Health information system

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Situational analysis

moz-his-imHealth information is the continuous collection and analysis of health data coming from different sources. Mozambique’s health information systems include a variety of population-based and health facility-based data sources. The main population-based sources of health information are census, household surveys and registration systems. The main health facility-related data sources are public health surveillance, health services data and health system monitoring data including human resources, health infrastructure, and financing.

Health information is vital for public health decision making, health sector reviews, planning and resource allocation, and programme monitoring and evaluation .

The WHO Health Information programme supports production, analysis, dissemination, and use of reliable and timely health information including health determinants , epidemiological data and health systems performance.

The Health Information System in Mozambique was created in 1976. In 1979, the Ministry of Health established a mechanism of data collection at every health facility of the national health system. In 1985, a notification system for communicable diseases through sentinel sites was introduced. In 1997, obligatory notification was introduced for a number of communicable diseases on a weekly basis for every health facility. Furthermore, the Ministry of Health is issuing regular bulletins on measles, neonatal tetanus, cholera, malaria, diarrhoea, acute flaccid paralysis , meningitis , rabies, plague, and dysentery . In 2003, the Health Information System Development Programme was approved, which was then translated into the Plano Estratégico do Sistema Informática da Saúde (PESIS) 2009-2014.

Data is disseminated through ministerial periodic reports and through the African Health Observatory (AHO) , which is an open and collaborative regional platform, serving as a gateway to WHO  data and statistics.

Three population censuses have been completed in Mozambique in the years 1980, 1997 and 2007. Socio-demographic data are routinely collected and accessible through the Social, Demographic and Economic Statistics of Mozambique (ESDEM) . The ESDEM functions as the main monitoring tool for the country development plans including the Poverty Reduction Strategy (PARPA) and the Millennium Development Goals (MDG) .

Regularly conducted surveys include:

Despite the various data collection efforts, limited human resources for health and weak informatics infrastructure impair the systematic and timely collection of health information. This is mainly due to limited capacity at health facility level leading to poor quality of data. Furthermore, Mozambique faces challenges in transforming the collected data into clear policies, objectives and strategies corresponding to country needs.

Achievements

  • On-going development of the new health information system, SISMA, which will replace the Modulo Basico. This will improve the quality of data and help targeting interventions.
  • In 2012, the Sistemas de Informação de Registo de Óbitos Intra-hospitalares (SIS-ROH) was developed and implemented in the Regional and Provincial hospitals. This means that hospitals now are collecting comparative data nationwide.
  • Implementation of annual data quality assessments as a key component of the Avaliaçao Conjunta Annual.

Key resources: