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Methods Inf Med 1997; 36(02): 63-68
DOI: 10.1055/s-0038-1634694
Original Article
Schattauer GmbH

Development of a Primary Health Care Information System in Ghana: Lessons Learned

A. B. Heywood
1   Public Health Program, University of the Western Cape, Cape Town, South Africa
,
B. C. Campbell
2   Royal Tropical Institute, Amsterdam, the Netherlands
› Author Affiliations
Further Information

Publication History

Publication Date:
20 February 2018 (online)

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Abstract:

In Ghana, between January 1990 and September 1993, a series of steps were undertaken to review the existing vertical reporting procedures and to develop an integrated Health Management Information System (HMIS) for Primary Health Care (PHC).

These steps included a situation analysis of the existing reporting systems; participatory design of tools for planning, data collection, feedback and reporting; field test and revision of the modified system; training of staff at all levels; development of tools for self-assessment and stimulation of routine feedback to lower levels and reporting of analysed indicators to higher levels.

There were some notable achievements which included promotion of self-reliance, improved data relevance and accuracy, as well as strengthened supervision and support. However, it was difficult to identify the most appropriate institutional location for the HMIS; over-emphasis on process leads to reduced implementation; reporting was still given greater priority than analysis and use of data, and systems for collection and use were still cumbersome and time consuming. It is also difficult to prove that having better information really improves decision-making, or even coverage and quality of PHC service delivery.

These issues, as well as lessons learned, are discussed in the paper.

Keywords:

Primary Health Care - Management Information Systems
 

  • References

  • 1 Opit I. How should information in health care be generated and used?. World Health Forum. 1987 8.
    PubMedGoogle Scholar
  • 2 World Bank. World Development Report 1993: Investing in Health. Oxford University Press; June 1993: 148.
    Google Scholar
  • 3 Manga P. Health Forms and Reports Survey: Findings and Recommendations. Ottawa: University of Ottawa; March 1989
    Google Scholar
  • 4 Ghartey F, Antwi B, Fotwe E, Olson C. et al. MIS Fact Finding Report. Evaluation of the strategy for health for all by the year 2000. MOH, Ghana, Geneva: World Health Organization; May 1987
    Google Scholar
  • 5 Aryee D, Marfo C, Odai E, Opoku-Tuffour S. Health Information Systems: The Missing Link February 1992. MOH, Ghana: Health Research Unit; February 1992
    Google Scholar