Health information systems in developing countries: benefits,problems,and prospects

Abstract

Health information systems are important support tools in the management of health care services delivery in both developed and less developed countries. An adequate health information system is vital not only for assessing the health needs of populations and groups, but also for planning and implementation of health interventions. It is equally important in the evaluation of programmes from both the perspectives of effectiveness and coverage. This paper examines the practical difficulties of health care provision amidst inadequate statistics to inform decisions. Major obstacles to the introduction of effective health information systems in developing countries are examined, and practical suggestions on measures to overcome them discussed. It is concluded that the establishment of well co-ordinated information collection systems at the various levels of the health care system in developing countries, using appropriate staff, could contribute greatly to improvements in health care delivery.

Keywords

Health informatics developing country collaboration

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References

Agata N.N. , Carvaheiro J.R. , Chen J. , Chong Y.C. , Jakovljevic D. , Jayasuria J.R. , Laaziri M. , Murugasampillay S. and Vaughan P. (1994). WHO Expert Committee on information for new Public Health Action at district level, Geneva, 17-22 November 1993 (Introduction). WHO Tech Rep Series, 845, 1-31

Allan S.D. and Naglie I.G. (1990). A clinician's guide to cost-effectiveness analysis . Ann Int Med; 113(2), 147-154

Beaglehole R. , Bonita R. and Kjellstrom T. (1993). Basic Epidemiology (Ist Ed.). Geneva: World Health Organisation Brennan C.P. (1995). Managed care and Health disk full-logging terminated. J Health Care Finance; 21 (4), 1-5

Bryce C. , Curtis S. and Mohan J. (1994). Coronary Heart Disease - trends in spatial inequalities and implications for health care planning in England. J Soc Sci Med; 38(5), 667-690 Brown J. (1988). The computer in the general practice consultation: a literature review. Health Informatics J; 1998(4), 106-108

Dean J.A. , Burton A.H. , and Dicker R.C. (1991). Epi-Info: A general-purpose microcomputer programme for public health information systems. Am J Prev Med; 7(3), 178-182

Donabedian A. (1973). Aspects of medical care administration: Specifying requirements for health care. Cambridge (MA): Harvard University Press

Galvao L. and Kaye K. (1994). Using LOT Quality Assessment Techniques to Evaluate Quality of data in a community-based health information system. Tropical Doctor, 24(4), 149-151

Loevinson B.P. (1994). Data utilisation and analytical skills among mid-level programme managers in a developing country. Int J Epid; 23(1), 194-200

Materia E. , Imoko J. , Berhe G. , Dawuda C. , Omar M.A. , Pinto A. and Guerra R. (1995). Rapid surveys in support of district health information system - an experience from Uganda. E Afr Med J; 72(1), 15-18

10.

Moidu K. , Sing A.K. , Bostrom K. , Wingertz O. , Trell E. and Kjessler B. (1992). An application software for family welfare programmes . Med Informatics; 17(4), 279-291

11.

Moehr J.R. (1995). Organisational Models: from institutional to supra-national responsibility for health information systems. Int J Biomed Comp; 39(1), 25-30

12.

Oranga H.M. and Nordberg E. (1993). The Delphi Panel method for generating health information. Health Policy and Planning; 8(4), 405-412

13.

Payne J.N. , Coy J. , Patterson S. and Miller P.C. (1994). Is use of health service a proxy for morbidity - a small area comparison on the prevalevance of arthritis, depression, dyspesia, obesity, and respiratory disease with in-patient admission rates for these disorders England J Epid Comm Health; 48(1), 74-78

14.

Roberts C. (1998). Quality assurance in primary care with information management and technology. Health Informatics J; 1998(4), 101-105

15.

Scobie S. , Basnett I. and McCarthy P. (1996). Can general practice data be used for needs assessment and health care planning in inner London district? JPub Health Med; 17(4), 475-483

16.

Sembajwe I S L (1981). Fertility and Infant Mortality Amongst the Yoruba in Western Nigeria. Changing African Family Project Monograph Series, No. 6

17.

Sibrhorpe B. , Kliewer E. and Smith L. (1995). Record linkage in Australian epidemiologic research - health benefits, privacy safeguards and future potential. Aust J Pub Health; 19(3), 250-256

18.

Taylor W.R. , Chahnazarian A. , Weinman J. , Wernette M. , Roy J. , Pebley A.R. , Bele O. and Madisu M. (1993). Mortality and use of health services surveys in rural Zaire. Int J Epid; 22(S1),S15-S19

19.

Tones K. and Tilford S. (1994). Health Education: Effectiveness, efficiency and equity (2nd Ed.). London: Chapman & Hall

20.

World Health Organisation (1978). Primary health care: Alma-ata. 'Health for All' Series, No 1. Geneva: World Health Organisation

21.

Woelk G.B. and Moyo I.M. (1995). Development of a computerised information system in Harere City Health Department. Methods Info in Med; 34(3), 297-301