HMIS Monitoring and Evaluation
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is the systematic collection, analysis and use of information from programs for three basic purposes:
Monitoring
internally and externally for the resources used; and the results obtained (monitoring function) and taking decisions (steering function).
Accounting
is assessing an ongoing or completed program or policy as systematically and as objectively as possible. The object is to be able to make statements about their relevance, effectiveness, efficiency, impact and sustainability.
Evaluation
required to assess the effect of integrated service delivery. Appropriate indicators, data collection systems and data analysis to support decision-making help guide successful implementation of integrated services and measures the effect on both service delivery and use of services (FP/Immunization Integration Working Group, n.d.).
robust monitoring and evaluation (M&E) system
should address all components of the framework and lay the foundation for regular reviews during the implementation of the national plan.
The national M&E plan and system
-be primarily country-focused but also offer the basis for global monitoring; -address M&E needs for multiple users and purposes, including monitoring program inputs, -processes and results, tracking health systems performance and evaluation; -facilitate the identification of indicators and data sources, provide tools and guidance for data analysis, and show how the data can be communicated and used for decision-making -bring together the monitoring and evaluation work in disease-specific programs with cross-cutting efforts such as tracking human resources, logistics and procurement, and health service delivery.
According to the National Health Mission (2014), strategies for operationalizing the framework should:
is a core component of current efforts to scale up for better health.
Monitoring and evaluation (M&E)
have developed a general framework for M&E of health system strengthening (HSS).
Global partners and countries
Infrastructure; Information & communication technologies, Health workforce, Supply chain, Information
Input and Process
Intervention access & Services Readiness, intervention quality, Safety
Outputs
Coverage of Intervention, Prevalence risk behaviors & factor
Outcomes
Improved health outcome & equity, Social and financial risk protection, Responsiveness, efficiency
Impact
-Funding -Plan -Harmonization
Input
-National Plan Implementation -Capacity building -Accountability
Processes
-Health system streghtened - Improve services
Outputs
-Increased service utilization and intervention coverage - Reduced Inequity -Responsiveness
Outcome
-Improved survival -Improved nutrition -Reduce morbidity -Improve equity -Social and financial risk protection
Impact
These are from among the five broad categories
1.Reproductive health 2.Immunization, 3.Disease prevention and control, 4.Resources utilization and 5.Data Quality
is a source of routine data that is necessary for monitoring different aspects of various health programs implemented in the country.
HMIS
is to dramatically reduce the global burden of TB by 2015, in line with the Millennium Development Goals and the Stop TB Partnership targets of the World Health Organization (2006).
TB free world, the goal of the STOP TB Program (STP)
HMIS Indicators to Monitor STOP TB Program
1.TB patients on DOTS 2.Number of new smear pulmonary TB cases enrolled in the cohort 3.TB Case Detection 4.Number of New smear positive pulmonary TB cases detected 5.Number of new smear negative pulmonary TB cases detected 6.Number of new extra pulmonary TB cases detected 7.HIV – TB – Co-infection 8.Proportion of newly diagnosed TB cases tested to HIV 9.HIV+ new TB patients enrolled in DOTS 10.TB Treatment outcome 11.Treatment completed PTB+ 12.Cured PTB+, Defaulted PTB+, Deaths PTB+