Strengthening health information systems

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Better measurement and accountability for results

Improve governance

Invest in data sources

Align stakeholders

Use the digital revolution

Strengthen the capacity

Use data to improve policy

Strengthen accountability

WHO has identified seven strategic areas for action to strengthen national health information systems.

Improve governance: HIS strengthening requires an enabling environment and robust collaboration between health and other sectors, including ICT.

Invest in data sources and capacities: These investments strengthen health information, workforce skills and capacities for using health statistics and data.

Align stakeholders in support of HIS : Development partners and national institutions should make sure that their investments are complementary. Data, monitoring and accountability should be integrated into one plan and one budget for the health sector aligned with the health SDGs.

Use the digital revolution: The power of information and communication technology (ICT) innovation can help improve the availability, completeness, timeliness, quality, and use of data for decision-making in health. Minimizing the burden of data collection, analysis and reporting through eHealth strategies can improve health service delivery and management.

Strengthen the capacity for systems and applications to be reusable: Promote the use of scalable, affordable, open access software systems and develop common health information architecture, standards, guides, tools and solutions to data management and analysis.

Use data to improve policy and service delivery: With a focus on equity, disaggregated data and access to needs-based, good quality services, health information should be provided to decision-makers at all levels for improving health policy, systems and services.

Strengthen accountability and reporting of results: There should be national oversight mechanisms for key indicators of national health targets, and goals and mechanisms for regular transparent reviews to assess progress against national health sector targets.

UNDP’s offer

UNDP works with national entities to strengthen the full health information system, including:

assessing the country requirements based on the national health strategy and priorities
support the development of national health information strategies
support the assessment of where ICT can deliver better data and information for decision makers
assess needs for other elements of a comprehensive HIS, such as logistics management information systems or human resource management information systems
strengthen the health workforce
strengthen reporting and communication of results

Innovation: Electronic health records help deliver better quality of care

The format of health records varies widely. In many countries service providers use paper-based records in the form of patient charts or registries, although some are now transitioning to electronic records.

Electronic patient records have numerous advantages for accurately recording, efficiently storing and retrieving, and transferring information between healthcare providers. The use of health information and communication technologies (ICTs), particularly electronic health records, can help to deliver better quality care, reduce medical errors and streamline administration.

Strengthening ICT systems can support the strengthening of HIS. There must be a joint effort between IT, clinicians, and coders so that information in patient health records and disease registries is transformed into useful data for decision making.

Figure: WHO: Digital Health Interventions; 2018

Suggested capacity development indicators

national health information strategy in place
comprehensiveness of health data captures prevalence, incidence, qualitative social and behavioural data, disaggregated by age and gender
% of districts that submit timely, complete and accurate reports to national level
level of use of data collection systems for studies and evaluations
level of integration of health data into management and forecasting reports and processes
% of evaluations completed per plan
availability and transparency of data for management and partner review
availability and use of policies and procedures

Key resources

MEASURE Evaluation’s Health Information System Strengthening Model The HIS strengthening model (HISSM) is a starting point for framing what we know now and the opportunities we have to learn more about strengthening HIS.
PDF 0.2 MB
WHO Health Systems Framework This handbook focuses on systems “inputs,” “processes” and “outputs” as they relate to each of the six building blocks of health systems.
PDF 2.1 MB
Website

Health Data Collaborative: Building country capacity for data analysis and use

Strengthening health information systems

UNDP’s offer

Suggested capacity development indicators

Key resources

Where to go next?

Strategy overview and case studies

Key elements of a health information system

Health information system data

Innovation in the Zimbabwe health information system