LHW Systems Review - Oxford Policy Management

Management information system10 Management information system10.1 PurposeTo provide an information system that is efficient and that responds to the information needsof various decision-making levels of the health system.10.2 Performance measures• The MIS is designed to provide performance reporting on selected KPIs in theStrategic Plan, and process and output indicators of the PC-1;• This information is accurate and timely; and• This information is used to inform strategic and management decisions.10.3 Assessment of the MISCore to the purpose of the MIS is the measurement of results against the KPIs. In the firstinstance, the assessment of the MIS is whether it is designed to provide the information onthe KPIs. The indicators in the PC-1 and the Strategic Plan are provided in Annex C,together with the role in the MIS in providing information for its measurement. 82The next section provides the system description. It is similar in format to the other systemsreviewed in this report. This is followed by an assessment of the system’s performance, withresults from the Quantitative Report; the evaluation team’s use of the PSP database,document analysis, and observation of several management meetings.10.4 DescriptionThe paper trail The MIS, as required by the PC-1, has procedures and instruments for datacollection from the community level (through LHWs) on key areas that have an impact on thehealth status and on performance indicators important to ensuring a successful Programme.The MIS collects data through a series of monthly reports in standard formats (Figure 10.1).This data is available to the health facility, and district, provincial and federal levels forcompilation and analysis.The Strategic Plan emphasises the need not to rely purely on data collected by the system,but to continue to use external evaluations.Management meetings There are meetings held at the district level, and the provincial andfederal levels by Programme managers and inspectors, where data is presented and wherebarriers to performance are discussed with the aim of achieving resolution. The schedule ofmeetings is as follows:• FPIU quarterly meeting at FPIU with PPIU (Provincial Co-ordinator, AssistantProvincial Coordinator, Logistic Coordinator);• FPIU quarterly meeting of Provincial Training Coordinators;• PPIU quarterly meeting with DPIUs (includes discussion of training issues);82The PC-1 is the operational plan for the LHWP. It is instrumental in gaining access to resources by being translated into theannual Cash/Work Plan, which is the budget request to the Ministry of Finance. The input for the Cash/Work Plan is providedby the PPIU to the FPIU after consultation with the DPIUs. It is time-bound by the requirements of the Planning Division and theMinistry of Finance.65