WHO - HMN HIS Tools To Support GFR10 - Recommended Indicators For HIS Strengthening

Recommended Indicators, Activities, Sub-activities and Inputs to Guide Country, National Health
Information Systems Strengthening: Global Fund Round Applications in Relation to Health Systems
Strengthening
May 2010
(September 2008)
Recommended Indicator #1: Appropriate operational policies and procedures for strengthened and functional Health Information Systems are prepared
and widely endorsed
Key Illustrative Activities
Suggested Sub-activities
Inputs
1. Develop 5 year strategic plan for
A. Prepare for strategic planning workshop and write up the final
A working group of 5-7 persons meets
strengthening the health information
strategic plan
once / week for 3 months
system (HIS)
A national or expatriate consultant for 1-3
months
B. National consensus meeting
Meetings of 3060 participants for three
days
C. HIS Strategic Plan published and widely disseminated
Printing and dissemination costs
Note: as an alternative, US$ 30,000 can
be budgeted for the entire cost of
developing and disseminating the HIS
Strategic Plan
2. Define and adopt a minimum set of
national indicators, disaggregated by
level of service delivery, by programmes
and by the main health sector functions
(health system building blocks)
A. Using a multi-stakeholder approach, a working group select,

discuss and finalize the minimum set
B. National consensus meeting(s)

C. The minimum set of indicators published and widely
disseminated
A working group of 5-7 persons

established and meets once / week for 3
to 6 months
months
A consultative meeting in each
region/province: 25 persons for 1 day
Consultative meeting with program
managers, aid partners and NGOs (25
persons for one day)
1-2 meetings: 30 60 participants for one
day
HMN: Recommended Indicators, Activities, Sub-activities and Inputs to Guide Country, National Health Information Systems Strengthening
3. Conduct an in-depth review of data

sources (routine, surveys, civil
registration). This should include a
review of the redundancy and
inconsistency of tools used for data
collection, data management and
dissemination. Choose one or more of
the approaches described under subactivities A, B or C
A. Experts meeting to review the most recent data and tools

B. Statistical analysis and appraisal of the completeness, validity
and consistency of data from the last 5 to 10 years
C. Survey using a questionnaire administered to a sample of data
collectors, data managers and data users to assess the validity,
timeliness and completeness of routine health data
D. Discussion and dissemination of findings
4. Develop/update guidelines and tools

A. Draft guidelines including any new or revised tools.
for data collection and data management

C. Pilot guidelines in 1-2 districts
2-3 meetings of 10-15 expert national

officers of MOH, NSO and CR
A working group of 4-5 qualified
professionals, including statisticians
meets for 1-2 weeks
Team of 1-2 national or international
consultants and 4-5 national officers
prepares for 10 days then devotes 10 days
at national level and 3 days per province
per region to visiting a sample of sites
(health facilities and health offices).
2 days meeting for 30 senior and midlevel health and health-related managers
A working group of 5-7 persons meets
once per week for 3 months
months
region/province: Up to 25 persons for 1
day
A consultative meeting with government
program managers, aid partners and
NGOs (25 persons for one day)
30 60 participants for one day
months including overnight per diem and
vehicle rental for 30 days
Training for
40 health facility staff (2 days including

daytime per diem);
20 staff from district/ provincial/
national levels (10 days including
daytime per diem);
Printing (60 copies times 50 pages)
2 days meeting for 30 senior and midlevel health and health-related managers
Printing (1000 copies; 50 pages)
D. Finalize the Guidelines and tools
5. Strengthen central, regional/

provincial and district capacity for health
information / M&E
A. Define the functions and staffing levels of full-time dedicated HIS

staff at national, provincial /regional and district levels

C. Recruit and employ staff for the new positions
A working group of 5-7 persons (including

representatives from civil service
commission +/- Ministry of Finance)
meets once per week for 3 months
months
region/province: 25 persons for 1 day
Central level:
-- Additional epidemiologist(s) with a
masters degree or PhD
-- Additional statistician(s) with a masters
degree or PhD
-- Additional economist with a masters
degree or PhD
-- Additional health information officer(s)
with a 2 year diploma
Per Regional/provincial level:
-- Additional epidemiologist(s) with a
masters degree
-- Additional health information officer(s)

with a 2 year diploma
Per District level:
-- Additional full-time, dedicated health
information officer with a 2 year diploma
6. Update legislation pertaining to health
statistics
A. Compile and review existing legislation and administrative

decrees pertaining to the collection, processing, analysis and
dissemination of statistical data. These are the data obtained
through population censuses, household surveys , civil registration
or data collected at the time that services are provided by private
sector as well as public sector providers
B. Consult and compare national legislation with the International
Statistics Rules and Regulations. United Nations Statistics Division
website:
http://unstats.un.org/unsd/default.htm
http://unstats.un.org/unsd/dnss/gp/fundprinciples.aspx.
Multi-sector or health sector task force of

3-5 persons (including at least one legal
expert) meets for 15 to 30 days
Multi-sector or health sector task force of

3-5 persons (including at least one legal
expert) meets for 10 days to review
regional and international examples of
health related laws and regulations on
national statistics, public health issues
and action.
Consult and compare other national legislations. E.g.

http://unstats.un.org/unsd/dnss/gp/globreview.aspx.
C. Review of additional legislation documents and texts.
Submission for consensus building among politicians, policy
makers, senior managers.
D. Relevant Ministers approve the new text. Official documents
submitted to the National Legislative Body (Committee,
Parliament) for analysis, review and endorsement.
5 to 7 persons meet once per week for 3

to 6 weeks;
printing and dissemination costs
12-20 people meet once or twice
Recommended Indicator # 2: Percent of health managers and health workers with appropriate skills in data management and data use
Illustrative Sub-activities
Suggested Inputs
1. Define standards and procedures for M&E, data See related activities under Recommended
See related inputs under Recommended Indicator
management and data use
Indicator No. 1
No. 1
2. Assess and define the in-service training needs
A. Design methods and materials for assessing
International -STTA (20 days + 1 round-trip)
of existing health workers, data managers and
training needs
Task force (2 persons for 20 days)
health service managers
Print questionnaires and survey guides (1000
pages)
B. Survey of outpatient health service providers
Rental of transport (vehicle, driver, fuel) for 18
(record keeping and data use)
days plus 30 days of per diem
National STTA (18 days)
C. Survey of district and hospital HIS officers
(computer skills, data management and data use)
[Note: also consider training for data entry
personnel]
combined with
Survey of district medical officers/ district health
administrators ( data management; M&E of public
health programmes; logistics management; +/financial management)
D. Survey of provincial HIS officers (computer
skills, data management and data use)
combined with
Survey of provincial health directors (as for district
medical officers)
E. Survey of national program managers (data
management; M&E of public health programmes)
Rental of transport for 15 days plus 30 days of per

diem
National -STTA (18 days)
Rental of transport for 10 days plus 30 days of per

diem
National-STTA (10 days)
3. Develop in-service training plan, modules and

materials -- for each training course developed
this should include
i) drafting of the plan & materials; and
ii) consultations to revise the plan & materials
4. Conduct in-service training -- for each training

course developed consider planning and
budgeting for i) pilot of the course; ii) revision of
the course; and iii) taking the course to scale
A. Overall facilitation and management of the

process to develop training plans and materials
B. Prepare module and materials for outpatient

health service providers
C. Prepare module and materials for District HIS

officers [Note: also consider training for data
entry personnel]
And
Provincial HIS officers
D. Prepare module and materials for District
medical officers/ district health administrators
and
Provincial health directors
E. Prepare module and materials for national
program managers
F. Hold national consensus workshop for planning

of in-service training in data management and
data use
National workshop (30 persons for two days)
A. Initiate course for outpatient health service

providers
B. Initiate course for District HIS officers [Note:
also consider training for data entry personnel]
C. Initiate course for District medical officers/
district health administrators
D. Initiate course for Provincial HIS officers
Suggested 2 day course with a refresher course

after the first year of 1 day / year
after the first year of 3 days per year
E. Initiate course for Provincial health directors

F. Initiate course for National program managers
International-STTA (45 days + 1 round trip)




5. Develop and implement 2 year pre-service
training for district/provincial health information
officers
A. Assess present and future need for full-time,

dedicated health information officers at district
and provincial levels
B. Develop curriculum and training materials
C. Contract with an existing national institution
that is currently conducting public administration
/ data management training courses of six weeks
or longer (planners may chose to develop a new
training institute but cost projections can be
based upon unsubsidized contracts with existing
institutions). 15 to 30 students can be enrolled
each year for the 2 year course.
D. Employ instructors in data management and
informatics
See Recommended Indicator 1-7A and

Recommended Indicator 2-2-C&D
Task force of 5 persons for 30 days each
One national consultant for 45 days
Contact an existing institution that now conducts
public administration courses of 6 weeks or
longer. Per student costs can be extrapolated to
estimate the cost of 24 months of training
including any room and board expenses that are
usually paid by the sponsor rather than by the
student.
Contract for two masters level professionals in
health informatics.
Recommended Indicator # 3: Percent of health facilities that report data on key indicators to the national level with 30 days after the end of each
quarter
Sub-activities
Inputs
1. Provide supervision at facility, district and
A. Supervise district and hospital HIS officers
see Outcome No. 1 for activities to develop
provincial levels to support the collection and
policies and procedures for data management at
timely transmission of quality data
district and hospital levels
Transport for 4 one-way "p to d" trips/ district/
year + 4 days of per diem/district
Transport for 4 "n to p" roundtrips/ province /
year + 8 days of per diem/ province
B. Supervise facility staff
policies and procedures for reporting and data
management at facility level
Transport for 4 one-way "d to f" trips/ facility/
year + 4 days of per diem/ facility
2. Develop an integrated electronic data
management system (integrated data
warehouse)
A. Build technical capacity within MoH
see Outcome No. 1 for related recruitment and

pre-service training to build capacity for data
management
Resident IT adviser (2 years + 1 round-trip)
Establish and fill a long-term IT specialist position
in the MoH
Establish and fill a long-term database manager
position in the MoH
B. Draft and reach consensus on an initial design:

which datasets; what capabilities at each level
(facility, district, provincial, national); timetable
for scaling up
I-STTA (40 days + 1 round-trip)

Workshop to reach consensus on initial design (15
persons for 1 day)
C. Complete an inventory of existing ICT
Transport for a one-way trip/district + 2 days of

per diem/district
I-STTA (10 days)
D. Select and procure ICT infrastructure

(workstations, servers, power, connectivity) -Establish e-connectivity between
districts/hospitals and central offices using
commercial internet, phone, radio or physical
transport of files

Procurement of equipment (see ICT hardware
costing module for details)
Contracting for installation (US$ 20,000 centrally
plus US$ 500 per district) and maintenance (US$
5,000 per year centrally plus US$ 150 per district
per year)
E. Select software

Acquire software -- consider open source
F. Revise data collection forms:

(i) harmonization of data elements;
(ii) "streamlining" -- eliminating some data
elements and some forms to reduce reporting
burden; and
(iii) supplementation -- adding data elements or
even forms to fill important gaps)
Task force for reporting on outpatient care (10

persons for 20 days)
Task force for reporting on inpatient care (10
persons for 20 days)
I-STTA (20 days + 1 round trip)
G. Select indicators and design dashboards and

reports including feedback reports
User group (10 persons for 20 days)

H. Customize software (both initial customization

and subsequent revision based upon further
revision of data collection forms)
I-STTA (120 days + 4 round trips during year one;

plus 20 days & 1 round trip each year)
HMN: Recommended Indicators, Activities, Sub-activities and Inputs to Guide Country, National Health Information Systems Strengthening 10
3. Establish mechanisms for routine data

validation (timeliness, completeness, accuracy
and consistency) at facility and all other levels
I. Deploy software and equipment (including onthe-job instruction of data managers at national,
provincial, district and hospital levels)
I-STTA (2 days/site + 1 round-trip) to install

software, supervise deployment and provide onthe-job instruction
Deployment and maintenance supported by
contractor (see "contracting for installation and
maintenance" above)
see Outcome No. 2 for related training activities
for hospital, district, provincial and national data
managers
J. Orientation of facility in-charges to the data

warehouse
Meetings at district level -- 2 days of per diem per

health facility + transport for a one-way
trip/district + 2 days of per diem/district
see Outcome No. 2 for related in-service training
activities for facility staff
K. Analysis and use of data
see Outcome No. 1 for related recruitment and

pre-service training to build capacity for analysis
and dissemination of health data
activities to support use of health data
see Outcome No. 9 for other activities to support
analysis, dissemination and use
policies and procedures for reporting and data
management
activities to support routine data validation
See Outcome No. 3-1 for supervision to support
routine data validation

4. Conduct annual internal review of data quality
at each health facility and each health office (e.g.
through self-administered checklist or during
supervisory visit)
5. Undertake annual exercise of comparing data

from routine sources with data from populationbased surveys
6. Conduct biannual health facility survey to verify

data quality at a sample of facilities and health
offices

policies and procedures for annual internal review
of data quality at each health facility and each
health office
See Outcome No. 3-1 for supervision to support
annual internal review of data quality at each
health facility and each health office
A. Task force to meet once each year to compare
all statistics including the estimates from the
annual WHO/ UNICEF joint assessment of
immunization coverage
B. Present findings at annual review meeting
Survey all provincial and all district health offices

and at least 25% of all health facilities
Annual task force meeting (5 persons for 5 days)
See Recommended Indicator No. 9 -- annual

review meeting
One day of rental of a vehicle and two days of per
diem per site surveyed
Recommended Indicator # 4: Percent of registered private-for-profit facilities reporting according to national guidelines in the past twelve months
Sub-activities
Inputs
1. Build consensus among professional
A. Draft regulations including data collection
A working group of 5-7 persons meets once per
associations and public health officers on
week for 2 months
forms and procedures
regulations and data collection forms for private
A national or international consultant for 2
sector reporting
months
A consultative meeting in each region/province:
25 persons for 1 day
Consultative meeting with representatives of
professional associations and private providers
association: 25 persons for one day)
2. Conduct a biannual census of private sector
facilities
3. Conduct annual joint review of data quality at a

sample of private health facilities
A. Implement Service Availability Mapping

exercise, and introduction of unique identifiers for
facilities
US$ 200,000 per round to map all facilities and

key services (public as well as private)
A. Joint team, constituted by private facility staff

and province/district public health officers
supervise randomly selected facilities for control
of data quality
B. Annual meetings with private providers in each
district, province and at national level
Teams of 2-3 persons visit for one day per

selected health facility
Half day meetings (including one coffee break and

lunch) of 25 persons per district; 50 persons per
4. Support application of the national regulations

regarding private sector reporting
A. Regular supervisory visits to private sector

facilities
B. Annual meetings with private providers in each
district, province and at national level
province and 100 persons at national level

Half-day of transport costs and half-day of
daytime per diem per private sector facility per
year
Half day meetings (including one coffee break and
lunch) of 25 persons per district; 50 persons per
province and 100 persons at national level
Recommended Indicator # 5: Percent of facilities that completed and submitted quarterly reports on stock levels of tracer drugs
Sub-activities
Inputs
1. In close collaboration with the Pharmacy Dept
A working group of 5-7 persons (including
A. Draft procedures
and National Medical Stores, develop procedures
representatives of Pharmacy Dept. and National
and reporting formats for integrated management
Medical Stores) meets once / week for 3 months
of the supply of medicines, contraceptives,
A national or expatriate consultant for 1-3 months
vaccines and other consumables.
2 consultative meetings with program managers
and aid partners (25 persons for one day)
B. National consensus meeting(s)
1-2 meetings: 30 60 participants for one day
2. Develop a plan with materials for in-service
training of staff at various levels in supply
management.
3. Conduct in-service training on logistics and

supply management with emphasis on data
management and use for decision making
A. Draft the plan and design/develop materials

B. National consensus workshop for planning of
in-service training in integrated logistics
management
A. Training of facility-level staff (one person at
each facility)
B. Training of district-level staff (two persons in
each district)
C. Training of provincial-level staff (three persons
in each province)
D. Training of national level staff (5 persons)

National STTA (at least15 days)
National workshop (30 persons for two days)
Suggested 2 day course with a half day of

refresher training each year
Suggested 5 day course with one day of refresher
training each year
Suggested 5 day course with one day of refresher
training each year
Suggested 10 day course with two days of
refresher training each year
Recommended Indicator #6: A multi-year plan for coordination of household surveys developed and disseminated
Sub-activities
Inputs
1. Draft and reach consensus on a multi-year plan
A. Compare the proposed timing and
to coordinate the timing, key variables measured
questionnaires for all major surveys planned for
and funding of nationally representative
the next five years to identify overlaps,
population-based surveys which measure health
inconsistencies and gaps; draft
indicators
recommendations
B. Draft a multi-year plan including
recommendations for harmonizing the timing
and content of major surveys
C. Build consensus for the multi-year plan and
National workshop -- 30 persons for one day
accompanying recommendations
2. Financing specific household surveys
A. Conduct DHS with testing for HIV +/- malaria

B. Conduct malaria survey with or without
testing for malaria
C. Conduct tuberculosis prevalence survey
See costing modules for DHS -- consider cofinancing

See costing modules for DHS, MICS or smaller
surveys -- consider co-financing
Refer to Stop TB Program for details
Recommended Indicator #7: Percent of population covered by mortality civil registration system
Sub-activities
1. Assessment of current status
(coverage, completeness) of death
registration
2. Review existing legislation,
a. Review legal framework for death reporting
procedures and practices
b. Review procedures and practices of reporting and
recording death events and causes of death from household
and facilities up to national level
c. Review death registration forms
d. Analyse existing data and review the use of mortality
statistics
PATH A. TO AIM FOR NATION-WIDE COMPLETE CIVIL REGISTRATION SYSTEM
3. Develop plan to improve civil
a. Consultative meeting to develop plan
registration system
b. Revise legislation as necessary
c. Develop plans for increasing completeness in urban and

rural areas
d. Revise forms
e. Present and obtain consensus on plan and revised

legislation and forms
4. Enact legislation
Inputs
Task Force (3 persons for 1 month)
Short Term TA (1 person for 2 weeks)
Production of reports, 10 pages, 100 copies
Task Force (3 persons for 3 months)
STTA (1 person for 1 month)
5 travel to provinces and districts, 2 week each
2 national workshops, @ 30 persons, 5 days

Preparatory work, Task Force (3 persons, 1 month
STTA (1 person, 2 weeks)
Produce draft revised legislation, 10 pages, 100
copies
Task Force (3 persons, 2 months)
STTA (1 person, 1 month)
Produce draft plan, 30 pages, 100 copies
Task Force (3 persons, 1 month)
Produce draft forms, 30 pages, 100 copies
See recommended indicator 1-6
5. Advocacy
a. Develop advocacy plan
6. Implementation of improvement
plan
b. Run campaign
c. Review campaign
a. Develop software program as necessary for death
registration
a. At registrar level
b. At district level
c. At provincial level
d. At national level
7. Operational research on the

effectiveness of incentives and on
overcoming barriers to registration
a. Develop protocol
b. Data collection
c. Data analysis
d. Production of reports

Media campaign, radio, TV, posters
Recruit new registrars, persons

Training of registrars on registration and
reporting, persons .. days
Provision of death registration forms
Provision of forms to report to district
Recruit new persons-in-charge, persons
Training of district officials on data compilation
and analysis, persons
Provision of computers, units
Production of monthly reports,
Recruit new persons-in-charge, persons
Training of provincial officials on data compilation
Production of quarterly report
Training of provincial officials on data compilation
Production of annual reports
Estimate USD 50,000
8. Assessment of status
(completeness and coverage) of
death registration
9. Annual Review of Mortality
Statistics
10. Dissemination of information to
media, civil society

Short Term TA (1 person for 2 weeks)
National workshop, @ 30 persons, 2 days
PATH B. TO AIM FOR ESTABLISHING SAMPLE REGISTRATION SYSTEM (AS INTERIM MEASURE WHILE BUILDING CAPACITY FOR NATION-WIDE CIVIL
REGISTRATION SYSTEM)
3. Develop plan for Sample
a. Consultative meeting
2 national workshops, @ 30 persons, 1 day
Registration System with Verbal
b. Select and define representative sample areas
Autopsy
STTA (1 person for 2 weeks)
4. Establish Sample Registration
System with Verbal Autopsy
5. Operational research on the
effectiveness of incentives and on
overcoming barriers to registration
6. Assessment of completeness and
coverage of death registration
Statistics
a. Develop protocol
b. Data collection
c. Data analysis
d. Production of reports
Apply SAVVY budgeting tool

(Estimate USD 1.3 m per year for 5 years, USD
1m thereafter)
Estimate USD 50,000
Task Force (3 persons for 1 week)

Production of reports
National meeting, .. persons.. day
Recommended Indicator #8: Percent of registered deaths with cause of death certified by a doctor or any medico legal-authority
Sub-activities
Inputs
1. Assessment of current
completeness of cause of death
STTA (1 person for 2 weeks)
registration
2. Review existing legislation,
a. Review legal framework for cause of death reporting
Task Force (3 persons for 2 months)
procedures and practices
b. Review procedures and practices of reporting and
STTA (1 person for 1 month)
recording death events and causes of death from household
5 travel to provinces and districts, 2 weeks each
and facilities up to national level
Printing of reports, 30 pages, 100 copies
c. Review death certificate
d. Analyse existing data and review the use of cause of death
statistics
3. Develop plan to improve cause of a. Consultative meeting to develop plan
death certification and registration
b. Revise legislation as necessary
Preparatory work, Task Force (3 persons, 1 month
Produce draft revised legislation, 10 pages, 100
copies
c. Develop plans for hospital deaths, domiciliary deaths in
Task Force (3 persons, 2 months)
urban areas, domiciliary deaths in rural areas
STTA (1 person, 1 month)
Produce draft plan, 30 pages, 100 copies
d. Revise forms
4. Introduce death certificate

conforming with international
standard
5. Implementation of plan for
hospital deaths
6. Implementation of plan for
domiciliary deaths
7. Tabulation, analysis and use of

data
6. Assessment of completeness and
coverage of cause of death
registration
Statistics
e. Present and obtain consensus on plan and revised

legislation and forms
a. Design revised death registration forms to incorporate
standard cause of death certification
b. Produce certificates
a. Development of training modules for doctors on cause of
death attribution and ICD-10
b. Training for doctors
a. Production of Verbal Autopsy Form
b. Development of training modules for VA interviewers and
coders
c. Recruit VA interviewers
d. Recruit coders
e. Training of VA interviewers
f. Training of coders
a. Recruit data analysts
a. Training on data analysis
b. Produce reports

Produce draft forms, 30 pages, 100 copies
STTA (2 weeks)
Training for persons days
Task Force (3 persons for 1 week)

Production of reports
National meeting, .. persons.. day
Notes: For countries that opt for Sample Registration System with Verbal Autopsy, the activities for this recommended indicator are
already incorporated in the SAVVY method
Recommended Indicator 9: Improved dissemination and use of health information at national and sub-national levels
Sub-activities
Inputs
1. Institutionalize monthly meetings and updating
See Recommended Indicator 1 for procedures
of cumulative coverage charts (for immunization,
See Recommended Indicator 2 for in-service
ANC, supervised deliveries, VCT, ART) by each
training
health facility
See Recommended Indicator 3 for supervision
2. Institutionalize monthly or more frequent
mortality reviews (e.g. maternal death audits) at
all hospitals
Develop policies and procedures for mortality

reviews at facility level
Introduce incentives for mortality reviews
3. Institutionalize quarterly and annual meetings

at district level at which analysed data on services
and resources are presented, compared and
discussed
A. Conduct monthly district meetings

B. Conduct annual district meetings Annual
meetings should include an exercise to allocate
See Recommended Indicator 1 activity 6

Snacks (once each month for all hospitals)
Costs associated with financing incentives (not
necessarily monetary)
District transport allowance and coffee break for
25 persons per month per district
District transport allowance, daytime per diem,
lunch and 2 coffee breaks for 50 persons per
4. Institutionalize quarterly and annual meetings

at provincial level at which district teams present,
compare and discuss analysed data on services
and resources
5. Institutionalize annual national health sector

reviews at which statistics are presented and
compared on all districts, all provinces, all major
public health programs and various building
blocks of the health system (financing, health
workforce, drug supply, infrastructure, transport,
etc)
catchments population among facilities, compare

coverage estimates and set targets;
C. At bi-annual meetings, facility staff present
analysis of data to local government officials and
community leaders in their catchment areas
district
A. Conduct annual provincial meetings with

minutes of meetings produced and disseminated.
District to provincial transport allowance,

overnight per diem (one night/person), lunch and
2 coffee breaks for 50 persons per province
B. Produce summary reports and disseminate to

HQ and all districts
Printing (50 pages x 2 copies per district)
A. Support and provide incentives for

presentation of health statistics at the annual
national health sector review
See Recommended Indicator No. 1 for policies

and procedures supporting and providing
incentives for presentation of health statistics at
an annual health sector review
I-STTA (80 days + 4 round-trips)
Task force for analysis, dissemination and use of
health information (10 persons for 15 days each
year)
National workshop (50 persons for 3 days)
N-STTA (20 days)
Task force (40 days)
Printing (50 pages x (districts + provinces + 25) +
US$ 1,000 postage
B. Conduct annual national review

C. Produce summary report and disseminate to all
provinces and all districts
6. Undertake annual exercise of comparing data

from routine sources with data from populationbased surveys
A. Task force to meet once each year to compare

all statistics including the estimates from the
annual WHO/ UNICEF joint assessment of
One-two day meetings with health facility staff

and civil society members.
See Recommended Indicator No. 3-5
immunization coverage
B. Present findings at annual review meeting
See Recommended Indicator No. 9-1
7. Produce and disseminate an annual, country

statistical report summarizing key statistics
including best estimates for each of the core
health indicators
A. Prepare annual, country statistical report

B. Disseminate report to the public and all health
facilities and all health offices

Printing (50 pages x (districts + provinces + 25) +
US$ 1,000 postage
8. Produce and disseminate a weekly

epidemiological bulletin
A. Prepare weekly epidemiological bulletin
B. Disseminate report to the public and all

districts and provinces
Printing (5 pages x 52 issues/year x (districts +

provinces + 25) + US$ 1,000 postage
A. Develop the web communication strategy in

line with an overall health and advocacy
communication strategy
B. Design the web site

Presentation at national annual review -see above
9. Develop and implement a strategy for

dissemination of information via the web site of
the Ministry of Health
C. Compile useful information and post it on the

website
D. Maintain and proactively update website
I-STTA + 1 round-trip
Contract to maintain website
Task force (4 persons meet for a day every 2
months)
ICT hardware
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Unit
Cost
US$)
Total cost
(US$)
7,500
30,000
3,000
12,000
2,000
10,000
20,000
20,000
8,000
16,000
200
2,500
12,500
2,500
12,500
number of districts
2,500
#VALUE!
1 for each hospitals
24
2,500
60,000
Internet installation at district level
13
2,000
26,000
number of districts
1,200
#VALUE!
Items
Number of Unit
Central data management and analysis

Basic server units
UPS for Server
Laptops
Generator
Renovation of Server rooms
Wifi routers for LAN
1,000
Computer workstations (Computers and UPS)

5 for information unit of MoH
5 for public health programs
2 for each District health Office
Telecommunication
Annual internet subscription
#VALUE!

WHO - HMN HIS Tools To Support GFR10 - Recommended Indicators For HIS Strengthening

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WHO - HMN HIS Tools To Support GFR10 - Recommended Indicators For HIS Strengthening

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Recommended Indicators, Activities, Sub-activities and Inputs to Guide Country, National Health

A. Using a multi-stakeholder approach, a working group select,

B. National consensus meeting(s)

A working group of 5-7 persons

3. Conduct an in-depth review of data

A. Experts meeting to review the most recent data and tools

D. Discussion and dissemination of findings

4. Develop/update guidelines and tools

B. National consensus meeting

2-3 meetings of 10-15 expert national

40 health facility staff (2 days including

D. Finalize the Guidelines and tools

5. Strengthen central, regional/

A. Define the functions and staffing levels of full-time dedicated HIS

B. National consensus meeting

A working group of 5-7 persons (including

-- Additional health information officer(s)

A. Compile and review existing legislation and administrative

Multi-sector or health sector task force of

Multi-sector or health sector task force of

Consult and compare other national legislations. E.g.

5 to 7 persons meet once per week for 3

Rental of transport for 15 days plus 30 days of per

Rental of transport for 10 days plus 30 days of per

National-STTA (10 days)

3. Develop in-service training plan, modules and

ii) consultations to revise the plan & materials

4. Conduct in-service training -- for each training

A. Overall facilitation and management of the

Task force (2 persons for 40 days)

B. Prepare module and materials for outpatient

Task force (4 persons for 10 days)

C. Prepare module and materials for District HIS

Task force (4 persons for 10 days)

F. Hold national consensus workshop for planning

National workshop (30 persons for two days)

A. Initiate course for outpatient health service

Suggested 2 day course with a refresher course

E. Initiate course for Provincial health directors

International-STTA (45 days + 1 round trip)

Task force (4 persons for 10 days)

Task force (4 persons for 15 days)

after the first year of 2 days per year

A. Assess present and future need for full-time,

See Recommended Indicator 1-7A and

A. Build technical capacity within MoH

see Outcome No. 1 for related recruitment and

B. Draft and reach consensus on an initial design:

I-STTA (40 days + 1 round-trip)

C. Complete an inventory of existing ICT

Transport for a one-way trip/district + 2 days of

D. Select and procure ICT infrastructure

I-STTA (20 days + 1 round-trip)

Task force (5 persons for 5 days)

F. Revise data collection forms:

Task force for reporting on outpatient care (10

G. Select indicators and design dashboards and

User group (10 persons for 20 days)

H. Customize software (both initial customization

I-STTA (120 days + 4 round trips during year one;

3. Establish mechanisms for routine data

I-STTA (2 days/site + 1 round-trip) to install

J. Orientation of facility in-charges to the data