Aggarwal, AK

Grewal, JS

Kumar P, Amneet

Sahota, Rupinder

Singh, Sube

LSHTM Research Online

ENABLING INFORMATION TO ACTION AND EVIDENCE BASED DECISION MAKING IN PUBLIC HEALTH CARE SYSTEM IN  HARYANA, INDIA.Authors: Sahota Rupinder1, Singh Sube1, Aggarwal AK2, Grewal JS1, Kumar Amneet P11. National Health Mission, Government of Haryana, India2. School of Public Health, PGIMER Chandigarh, IndiaINSTITUTIONAL AFFILIATIONPROBLEM STATEMENT-➢ Haryana launched Health Managementinformation System(HMIS) along withmany need based state innovative webapplications in 2012.➢ In following years Robust informationsystems were developed with little use atdistrict and sub district level.➢ Information was escalated to State levelwhere analysis and decision making wasdone without taking into account the localcontextual factors.➢ Information usage at sub district level forevidence based decision making wasminimal thus resulting in incomplete,inconsistent and poor quality of data.SOLUTION-➢ Evidence based decision making with thehelp of information systems to be done atthe peripheral level (by Medical Officersat district and sub district level).➢ Skill building for Data use at district andsub district level was introduced byAlliance for Health Policy & SystemResearch, WHO, Geneva(2014) andimplemented by State along withtechnical Collaboration of School ofPublic Health PGIMER Chandigarh(2014 onwards).➢ A Flagship project of Haryana.BACKGROUND▪ To promote evidence based decision making and strategy implementation in healthcare systems of the state.▪ To use the available public health databases to answer the implementation questions.OBJECTIVESCOLLABORATING PARTNERS DATA USE PROJECT INITIATIONNHM HaryanaPGIMS, RohtakIIPH, DelhiUSAID IPEGLOBALPGIMER, ChdWHOFirst of its kindin India-Data UtilisationProject forEvidence BasedDecision makingwas launched atPanchkula inMay 2014.• Medical officer in charges at PHC level are trained to use the available data sources forprogrammatic decision making.• Workshops are conducted in the State/Districts where State/Partner Trainers impart trainingto Medical Officers, Senior Medical Officers, Civil Surgeon, Dy. Civil surgeon, DistrictProgram Managers, District Monitoring and Evaluation Officers.• Modality- Videos and presentation by trainers followed by group work where participantsaccess portals and subsequently present the data to the audience.• Follow up strategy- Data usage questions are given at the end of each workshop for practiceand solving within a week• Next Step- Mentor and Monitor District Monthly Meetings for actual usage of data postWorkshopsPHASES OF THE PROJECT• Phase 1- 2014-15. Supported by USAID.• 5 state level workshops.• 21 district level workshops. • Phase 2 -2017-18. Supported by WHO.• Divided into 2 rounds• Round 1 completed , 27 district workshops conducted• Round 2 in progress- 20 District Monthly meetings monitored and mentoredMETHODOLOGYState Data Workshops 2014-15 District Data Workshops 2014-15 District Data Workshops 2017 Mentoring of  Dist. Monthly Meetings 2017-18RESULTSSKILL BUILDING INITIATIVES Number Year State Data UtilisationWorkshops 5 2014, 2015District Data UtilisationWorkshops 48 2014, 2015, 2017Monthly meetings mentoring 20 2017, 2018 (ongoing)Dissemination Workshops 1 2017▪ This pilot initiative creates a data culture wherein the Medical Officers are apprised andstrengthened to use the online web applications.▪ A step towards completion of the information cycle starting from information generation toinformation utilization.▪ Medical Officer in Charges are enabled to use routine information for programmaticdecision making, finding gaps, bottlenecks /issues and resolving them at the earliest.CONCLUSIONDATA UTILISATION PROJECT INITIATIVES▪ Mentor and Monitor at least 3 monthly meetings per district ensuring data analysis andpresentations by Medical OfficersWAY FORWARD

Enabling information to action and evidence based decision making in public health care system in Haryana, India.

https://researchonline.lshtm.ac.uk/id/eprint/4675759/13/DataUsePGIMER-22-2-2018.pdf

Enabling information to action and evidence based decision making in public health care system in Haryana, India.

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