The document discusses data management in Uganda's health sector. It notes that data, both electronic and paper-based, is governed by technical working groups for health information systems and eHealth. Data is collected from communities, health facilities, and aggregated and transmitted to the national level. Access to the data is managed at the national and district levels. The Ministry of Health also uses a health service delivery hotline to collect community complaints and feedback to improve services. On a quarterly basis, data is cleaned, analyzed, and shared through reports to review health sector performance and inform efforts to harmonize health information systems.

1. HEALTH SECTOR DATA MANAGEMENT
SKYZ Hotel , Kampala
26th April, 2018 1
MINISTRY OF HEALTH

2. Data Management (both electronic and Paper
based) within the health sector is governed through
Technical Working Groups:
• HIS Thematic TWG ---coordination of all Parties
(MOH Technical programs & Partners)
• eHealth TWG----Approval of all ehealth initiatives
as per the ehealth policy & Strategy . Once an app
has been approved, day to day evaluation of
implementation is done through the HIS thematic
TWG.
2
Data Collection

3. Overview of HMIS
Health and Health related MDGs
National Health Policy
(NHP I and NHP II)
Health Sector Strategic Investment Plan (HSSP I, HSSP II and
HSSIP)
Health Management Information System (HMIS)
Government of Uganda NDP

4. Data is captured from the Community level, Health
facility level, aggregated an transmitted through the
district till it is entered into the electronic aggregate
system where national level stakeholders are able to
receive it for consumption upon receival of access to
the system….access managed at two levels:
– National Level
– District level
4
Data Management Procedures

5. HMIS Reporting Structure
MINISTRY OF HEALTH
District/Health Sub-districts
HEALTH UNITS
Flow of routine HMIS data
SENTINEL SITES
Community-VHTS
07th of the next month
15th of the next month

6. 6
DHIS2 Web portal
The Current Web portal enables access to Live DHIS2 environment, Training
server, Backup, Dashboard and many more tools

7. Health Service Delivery Hotline
7
Summary
 About 4,186 reports received during the quarters Q1 & Q2
FY2016/17 (July - Dec 2016) from all over the country
◦ 1,515 (36.2%)were actionable and tagged to their districts for
follow up
◦ 31% have had action taken i.e. investigations were made by the
DHTs.
◦ 28.3% have been concluded and closed.
◦ 14% were high priority cases that were forwarded to MHMSDU
for action and of these 30% were successfully resolved.
General
Complaint
21%
Unknown
15%
Stock Out
17%
General
Inquiry
10%Good Service
6%
Other Critical
8%
Extortion
8%
Working hours
of HCs
6%
Drug Theft
5%
Negligence
1%
Malpractice
1%
Fraud
1%
Absenteeism
1%
Illegal schools
0%
Reports by Category
• The information is
analyzed by MoH and
feedback provided to
the District Health
Teams for follow-up.
• This provides a
valuable tool for the
DHT to better engage
the community in
monitoring health
services
• And also for oversight
and accountability
• The anonymous hotline is a SMS
Service Delivery Complaints toll free
hotline through which any
community member can report
health service-related issues.
• This includes health centers closed
during working hours, drug theft,
stock outs of essential drugs in
hospitals, Absenteeism and good
practice and

8. On a quarterly basis through the HIS Thematic TWG:
– Data Cleaning…currently on going for Q3
– Data Analysis and sharing on the MOH web portal
– Health Sector Quarterly review performance
Efforts under the ehealth TWG to harmonise,
integrate and interoperate HIS across the health
sector
• Launch of the ehealth policy & Strategy
8
Data Cleaning and sharing Processes

9. Data Use Cases for Weekly Surveillance
9
• The MoH-ESD prepares a
weekly Bulletin that
comprises of a detailed
analysis of the key mTRAC
outputs
• Some of the indicators and
events published include
 Reporting rates
 Cases and deaths
for all the notifiable
conditions
 Case fatality rates
(CFR) and Attack
rates for some
events
 Maternal and
perinatal deaths
• The MoH-ESD provides
updates and progress
summary reports in
relation to any existing
epidemics or outbreaks
under investigations to
stakeholders.
WEEKLYEPIDEMIOLOGICALBULLETIN

10. Data Use Cases for Weekly Surveillance
10
• Indicators routinely analyzed include:
 Incidence of Malaria (Cases/1,000 population)
 Malaria Test Positivity Rate
 No. of Malaria Deaths
 Suspected cases tested for malaria
 Proportion of health facilities in districts reporting stockouts (ACTs and RDTs)
 Health facility Reporting rates
• The NMCP receives
weekly data to
support routine
malaria surveillance
• Generate the
“Weekly Malaria
Status”.
• The bulletin is shared
with all DHTs, MoH
officers and
Stakeholders
• Data used to monitor
malaria trends in
epidemics areas like
the 10 IRS districts
• Support districts and
facilities to construct
malaria normal
channels
• Verification of all
malaria deaths and
Develop line lists
WEEKLYMALARIASTATUS-UGANDA

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THANK YOU FOR YOUR
ATTENTION