Spatio-temporal analysis of secondary data for usefulness and utility of Health Management Information System.

Abstract

Introduction: Health Management Information System (HMIS) is a coordinated effort to improve the decision making for reorienting health care services to a large populace. Since its adoption and its revitalization its use in primary health care was assessed for usefulness and utility. Methods: Study was carried out at Community Health Centre (CHC), Haroli, Una, Himachal Pradesh. Standardized reporting formats for every month was collated and analyzed at Primary Health Centre (PHC) Level for year 2011, 2012, and 2013. Results: In year 2003 with an average pregnancy registration of 20/1000 population study area exhibited high rate and an increasing trend across all the PHCs. An interesting mismatch was observed when the reported birth rate was 3.2/1000 population in year 2013 which was relatively very low against pregnancy registration. Most of the deliveries have happened at home and have been conducted by the Non-Skill Birth Attendants. Overall and even across all the PHCs, the poor sex ratio (number of females per 1000 males) at birth is reported. Conclusion: Good maternal and child health (MCH) and sex ratio at birth were observed. Computed indicators revealed a mismatch like low birth rate despite the high rate of antenatal registration and care over three years which required to be studied for underlying determinants.