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Building Health Management Information Systems in Egypt - PHRplus

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2.6 Establish Common Cod<strong>in</strong>g Standards ................................. 7<br />

3.0 Exist<strong>in</strong>g Projects ......................................... 9<br />

3.1 Curative Care Organization ......................................... 9<br />

3.2 Child Survival Project ............................................. 9<br />

3.3 Data for Decision Mak<strong>in</strong>g Project ................................... 12<br />

3.4 <strong>Health</strong> Insurance Organization (HIO) ................................ 13<br />

3.5 CRHP Component 1 Cost Recovery Hospitals ......................... 16<br />

3.6 Family Plann<strong>in</strong>g Project ........................................... 20<br />

3.7 Tuberculosis Control Project ....................................... 20<br />

3.8 Cab<strong>in</strong>et <strong>Information</strong> and Decision Support ............................ 21<br />

4.0 MIS Conceptual Framework .............................. 23<br />

4.1 Facility <strong>Management</strong> <strong>Systems</strong> ...................................... 23<br />

4.2 Hierarchical <strong>Information</strong> <strong>Systems</strong> ................................... 23<br />

4.3 Comb<strong>in</strong>ed <strong>Systems</strong> ............................................... 23<br />

4.3.1 Data Collection, Entry, and Consolidation ...................... 27<br />

4.3.2 Vertical Flows ............................................ 27<br />

4.3.3 Horizontal Flows .......................................... 28<br />

4.3.4 Return Flows ............................................. 29<br />

5.0 Strategy ............................................... 31<br />

5.1 Basic Elements .................................................. 31<br />

5.2 Development Guidel<strong>in</strong>es .......................................... 32<br />

5.2.1 Avoid Creat<strong>in</strong>g Another MIS Project .......................... 32<br />

5.2.2 Play a Coord<strong>in</strong>at<strong>in</strong>g Role ................................... 32<br />

5.2.3 Th<strong>in</strong>k Globally, Act Locally ................................. 33<br />

5.2.4 Def<strong>in</strong>e and Prioritize Objectives .............................. 33<br />

5.2.5 Build Organizational Capacity ............................... 34<br />

5.2.6 MOHP Headquarters ...................................... 34<br />

5.2.7 Governorate <strong>Health</strong> Directorates ............................. 36<br />

5.2.8 Strengthen Human Resources ................................ 37<br />

5.2.9 Do not Exceed Absorptive Capacity .......................... 39<br />

5.2.10 Match Operat<strong>in</strong>g Costs to Carry<strong>in</strong>g Capacity ................... 39<br />

5.2.11 Transfer Operat<strong>in</strong>g Costs <strong>in</strong> Phases ........................... 40<br />

5.2.12 Def<strong>in</strong>e and Increase <strong>Information</strong> Demand ...................... 44<br />

5.2.13 Use the Private Sector ...................................... 44<br />

5.3 Major Steps .................................................... 46<br />

5.3.1 Converge Hierarchical <strong>Systems</strong> .............................. 46<br />

5.3.2 Commercialize Facility <strong>Management</strong> <strong>Systems</strong> ................... 47<br />

5.3.3 Establish Recognized Official Standard Cod<strong>in</strong>g <strong>Systems</strong> .......... 47<br />

6.0 Implementation ......................................... 49<br />

6.1 System Development Doma<strong>in</strong>s ..................................... 49<br />

6.2 Steps to be Taken ................................................ 49<br />

6.3 Required Resources .............................................. 51<br />

Annex A: Persons Contacted .................................... 53<br />

ii<br />

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