REVISED CMA III - Ministry of Health

4. Performance Monitoring
Background
Monitoring and evaluation involves a systematic process of collecting, analyzing and using data
to improve programme management, guide resource allocation and support learning and
decision-­‐making. A Health Information Management Strategic Plan has been developed with the
aim of improving access to health information, improving the quality of health information, and
supporting decision making.
The sector has developed a robust data management system, the District Health Information
Management System (DHIMS). The DHIMS is a health data repository with simplified reporting
forms using standardised entries and automated calculations. It generates performance summary
statements for any level or facility and provides a powerful tool to inform decision-­‐ making at all
levels. The sector has integrated the public health information system (the Health Service System
Database) at regional and district level into the DHIMS and will link it with the NHIA information
system to establish a single repository and monitoring framework.
Health Information Officer Positions have been established at regional and district level and over
half of the positions have been filled, the plan is to deploy staff to all the 170 districts.
To continue strengthening sector M&E the key sector partners will:
• Clarify and improve reporting and communication lines within the sector and among
agencies to facilitate sector monitoring.
• Improve linkages between sector data sources.
• Improve on the efficiency and effectiveness of the sector’s review processes.
Performance Management
• A performance agreement will be signed between agencies and the Minister of Health and
between Directors and the Heads of Agencies to promote accountability and strengthen
the decentralisation process and instill a performance management culture in the sector.
• At the decentralized level plans will be tied to the performance management system –
targets will be negotiated with the decentralized levels; districts will be required to
ensure that the plans they formulate will enable them meet those targets. The indicators
at the district level will be derived from the national level indicators.
• The performance appraisal system will be implemented at the level of individuals, teams
and Agencies.
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