Design and implementation of a health management information system in Malawi
Issues, innovations and results
Datos Bibliográficos
| ID | 11490331 |
|---|---|
| Autores | Chet N Chaulagai (Yahoo (United Kingdom), autor de correspondencia), Christon M Moyo, Christon Moyo (Ministry of Health), Jaap Koot (0000-0002-6933-0302), Humphrey BM Moyo (Ministry of Health), Thokozani C Sambakunsi (Ministry of Health), Ferdinand M Khunga (Ministry of Health), Patrick D Naphini, Patrick Naphini (Ministry of Health) |
| Año | 2005 |
| Volumen | 20 |
| Número | 6 |
| Páginas | 375-384 |
| Fecha de publicación | 2005-11-01 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | Health Policy and Planning (JOURNAL) |
| Identificadores de la revista | ISSN: 0268-1080 • E-ISSN: 1460-2237 |
| Editorial | Oxford University Press (PUBLISHER • GB) |
| DOI | 10.1093/heapol/czi044 |
| PMID | 16143590 |
| OpenAlex | W2127125660 |
| Idioma | EN |
| Citas recibidas | 18 |
| Referencias citadas | 6 |
As in many developing countries, lack of reliable data and grossly inadequate appreciation and use of available information in planning and management of health services were two main weaknesses of the health information systems in Malawi. Malawi began strengthening its health management information system with an analysis of the strengths and weaknesses of existing information systems, sharing findings with all stakeholders. All were agreed on the need for reformation of various, vertical programme-specific information systems into a comprehensive, integrated, decentralized and action-oriented simple system. As a first step towards conceptualization and design of the system, a minimum set of indicators was identified and a strategy was formulated for establishing a system in the country. The design focused only on the use of information in planning, management and the improvement of quality and coverage of services. All health and support personnel were trained, employing a training of trainers cascade approach. Information management and use was incorporated into the pre-service training curriculum and the job description of all health workers and support personnel. Quarterly feedback, supportive supervision visits and annual reviews were institutionalized. Civil society organizations were involved in monitoring coverage of health services at local levels. A mid-term review of the achievements of the health information system judged it to be one of the best in Africa. For the first time in Malawi, the health sector has information by facility by month. Yet very little improvement has been noted in use of information in rationalizing decisions. The conclusion is that, no matter how good the design of an information system, it will not be effective unless there is internal desire, dedication and commitment of leadership to have an effective and efficient health service management system.
Best practice · Business · Conceptualization · Economics · Health management system · HRHIS · Information system · Knowledge management · Management · Political science · Process management · Public health · Public relations · Risk management information systems · Strengths and weaknesses · Complex Systems and Decision Making · Computer Science · Electronic Health Records Systems · Engineering · Information Systems Theories and Implementation · Management Information Systems · Medicine · Nursing · Psychology · Health Policy
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| Obras citantes distintas | 18 |
|---|---|
| Citas por año | 0,46 |
| Intervalo de citas | 1987 - 2025 (39) |
| Velocidad de citación | recent |
| Altamente citado | No |
| Tipos de cita | Neutras: 18 |