Evaluation Of Health Management Information System For Maternal And Child Health Services At Subcentre Level In A Rural Block Of Haryana, India
The Internet Journal of Third World Medicine · 2008
Health Management Information System is defined as a system that provides upto date, relevant, adequate, timely, reliable and reasonably complete information to health managers at various level and sharing of technical and scientific information by health personnel in order to make well informed management decisions about programme performance and operations1. The Health Management Information System provides information to support planning and control functions of the managers and help them in decision making. In 1999, under Ninth Five Year Plan speedy operation of HMIS (version-2) was implemented throughout India which is again computer compatible w.e.f. 01-04-992. Critical review of the Health Management Information System (Version-2) revealed that in rural setting a subcentre is responsible for about 5000 population in rural and 3000 in tribal and hilly area, has been recognized as unit of reporting of health information once a month. Health workers male and female, who make sub-centre team have been trained and given a set of 13 registers to record health information3. MATERIAL AND METHODS The study was conducted in the block Lakhanmajra which is the rural field practice area of Pt. BDSharma PGIMS, Distt. Rohtak, Haryana. 20 functional subcentre during the year 1998-99 were selected from this block.. The study design was cross-sectional. 400 mothers i.e. 20 mothers from each subcentre having children 1-2 years of age (i.e. born 1998-99) were selected by systematic random sampling technique from birth register of subcentre. For assessing the quality of health information 10 elements of maternal and child care services were chosen, which were number of living children, date of birth, past obstetric history taken, number of ANC checkups, TT doses, IFA tablets, delivery conducted by, number of PNC checkups, family welfare method used and immunization of child. A scoring system was developed for each element. First hand information generated from clients was matched with record maintained by workers and if the information generated from client's matched with the record the score was given one & for unmatched information score was given zero. The score was added for all elements & graded on following scale 0-5 score was poor, 6-8 good & 9-10 score were excellent. The data collected was analyzed using suitable statistical tests.