scholarly journals Service Evaluation of the English Refugee Health Information System: Considerations and Recommendations for Effective Resettlement

2021 ◽  
Vol 18 (19) ◽  
pp. 10331
Author(s):  
Thomas James Dunn ◽  
Annabel Browne ◽  
Steven Haworth ◽  
Fatima Wurie ◽  
Ines Campos-Matos
Keyword(s):  
Information System ◽  
Local Government ◽  
Health Information ◽  
Health Assessment ◽  
Health Information System ◽  
Service Evaluation ◽  
Refugee Health ◽  
Special Educational Needs ◽  
The Uk ◽  
Governance Processes

Since 2015, the UK has resettled over 25,000 refugees. To support resettlement and integration, refugees undergo a pre-arrival medical health assessment (MHA), which is used for healthcare planning by local government in England. This study aimed to understand the utility and effectiveness of the MHA and flow of data to support resettlement planning. Seven local government representatives were interviewed regarding their experiences and perceptions of the refugee health information system (HIS) and the MHA for resettlement in England. Data was analyzed using thematic analysis. The three themes indicated that the HIS was perceived to be effective, however, issues on governance, timeliness of information and access were identified. Findings showed that for the MHA to be more useful for planning, assessments for mental health issues and child special educational needs (SEN) are needed. Findings also indicated resettlement promoted joint working and acceptability of refugee resettlement. In areas where data sharing and governance processes are well defined, the HIS is effective and the MHA supports resettlement. National agencies should put structures in place to support timely health information flow.

Integration of the UNHCR Refugee Health Information System into the National Health Information Management System for Uganda

2019 ◽  
pp. 183335831988781
Author(s):  
Caroline Kyozira ◽  
Catherine Kabahuma ◽  
Jamiru Mpiima
Keyword(s):  
Information System ◽  
Data Management ◽  
Health Information ◽  
National Health ◽  
Health Management ◽  
Health Information System ◽  
Health Data ◽  
Refugee Health ◽  
Health Management Information System ◽  
District Health

Background: The Uganda Government, together with development partners, has provided continuing support services (including protection, food, nutrition, healthcare, water and sanitation) to refugee-hosting Districts to successfully manage refugees from different neighbouring countries in established settlements. This service has increased the need for timely and accurate information to facilitate planning, resource allocation and decision-making. Complexity in providing effective public health interventions in refugee settings coupled with increased funding requirements has created demands for better data and improved accountability. Health data management in refugee settings is faced with several information gaps that require harmonisation of the Ugandan National Health Management Information System (UHMIS) and United Nations High Commission for Refugees (UNHCR) Refugee Health Information System (RHIS). This article discusses the rationale for harmonisation of the UNHCR RHIS, which currently captures refugee data, with the UHMIS. It also provides insights into how refugee health data management can be harmonised within a country’s national health management information system. Method: A consultative meeting with various stakeholders, including the Ugandan Ministry of Health, district health teams, representatives from UNHCR, the United Nations Children Education Fund (UNICEF), United States Government and civil society organisations, was held with an aim to review the UHMIS and UNHCR RHIS health data management systems and identify ways to harmonise the two to achieve an integrated system for monitoring health service delivery in Uganda. Results: Several challenges facing refugee-hosting district health teams with regard to health data management were identified, including data collection, analysis and reporting. There was unanimous agreement to prioritise an integrated data management system and harmonisation of national refugee stakeholder data requirements, guided by key recommendations developed at the meeting. Conclusion: This article outlines a proposed model that can be used to harmonise the UNHCR RHIS with the UHMIS. The national refugee stakeholder data requirements have been harmonised, and Uganda looks forward to achieving better health data quality through a more comprehensive national UHMIS to inform policy planning and evidence-based decision-making.

scholarly journals HEALTH INFORMATION SYSTEM AS CORRELATE OF MONITORING AND EVALUATION OF PRIMARY HEALTH CARE SERVICES IN IFE CENTRAL LOCAL GOVERNMENT AREA, ILE-IFE, OSUN STATE, NIGERIA

2021 ◽  
pp. 43-65
Author(s):  
Osundina Kayode ◽  
Bola Adegbesan
Keyword(s):  
Health Care ◽  
Information System ◽  
Primary Health Care ◽  
Local Government ◽  
Health Information ◽  
Care Delivery ◽  
Health Information System ◽  
Monitoring And Evaluation ◽  
Primary Health ◽  
Delivery Services

This study examines “The relevance of Health Information System in Monitoring and Evaluation of Health Care Delivery Services Ife Central Local Government, Ile-Ife. The research design used in this study was descriptive survey to provide necessary database on the relevance of Health Information System in the monitoring and evaluation of health care delivery services in Local Government Primary Health Care System, the researcher uses Ife Central Local Government, Ile-Ife, Osun State. The target population consists of one hundred and twenty (120) respondents (Staff of Primary Health Care Department of Ife Central Local Government, Ile-Ife). Sampling technique adopted for this study is total enumeration, all the staffs of Health Information Management Department were used for the research because the researcher considers these respondents as a genuine unit where all important and detailed information could be obtained for this research work. In the course of data collection exercise, a total of one hundred and twenty questionnaires were administered. The questionnaires were administered at the various units of the Primary Health Care Department of Ife Central Local Government and one hundred and fourteen questionnaires were completed and returned questionnaire which denotes the response rate to be 95% which proved that there is sufficient information from the respondents. From the findings of the study, it was discovered that health information system is effective due to the opinion of majority of the respondents which denotes that health information system contributes to good service delivery in Primary Health Care settings. It was affirmed that there are factors hindering effective management of health information system by the respondents which was supported by 75.5% of them in their response to question 24 of the questionnaire. HIS has benefits on health care monitoring and evaluation which denotes it can be used in policy and decision making. It was also proved according to responses to question 21 of the questionnaire that the duties of the health information officers cannot be overruled and that they play their roles as expected for generation and utilization of health information. It was observed too that health information is being put into use regularly for monitoring and evaluation of health care service by the respondents in question number 20 of the questionnaire. This study reveals that Health Information System has great impact on healthcare service delivery, the system captures, transmits and stores information related to patient care and the activities of the health institution. It incorporates routine information system, disease surveillance system, laboratory information system, hospital patient administrative system which is used to process reports and create awareness in order to make policy action programmes effective for quality monitoring and evaluation activities and the recommendations that were made includes: The provision of sufficient and well trained staff, training and seminar, caution against paucity in information gathering, adequate funding, setting up supervisory committee and computerization of various sections.

scholarly journals Capturing the essential: Revising the mental health categories in UNHCR’s Refugee Health Information System

Intervention ◽  
2019 ◽  
Vol 17 (1) ◽  
pp. 13 ◽  
Author(s):  
Peter Ventevogel ◽  
GraceK Ryan ◽  
Vincent Kahi ◽  
JeremyC Kane
Keyword(s):  
Mental Health ◽  
Information System ◽  
Health Information ◽  
Health Information System ◽  
Refugee Health

The Vision for a Person-Centered Health Information System

2018 ◽  
Vol 8 (10) ◽  
Author(s):  
Keith Horvath ◽  
◽  
Patricia Sengstack ◽  
Frank Opelka ◽  
Andrea Borondy Kitts ◽  
...  
Keyword(s):  
Information System ◽  
Health Information ◽  
Health Information System

Impact of Perioperative Tachydysrhythmias on Mortality and Length of Stay in Complete Repair of Tetralogy of Fallot: A Multicenter Retrospective Cohort Study from the Pediatric Health Information System

Cardiology ◽  
2021 ◽  
pp. 1-7
Author(s):  
Aziez Ahmed ◽  
Parthak Prodhan ◽  
Beverly J. Spray ◽  
Elijah H. Bolin
Keyword(s):  
Information System ◽  
Length Of Stay ◽  
Health Information ◽  
Tetralogy Of Fallot ◽  
Health Information System ◽  
Inpatient Mortality ◽  
Pediatric Health ◽  
Mortality And Morbidity ◽  
Multiple Risk Factors ◽  
Complete Repair

Introduction: Tachydysrhythmias (TDS) frequently occur after complete repair of tetralogy of Fallot (TOF). However, not much is known about the effect of TDS on morbidity and mortality after TOF repair. We sought to assess the associations between TDS and mortality and morbidity after repair of TOF using a multicentre database. Materials and Methods: We identified all children aged 0–5 years in the Pediatric Health Information System who underwent TOF repair between 2004 and 2015. Codes for TDS were used to identify cases. Outcome variables were inpatient mortality and total length of stay (LOS). Univariate and multiple logistic and linear regression analyses were used to identify the effects of multiple risk factors, including TDS, on mortality and LOS. Results: A total of 7,749 patients met inclusion criteria, of which 1,493 (19%) had codes for TDS. There was no association between TDS and inpatient mortality. However, TDS were associated with 1.1 days longer LOS and accounted for 2% of the variation observed in LOS. Conclusion: After complete repair of TOF, TDS were not associated with mortality and appeared to have only a modest effect on LOS.

Diagnosis of Auditory Neuropathy Spectrum Disorder in the Neonatal Intensive Care Unit Population

2021 ◽  
pp. 019459982110298
Author(s):  
Chengetai Mahomva ◽  
Yi-Chun Carol Liu ◽  
Nikhila Raol ◽  
Samantha Anne
Keyword(s):  
Intensive Care Unit ◽  
Information System ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Health Information ◽  
Neonatal Intensive Care ◽  
Health Information System ◽  
Auditory Neuropathy ◽  
Spectrum Disorder ◽  
Nicu Admission

Objective To determine the incidence of auditory neuropathy spectrum disorder (ANSD) and its risk factors among the neonatal intensive care unit (NICU) population from 2009 to 2018 in the Pediatric Health Information System database. Study Design Retrospective national database review. Setting Population-based study. Methods The Pediatric Health Information System database was queried to identify patients ≤18 years old with NICU admission and ANSD diagnosis. Patient demographics, jaundice diagnosis, use of mechanical ventilation, extracorporeal membrane oxygenation, furosemide, and/or aminoglycosides were extracted. Multivariable linear regression was used to assess trends in incidence. Chi-square analysis was used to assess differences between patients with and without ANSD. Logistic regression was used to assess factors associated with ANSD. Results From 2009 to 2018, there was an increase in (1) NICU admissions from 14,079 to 24,851 ( P < .001), (2) total ANSD diagnoses from 92 to 1847 ( P = .001), and (3) annual total number of patients with ANSD and NICU admission increased from 4 to 16 ( P = .005). There was strong correlation between the increases in total number of NICU admissions and total ANSD diagnoses over time ( R = 0.76). The average ANSD incidence was 0.052% with no statistically significant change over 10 years. When compared with all NICU admissions, children with ANSD had a higher association with use of furosemide ( P < .001) and ventilator ( P < .001). Conclusion Despite a statistically significant increase in NICU admissions and total ANSD diagnosis, the incidence of ANSD in the NICU population has not increased from 2009 to 2018. Furosemide and mechanical ventilator use were associated with increased likelihood of ANSD.

Health Information System for Home Visits

2019 ◽  
Author(s):  
Anuchit Nirapai ◽  
Jittarporn Somchue ◽  
Pongsiri Chaikot ◽  
Nipa Kimsungnoen ◽  
Manas Sangworasil ◽  
...  
Keyword(s):  
Information System ◽  
Health Information ◽  
Health Information System ◽  
Home Visits
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