Reporting Status - HMIS portal

Reporting status of Health facilities in 2011-12 :

Only half of the facilities are reporting

Health Facility Reporting Status 2011-12

Health Facility Reporting Status 2011-12

Data Quality Checks - HMIS portal

Data errors in monthly HMIS report 2011-12 :

District-wise Analysis

BPR CDL CCP IE IW SPT TML TBL UKL MNP

Number of Data Errors

Reporting pendency - HMIS portal

Stages of Data reporting in HMIS portal Stages of Data reporting in HMIS portal

9

Status of Reporting - HMIS portal (2011-12)

Data committed by state Level 4Data committed by District Level 3

Data uploaded but not committed by District Level 2Data not uploaded Level 1

DistrictAnnual report

Quarterly report

Qtr-1 Qtr-2 Qtr-3 Qtr-4

BPR level 4 level 4 level 4 level 4 level 4CDL level 4 level 1 level 1 level 1 level 1CCP level 4 level 4 level 4 level 4 level 4

IE level 4 level 4 level 4 level 4 level 4IW level 4 level 4 level 4 level 4 level 4

SPT level 4 level 1 level 4 level 4 level 1TML level 4 level 4 level 4 level 4 level 4TBL level 4 level 4 level 4 level 4 level 4UKL level 4 level 1 level 2 level 4 level 4

Data Completeness - HMIS portal

Percentage of data filled

Percentage of data filled

Data quality issues in HMIS report 2011-12

1. Under-reporting or no reporting for anemia during pregnancyHb. Level for ANC BPR CDL CCP IE IW SPT TML TBL UKL Total

Hb level<11 (tested cases)

1110 2 429 548 1421 337 34 1158 392 5431

Severe anaemia (Hb<7)

30 0 10 0 55 13 1 5 17 131

2. Measles 2nd dose reporting is very low in many district  BPR CDL CCP IE IW SPT TML TBL UKL Total

Measles 2nd dose( No. of children more

than 16 months of age )9 2 3 29430 0 5378 13 11399 34 46268

3. Low value reporting for birth dose vaccinations  BPR CDL CCP IE IW SPT TML TBL UKL Total

Live birth reported 1321 1702 4492 3048 16583 4547 933 2088 1462 36176

OPV 0 (Birth Dose) 888 228 123 3342 823 799 381 410 338 7332

Hep-B0 (Birth Dose) 10 147 24 6 0 7 204 8 0 406

Data quality issues in HMIS report 2011-124. Non - reporting in JE vaccination – a serious concern for MoHFW

5. Diptheria reporting in Ukhrul district in 2011-12

  BPR CDL CCP IE IW SPT TML TBL UKL Total

Japanese Encephalitis (JE) vaccination (>16 months)

0 0 0 64 4 0 0 246 0 314

Childhood desease BPR CDL CCP IE IW SPT TML TBL UKLDiphtheria

0 0 0 0 0 0 0 0 3

6. Reported distribution of Cenchromen pills by districts (from where ??)

Family Planning BPR CDL CCP IE IW SPT TML TBL UKL Total

No. of Centchroman pills given

76 79 63 232 98 189 191 510 65 1503

Data quality issues in HMIS report 2011-127. Discharge within 48 hrs after delivery is high for most district.

Moreover, PP check-up within 48 hrs is very low in CCP & IE

8. % of C-Section is high in Pvt. Institutions

9. High Abortion rate in some districts

  BPR CDL CCP IE IW SPT TML TBL UKL TotalTotal Inst. Delivery (Public + Private)

946 648 3730 2866 16222 1161 486 1194 748 28001

% discharged under 48 hours of delivery 100 75 77 92 62 84 70 99 66 71

% receiving PP check-up within 48 hrs after delivery 131 101 43 12 96 215 88 143 62 88

 Normal % = 15 BPR CDL CCP IE IW SPT TML TBL UKL Total% of C-section in Public Inst.

0 0 9 6 27 0 0 0 0 17

% of C-section in Pvt. Inst.

    27 17 59       17 46

Normal % = 10  BPR CDL CCP IE IW SPT TML TBL UKL Total

% of abortion 23 0 22 8 40 6 2 13 1 16

Data quality issues in HMIS report 2011-12

10. Under-reporting in line listing of deaths

11. Non-matching of JSY beneficiaries data (quarterly & monthly)

12. False reporting in monthly stock/inventory at district HQ

  BPR CDL CCP IE IW SPT TML TBL UKL TotalInfant & child deaths 3 0 7 5 4 18 0 6 13 56Maternal deaths 1 2 3 1 3 4 0 3 3 20Other deaths 155 2 92 217 314 77 1 224 81 1163

 2011-12 Type BPR CDL CCP IE IW SPT TML TBL UKL Total

Home JSYMonthly 112 87 1037 0 220 701 110 898 287 3452Quarterly 104 238 949 350 220 840 110 850 1029 4690

Inst. JSYMonthly 1699 480 1053 2429 2526 815 213 2298 558 12071Quarterly 1405 352 1596 2475 2526 824 213 1891 1201 12483

District-wise Details

Data quality issues with HMIS report 2011-12

14. False reporting of delivery cases in many SCs

17. Late reporting by districts & blocks hinders the process of data quality checks & timely feedbacks

15. The process of authentication of monthly reports submitted by health facilities needs to be strengthened at all level. This is lacking in many district. Consequence - validation errors & unrealistic figures in the final district consolidated report.

16. District & block data managers should compulsorily verify & check while uploading health facility reports.

18. Annual infrastructure report in the HMIS portal needs to be filled & uploaded in 2012-13. Forms may be downloaded from the download section of the HMIS portal ( http://nrhm-mis.nic.in/Downloads_HMIS.aspx )

Timeliness in Reporting

Timely ReportingDistricts

Late ReportingDistricts

1 Bishnupur 1 Chandel

2 Imphal West 2 Senapati

3 Thoubal 3 Ukhrul

4 Churachandpur 4 Imphal East

5 Tamenglong