It suggests need for new innovations including incorporation of HMIS in the ongoing reviews of the curricula for all cadres of health care providers, development of more user-friendly system and use of evidence-based John Kotter’s eight-step process for implementing successful changes in this system. The author believes that incorporation of HMIS in the new curricula will improve not only knowledge, skills, culture and efficiency of HMIS but will also cut-down the investment required for on-the-job training for health care providers. At decentralization, the Ministry of Health retained the national-level sectoral strategic functions of health policy and planning, finance and budget, legislation, advocacy and international co-operation Bergman ; MOH For some of the decision processes, consultative meetings with stakeholders and routine communication activities with local communities also provided channels for verbal information. HMIS will not likely succeed in supporting district performance, irrespective of success in adoption rate, if these other components of the organization are not strengthened and aligned for their informational contribution.

Responsibility over actual delivery of services was further delegated to district health systems, which were re-constituted into District Health Boards DHBs. Receive exclusive offers and updates from Oxford Academic. The system is crucial for evidence-based policy and informed decision-making at all levels from national down to the institutional levels. The study results point to the need for a radical re-think of district health management information solutions in ways that account for the existence of other information forms outside the formal HMIS in the district health system. These findings suggest also that the existing HMIS has not been institutionalized in the sense of being integrated into the everyday activities, an important factor for its sustainability and reliability. The study results suggest that the actual health management information system involves all aspects of organization: In each district, two of the decision cases were historical, the other two current or concurrent with the study.

Dissertation on hmis

The second and primary level of comparative cases was the strategic decision-making processes sampled from within the two districts selected for fieldwork. Evidence from the eight strategic decision-making processes traced in the study confirmed the existence of different forms of information in the organizational environment, including that provided by the conventional HMIS.

In retrospective disserration the researcher is often guaranteed complete decision processes that dissertwtion beginnings and ends, while in prospective tracing it is never assured that a decision process being traced will have resolved before the research project winds up its fieldwork.


Moreover, it is significant that, in fact, the administrative or general management decision processes traced in both districts either directly or indirectly, as would be reasonably expected, pertained to health programmes set up to address epidemiological health problems.

The author would like to thank the Kilombero district medical authority for allowing this study to be conducted in their health facilities and the Tanzanian Training Centre for International Health for funding and reviewing this study.

Dissertation on hmis

A cross sectional descriptive study was conducted in 11 heath facilities in Kilombero district between January and February Sample essays for ielts academic exam. First, the structure also recognizes the transitional linkages between the stages, and the activities that constitute these linkages.

Developing health systems disertation set out to strengthen their HMIS based on normative decision theory principles Acquah ; Gladwin et al. These two groups of district health systems experience distinct epidemiological and health management problems and challenges, set within their equally varied respective local socio-economies.

Information is often used as a symbol of competence, or merely as a signal of appropriate decision-making to secure legitimacy for decisions made.

dissertation on hmis

A study into expectations of peripheral health care managers from the introduction of HMIS in the Mbeya region of Tanzania. A stratified random sampling technique was used to obtain one hospital, one health centre and 9 dispensaries.

Contemporary philosophy of organizational management information systems including HMIS is centred on formal structured information systems with, among others, specified formal encoding, transmission and decoding rules that govern those structures Liebenau and Backhouse ; Ward and Griffiths ; Boman et al.

dissertation on hmis

By design, it had been decided that data on the strategic decision-making processes were to be collected using the tracer methodology Mutemwa diswertation The opinions expressed in this paper are those of the author alone and do not necessarily reflect formal views of the institutions mentioned. In the study, these forms were collectively referred to as the written form of transmission or information, which includes HMIS.

The third and final aim was to determine the implications of these findings for HMIS design and operational considerations.

The critical events principle helped identify key diissertation or turning points in the decision case stories, which were used for constructing the frame of the structure. Cassels A, Janovsky K.


dissertation on hmis

In addition, task forces specially convened for the decision process also became channels for not only pooling information from various stakeholder experiences and expert knowledge, but also served as entry points for that information into the decision-making process.

More crucially, it is widely acknowledged that managers use information other than that provided by formal organizational information systems such as HMIS; and this other information may take verbal and observational forms, or may be embedded in the training and experiential background of managers for instance, Mintzberg However, other forms of information have been identified in empirical literature as being present in the organizational environment.

HMIS , Government of Bihar, non uniformity, DEO/BHE

The aim of the study was, first, to establish the presence of writtenverbalobservationalexperiential and training information forms in the strategic decision-making process. For instance, the written information used in the problem recognition stage was different in content to the written information used in the solution development stage. Routines associated with information types in the investigation stage, across the eight studied strategic decision cases.

Related articles in Google Scholar. Informal verbal information was reported to be mostly in the form of informal intimacies about the problem situation; for instance, consider the following interchange between the researcher and the District Administrative Manager during an interview: Sign In or Create an Account. These reconstructed decision process stories were then verified with key informants for validation, and any inconsistencies or misrepresentations corrected.

Reproductive and child health; VDRL: This was particularly useful to the task of breaking down the individual decision-making processes in the search for information in its various forms. Authors’ contributions ASN designed the study, was involved in data collection and the analyzed the data and wrote the manuscript.

The subject of micro-processes should be better examined in a dedicated, separate paper. HMISinformation formsdecentralizationstrategic decision makingdistrict health systems.