scholarly journals A Dive into Problems of National Health Management Information Systems (NHMIS) in Nigeria

2020 ◽  
Vol 5 (6) ◽  
pp. 237-240
Author(s):  
Oluwatuyi Mayowa Funmilayo
Keyword(s):  
Health Care ◽  
Information Systems ◽  
National Health ◽  
Health Management ◽  
Care Delivery ◽  
Management Information Systems ◽  
Successful Implementation ◽  
Management Information ◽  
Health Institution ◽  
Health Management Information Systems

NHMIS in Nigeria is a design established to collect, store, process and manage health care data in an effective and efficient manner in such a way that it will enhance health care delivery. NHMIS involves collection, storage and the transfer of a patient’s EMedical record, An health institution supporting health care policy decisions. National Health Management Information Systems. (NHMIS) promotes efficacious and valid services within hospital settings. NHMIS was introduced in Nigeria precisely 2006 which encompass all health information system. The achievement of NHMIS becomes a mirage due to challenges and problems faced with by health institutions. Be that as it may, it's imperative to have knowledge about determinants for successful implementation to make sure there is qualitative NHMIS. The successfulness of the implementation process of NHMIS is reliant on factors ranging from Technological, personnel and Institutional factors. Any problem relating to heath institutions if pointed out should avert poor implementation in the long run. Thus, this article will review problems of health institution factors affecting the efficacy of NHMIS while considering plans needed to forestall problems earlier identified.

scholarly journals Primary health care facility readiness to implement primary eye care in Nigeria: equipment, infrastructure, service delivery and health management information systems

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ada Aghaji ◽  
Helen E. D. Burchett ◽  
Ngozi Oguego ◽  
Shaffa Hameed ◽  
Clare Gilbert
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Health Management ◽  
Management Information Systems ◽  
Health Policies ◽  
Management Information ◽  
Eye Care ◽  
Primary Eye Care ◽  
Primary Health ◽  
Health Management Information Systems

Abstract Background Over two-thirds of Africans have no access to eye care services. To increase access, the World Health Organization (WHO) recommends integrating eye care into primary health care, and the WHO Africa region recently developed a package for primary eye care. However, there are limited data on the capacities needed for delivery, to guide policymakers and implementers on the feasibility of integration. The overall purpose of this study was to assess the technical capacity of the health system at primary level to deliver the WHO primary eye care package. Findings with respect to service delivery, equipment and health management information systems (HMIS) are presented in this paper. Methods This was a mixed-methods, cross sectional feasibility study in Anambra State, Nigeria. Methods included a desk review of relevant Nigerian policies; a survey of 48 primary health facilities in six districts randomly selected using two stage sampling, and semi-structured interviews with six supervisors and nine purposively selected facility heads. Quantitative study tools included observational checklists and questionnaires. Survey data were analysed descriptively using STATA V.15.1 (Statcorp, Texas). Differences between health centres and health posts were analysed using the z-test statistic. Interview data were analysed using thematic analysis assisted by Open Code Software V.4.02. Results There are enabling national health policies for eye care, but no policy specifically for primary eye care. 85% of facilities had no medication for eye conditions and one in eight had no vitamin A in stock. Eyecare was available in < 10% of the facilities. The services delivered focussed on maternal and child health, with low attendance by adults aged over 50 years with over 50% of facilities reporting ≤10 attendances per year per 1000 catchment population. No facility reported data on patients with eye conditions in their patient registers. Conclusion A policy for primary eye care is needed which aligns with existing eye health policies. There are currently substantial capacity gaps in service delivery, equipment and data management which will need to be addressed if eye care is to be successfully integrated into primary care in Nigeria.

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