Health Management Information System in Malawi: Issues and InnovationsChet N Chaulagai1, Richard B Pendame2 Abstract The main problem in the current health information systems is not a lack of information but insufficient use of available information. Therefore, Malawi is establishing a health management information system (HMIS) starting from institutionalising a very simple monitoring process in the health system. In this process, districts converts facility specific existing data to relevant indicators, monitor the trend, compare against targets or expected values, compare among facilities, discuss the reason for deviating from expected value, incorporate corrective measures in their next monthly and quarterly plans. The same procedures are being followed at national level. It has been realised that this process is essential for developing a better understanding of the value of information in management and that this will lead to establishing an information culture in the entire health delivery system. Within the new HMIS, a home based client booklets system has been introduced, aiming at improving the quality of health care to individual clients. Despite that these booklets are sold in a cost recovery scheme, they are in dramatic demand and have shown their positive effects on quality and access of care.
1 Technical advisor 2 Permanent Secretary for Health and Population |