kip - fi.uu.nlTitle: kip Created Date: 12/20/2011 10:03:39 AM
Improved Resource Utilization Decisions through Strengthened and Sustainable Management Information...
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Transcript of Improved Resource Utilization Decisions through Strengthened and Sustainable Management Information...
Improved Resource Utilization Decisions through Strengthened and Sustainable Management Information Systems
James (Kip) EckroadBS, MS, MBATASC2 Project - Eritrea
Three Intermediate Result Areas
IR1: Active Demand for Primary Health Care Expanded
IR2: Quality of Priority Primary Health Services Improved
IR3: Institutional Capacity for Resource Allocation Decisions Improved
IR3 Strategies
Develop and strengthen health management information systemsStrengthen the management systems, practices and proceduresDevelop and improve capacity for decision makingContinued support for decentralization and hospital autonomy
MIS Assessment: Initial Findings
MIS function and responsibility dispersed throughout the Ministry of HealthAll systems highly dependent on outside assistance for modification or maintenanceMost systems in MS Access database but programmed in Visual BasicsSignificant unmet need for improvement of existing or development of new systems
Recommended Improvements in System Development
Priority given to sustainability through independence from outside sourcesSustainability and independence directly related to the degree of openness and accessStandardization important for integration and sharing of data; as well as for building an internal body of knowledge for supporting the systems
Information Systems Design Based on Sound Database Theory
Database design based on relational database theoryFollow the three levels of normalizationThis greatly facilitates growth and expansion, additional attributes and new entitiesTry to identify the single most important table and build around it
An “Open Access” Approach
Maximum use of Access wizards, tools and especially the query capabilitiesMenu structure based on Switchboard Manager, common user interfaceReliance on forms for data entry and editingStandardization of nomenclature for tables, forms and queriesThe incremental approach to information systems development
Implementation of the Approach
Development of 3 new systems in key resource area: drug logistics, personnel management and donor financingImplementation and capacity building for the new information systemsCapacity building focus on continuous learning models: mentoring and formative supervision
Principal Challenges
Importance of documented specifications as form of communication with client
Direction, coordination and integration among the various MOH information systems
Invoice Editing and Posting Form