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HI 201 Health Informatics Iris Thiele Isip Tan MD, MSc University of the Philippines Manila Medical Informatics Unit Week 4

HI 201: Week 4 Health Information Systems in Developing Countries

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HI 201 is a graduate course under the MS Health Informatics program of the University of the Philippines College of Medicine. This slide deck is the static version of this screencast video http://youtu.be/UeXTfxBY4uA

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Page 1: HI 201: Week 4 Health Information Systems in Developing Countries

HI 201

Health Informatics

Iris Thiele Isip Tan MD, MScUniversity of the Philippines Manila Medical Informatics Unit

Week 4

Page 3: HI 201: Week 4 Health Information Systems in Developing Countries

Drive Baby Drive by Jean Scheijen, http://www.freeimages.com/photo/637554

How can health information systems be sustainable

in developing countries?

Driving question

Page 4: HI 201: Week 4 Health Information Systems in Developing Countries

Input

Process

Output

System

Feedback

http://www.who.int/healthmetrics/documents/hmn_framework200803.pdf

Page 5: HI 201: Week 4 Health Information Systems in Developing Countries

Health Metrics NetworkFramework and Standards for Country Health Information Systems (2008)

Input

Process

Output

System

Feedback

http://www.who.int/healthmetrics/documents/hmn_framework200803.pdf

Page 6: HI 201: Week 4 Health Information Systems in Developing Countries

Health Metrics NetworkFramework and Standards for Country Health Information Systems (2008)

Input

HIS resourcesPersonnel, financing, logistics support, ICT

http://www.who.int/healthmetrics/documents/hmn_framework200803.pdf

Page 7: HI 201: Week 4 Health Information Systems in Developing Countries

Health Metrics NetworkFramework and Standards for Country Health Information Systems (2008)

IndicatorsAssess change in

determinants of health, health system and

health status

Process

http://www.who.int/healthmetrics/documents/hmn_framework200803.pdf

Page 8: HI 201: Week 4 Health Information Systems in Developing Countries

Health Metrics NetworkFramework and Standards for Country Health Information Systems (2008)

Data sourcesPopulation-basedInstitution-based

Process

http://www.who.int/healthmetrics/documents/hmn_framework200803.pdf

Page 9: HI 201: Week 4 Health Information Systems in Developing Countries

Health Metrics NetworkFramework and Standards for Country Health Information Systems (2008)

Data managementPopulation-basedInstitution-based

Process

http://www.who.int/healthmetrics/documents/hmn_framework200803.pdf

Page 10: HI 201: Week 4 Health Information Systems in Developing Countries

Health Metrics NetworkFramework and Standards for Country Health Information Systems (2008)

Information products Data must be

transformed into information

Output

http://www.who.int/healthmetrics/documents/hmn_framework200803.pdf

Page 11: HI 201: Week 4 Health Information Systems in Developing Countries

Health Metrics NetworkFramework and Standards for Country Health Information Systems (2008)

Dissemination & UseInformation made

accessible and useful

Output

http://www.who.int/healthmetrics/documents/hmn_framework200803.pdf

Page 12: HI 201: Week 4 Health Information Systems in Developing Countries

Image credit“The true mystery of the world is the visible, not the invisible.” by JD Hancock,

http://www.flickr.com/photos/jdhancock/5813423429/in/set-72157626898819900

Do. Or do not. There is no try.

Page 13: HI 201: Week 4 Health Information Systems in Developing Countries

Why do HIS fail? Why do they succeed?

Page 14: HI 201: Week 4 Health Information Systems in Developing Countries

InformationTechnologyProcesses

Objectives & values

Staffing & skills

Management systems & structures

Other resources

Information

TechnologyProcesses

Objectives & values

Staffing & skills

Management systems & structures

Other resources

REALITY DESIGNGAP

ITPOSMO model by Heeks

Page 15: HI 201: Week 4 Health Information Systems in Developing Countries

How can health information systems be sustainable

in developing countries?

Driving question

Page 16: HI 201: Week 4 Health Information Systems in Developing Countries

Kimaro HC & Nhampossa JL (2007). The challenges of sustainability of health information systems in developing countries: comparative case studies of Mozambique & Tanzania. Journal of Health

Informatics in Developing Countries 1(1):1-10 from http://www.jhidc.org/index.php/jhidc/article/view/3

Figure 1Network of aligned actors towards a sustainable IT

Donors

Long-term funding policy, cooperation to forge local needs

User needs and participation

International IT expertise and

experience sharing

Developer

Userorganization

Sustainable HIS system

Mutual and long-term relationshipIndirect relationship

Page 17: HI 201: Week 4 Health Information Systems in Developing Countries

How can health information systems be sustainable

in developing countries?

Driving question

Create a mind map.

Thinking out of the box 3 by Svilen Milev, http://www.freeimages.com/photo/1083012

Page 18: HI 201: Week 4 Health Information Systems in Developing Countries

"MindMapGuidlines" by Nicoguaro - Own work. Licensed under Creative Commons Attribution-Share Alike 3.0 via Wikimedia Commons - http://commons.wikimedia.org/wiki/File:MindMapGuidlines.svg#mediaviewer/File:MindMapGuidlines.svg

Page 19: HI 201: Week 4 Health Information Systems in Developing Countries

Mind Map Rubric

•Structure - Ideas provide a complete picture with a high degree of imagination and creativity

•Exploratory - Clear & highly effective indication of connection between ideas and central image

•Communication - Highly effective use of key words and images; deep understanding of topic

•Connection between sections - Effective use of color, codes or links to make connections between ideas meaningful

•Extent of coverage - Highly effective effort to connect main ideas together

McGraw-Hill Ryerson Limited (2008), http://www.mheducation.ca/school/learningcentres/file.php/9780070739970/olc2/dl/568674/FFL_SE_BLM_T2_D.pdf Accessed 27 Nov 2014

Page 20: HI 201: Week 4 Health Information Systems in Developing Countries

HI 201

Health Informatics

Iris Thiele Isip Tan MD, MScUniversity of the Philippines Manila Medical Informatics Unit

Week 4