1 / 2)


Position of Health Information System Department and Informatics Department in MOH Organogram (1 / 2) :11 Position of Health Information System Department and Informatics Department in MOH Organogram (1 / 2)


Health Statistical Information System Department in the EMR Countries :12 Health Statistical Information System Department in the EMR Countries


Human Resources of HSIS Department in the EMR Countries :13 Human Resources of HSIS Department in the EMR Countries


Human Resources of HSIS in EMR Countries :14 Human Resources of HSIS in EMR Countries No available data for human resources in PAK


Human Resources of HSIS (%) in the EMR Countries :15 Human Resources of HSIS (%) in the EMR Countries


Human Resources of HSIS by Education in the EMR :16 Human Resources of HSIS by Education in the EMR


Human Resources of HSIS by Education in the EMR Countries :17 Human Resources of HSIS by Education in the EMR Countries


Human Resources of HSIS by Nationality in the EMR Countries :18 Human Resources of HSIS by Nationality in the EMR Countries


Availability of Separate Budget for HSIS in the EMR Countries :19 Availability of Separate Budget for HSIS in the EMR Countries


Availability of Hardware for HSIS in the EMR Countries :20 Availability of Hardware for HSIS in the EMR Countries No response for SYR


Number of Units of Available Hardware by Type and Country :21 Number of Units of Available Hardware by Type and Country A ? available & number of units not reported N ? no response


Statistical Software Availability for HSIS in the EMR Countries :22 Statistical Software Availability for HSIS in the EMR Countries


Capacity Use Status of Statistical Software for HSIS in the EMR Countries :23 Capacity Use Status of Statistical Software for HSIS in the EMR Countries


Availability of Statistical Database for HSIS in the EMR Countries :24 Availability of Statistical Database for HSIS in the EMR Countries


Use Assessment of Statistical Database for HSIS in Countries of the EMR :25 Use Assessment of Statistical Database for HSIS in Countries of the EMR


Part II :26 Part II Informatics Department in EMR countries


Human Resources (%) of Informatics Department by Country :27 Human Resources (%) of Informatics Department by Country No answer from KUW Informatics not available (AFG,BAH,CYP,DJU,LIY,SOM)


Human Resources of Informatics Departments by Education in the EMR :28 Human Resources of Informatics Departments by Education in the EMR No answer from KUW Informatics not available (AFG,BAH,CYP,DJU,LIY,SOM)


Human Resources of Informatics Departments by Education in the EMR :29 Human Resources of Informatics Departments by Education in the EMR


Human Resources of HSIS by Education in the EMR Countries :30 Human Resources of HSIS by Education in the EMR Countries


Human Resources of Informatics Departments by Nationality in the EMR :31 Human Resources of Informatics Departments by Nationality in the EMR


Informatics Hardware Equipments and Facilities :32 Informatics Hardware Equipments and Facilities No answer from KUW Informatics not available (AFG,BAH,CYP,DJU,LIY,SOM)


Informatics Hardware Equipments and Facilities :33 Informatics Hardware Equipments and Facilities


Availability of Hardware Equipments and Facilities in Informatics Department by Country :34 Availability of Hardware Equipments and Facilities in Informatics Department by Country A ? available - ? not available P=planned No answer from KUW Informatics not available (AFG,BAH,CYP,DJU,LIY,SOM)


Statistical Software Availability (Informatics Department) :35 Statistical Software Availability (Informatics Department) No answer from KUW and SAA Informatics not available (AFG,BAH,CYP,DJU,LIY,SOM)


Statistical Database Availability (Informatics Department) :36 Statistical Database Availability (Informatics Department) No answer from KUW and Informatics not available (AFG,BAH,CYP,DJU,LIY,,SOM)


Availability of Other computer applications and Databases :37 Availability of Other computer applications and Databases No answer from KUW Informatics not available (AFG,BAH,CYP,DJU,LIY,SOM)


Slide 38:38 Management information systems and applications (Decision support, payroll, personnel, Etc) Epidemiological surveillance database(s)


Slide 39:39 Bibliographic, library and documentation databases(s) Full-text database(s) for laws, legislation, regulations


Slide 40:40 Computer based directory of national health care institutions (Hospitals, laboratories, clinics, centers of excellence, etc) Computer based directory of health and medical education (College of medicine, dentistry, pharmacy, and nursing)


Slide 41:41 Hospital management system (Registration, electronic medical records, finance, insurance)` Computer based directory of health care professionals (Physicians, radiologists, dentists, pharmacists, etc)


Slide 42:42 Geographic Information System (GIS) E-Health, Tele-Medicine, Tele-Radiology, Tele-Pathology services


Slide 43:43 Information technology training programmes for health care professionals Computer-based network of health care institutions (Hospitals, laboratories, blood banks, etc)


Conclusions :44 Conclusions With the progress of informatics technology, Ministries of Health are encouraging the establishment of Health Informatics departments, in order to support the existing National Statistical Information System department as well as other functions of health management. The position of Health Informatics department, as a new structure in the Ministries of Health, succeeded to be higher than that of Health Statistical department which remains traditionally as a component of the health planning department.


Conclusions :45 Conclusions There is a need to enhance the capacity building of NHSIS staff profile, i.e. more statisticians, demographers, health economists and epidemiologists with university and post-graduate degrees level are required to assist in upgrading the national health statistical development process, the statistical analysis, especially, burden of disease (BOD), cost effectiveness analysis (CEA) and the use of information in decision making.


Conclusions :46 Conclusions The observed higher level of availability of databases in the Health Statistical Information System department is very encouraging; however, we should clarify the nature and content of such databases. For instance, we should know if such databases are able to generate a relationship between “variables”, or if these databases are constituted only of simple statistical applications, in the form of statistical tables, graphs, etc…


Conclusions :47 Conclusions The databases available in Health Informatics department are concerned mainly with applications outside the health statistics area. More coordination and cooperation between Health Statistical Information department and Health Inforamtics department is required, to ensure a better computerization strategy of NHSIS as well as better use of informatics technology in health management at all health system levels.


Recommendations To Member States: :48 Recommendations To Member States: To reinforce the HSIS department by university graduated staff such as health statisticians, demographers, health economists and epidemiologists in order to enhance the NHSIS development, promote the statistical analysis, particularly, BOD and C.E.A and develop the information culture in health decision making process. To improve the coordinating mechanism between the HSIS department and the Health Informatics department in order to better target and meet the information needs of health managerial process and the epidemiological surveillance.


Recommendations To Member States: :49 Recommendations To Member States: To enable a national task force (including knowledgeable senior staff on the subject) on National Health Statistics Database development aimed at: To prepare a strategic plan of action for enhancing the National Health Statistical Database using EMRO Health Statistics Database framework and software. To monitor and evaluate the prepared plan of action. To mobilize the required budgetary resources for preparing plan of action for developing the National Health Information Statistical Database.


Recommendations To WHO :50 Recommendations To WHO To support the development of national capacity building of staff of NHSIS department on health statistics, demography, health economics and epidemiology disciplines in order to meet their needs on NHSIS development, statistical analysis (particularly on BOD and CEA) and promotion of information culture. To provide the Member States with a complete set of EMRO Health Statistics Database software and necessary tools and guidelines for it’s adaptation process.


Recommendations To WHO :51 Recommendations To WHO To train national staff concerned both in NHSIS department and Health Informatics department on the technical process of adapting the EMRO Database. To provide Member States with required technical expertise for the adaptation of EMRO Database.