1. Introduction
Action Against Hunger has been operating in nutrition programme tackling moderate and severe acute malnutrition through a holistic approach including Health and Nutrition, Mental Health and Care Practices, Foods Security and Livelihoods and WASH in Amhara region since 2011.
Recognizing the structural nature of the vulnerabilities and the increasing recurrence of these shocks, especially shocks resulting from the El Nino phenomenon during that have significantly decreased the population’ resilience to natural and/or human-made disasters. In an effort to revert these negative trends, Action Against Hunger is responding to the aforementioned RESET II Call to implement a consortium-led project entitled “Integrated multi-sectoral approach to improve the resilience of vulnerable communities of Wag Himra Zone, Amhara Region, Ethiopia”.
The proposed action includes the relevant activity components to answer this call’s priorities to create economic opportunities and strengthen the resilience of the most vulnerable communities to human-induced and natural disaster crises, through measures that will improve access to and quality of basic social services, strengthen and diversify livelihoods, create employment, and increase Disaster Risk Management capacities in all Woredas of the Wag Himra Zone.
The project will be implemented in close coordination with the local government and includes a strong component of capacity building of government staff and systems in the health, water, agriculture and DRR sectors. The action under result one is expected to improve access to and quality of basic social service delivery in the Health & Nutrition sector, and in the Water, Sanitation & Hygiene (WASH) sector to prevent and treat under nutrition and risky health behaviours.
Health Information system is one of the six building blocks of a health system. A well-functioning health information system supports the delivery of health services by ensuring the production, analysis, dissemination and use of reliable and timely information on health determinants, health system performance and health status. The Ethiopian Health Management Information System (HMIS) has been implemented since 2008 to capture and provide core monitor-able indicators used to improve the provision of health services, and ultimately, to improve health status of the population. HMIS is a major source of information for monitoring and adjusting policy implementation and resource use. HMIS reports are being used for varied decision making processes including Woreda Based Planning (WBP) which is now the formal planning process in most regions. Therefore, as a part of the project and to build the capacity of health workers knowledge and skill on information management system to improve health information utilization capability at the woreda and zonal level ACTION AGAINST HANGER (AAH) has prepared to give training on HMIS for Data managers who are working in Dehana, Sekota zuria, Ziqualla, Sehala and Abergelle woreda of AAH intervention areas.
2. Objective of the training
The training was designed to capacitate the health workers in order to improve the health information management systems and information utilization at the woredas and health facilite Levels. At the end of the training, the participants will be able to:
· Explain the role of private health sector in health care service provision in Ethiopia
· Describe benefits of using HMIS tools in performing daily tasks in the private health sector
· Properly fill HMIS instruments, forms and tools used in private health sector
· Explain HMIS data quality assurance techniques
· Use HMIS information for improving health services performance
· Explain the role of HMIS in health services management
· Calculate, analyze, and interpret HMIS indicators
· Increase skill on how to record and tallies on corresponding registers and tally sheets.
· Improve knowledge on how to generate and send reports timely.
· Organize and strengthen performance monitoring teams (PMT) at each levels
· Strengthen data quality and Practice in data analysis and formation use at health facilities, Woredas and zone level.
· HEWs can get support from their supervisors (HEP focal persons) that can in turn improve the data quality and information use at the community level.
3. Training Methodology
This training follows the “Training Course of the Health information management system” Training participant Module of the FMOH of Ethiopia March, 2014”. Enclosed below is the training method that would be applied by the consultant among others:
• Presentation & discussion
• Demonstration and practice on data recording in to report formats after they are extracting from different health information recording registers , quality data reporting and on Quality data assurance
• Home take individual assignment and discussion on using real data that are extracted from different health facilities
4. Training Content
SESSION 1:-WELCOME Opening AND INTRODUCTION TO THE TRAINING
· INTRODUCTION EXERCISE
· HMIS TRAINING OBJECTIVES
· REVIEW EXPECTATIONS
· TRAINING SCHEDULE
· PRE AND POST TEST
· TRAINING METHODOLOGY
SESSION 2:- HMIS REFORM IN ETHIOPIA
· HEALTH SYSTEM AND ITS INFORMATION NEEDS
· HMIS ASSESSMENT IN ETHIOPIA
SESSION 3:-OVERVIEW OF HMIS INDICATOR DEFINITION AND DISEASE CLASSIFICATION
· INDICATORS DEFINITION
· HMIS DISEASE CLASSIFICATION FOR NATIONAL REPORTING
SESSION 4:-HMIS RECORDING TOOLS
Ø INDIVIDUAL MEDICAL RECORDING TOOLS
· Integrated Medical Folder and Patient card
· Service Identification Card and Appointment Card
· Master Patient Index (MPI) and Tracer Card
· Individual medical record issuing and archiving tips
Ø REGISTERS AND TALLIES
· OPD abstract register and tallies
· Admission/Discharge register and tallies
· Reproductive Health Cards, Registers & Tallies
· Family Planning Register
· Antenatal Care (ANC) Register
· Delivery Register
· Postnatal (PNC) Register
· Comprehensive abortion care register
· RH Register for primary Private Clinics
· Immunization and Child Health Services
· Infant Immunization Register
· TT Immunization Register
· Growth Monitoring Register
· Tuberculosis and Leprosy registers
· Tuberculosis Register
· Multi drug Resistant Tuberculosis (MDR TB) Register
· Leprosy Register
· HIV/AIDS registers and tallies
· VCT Register and VCT tally
· PMTCT Register
· Pre-ART Register and Pre-ART tallies
· ART Register and tallies
· Post Exposure Prophylaxis (PEP) register
· Operation register
· Referral register
SESSION 5:-REPORTING
SESSION 6:-DATA QUALITY ASSURANCE
· DATA QUALITY – INTRODUCTION
· DATA QUALITY ASSURANCE
· DATA QUALITY ASSURANCE METHODS
SESSION 7:-INFORMATION USE/DATA FOR DECISION MAKING
5. Monitoring
v Pre and post test
v Daily based recapping
v Ensuring active participation by promoting participants
6. Individual having TOT on HMIS or Consultant Deliverable issue
a. Half day training schedule and agenda are prepared with the Health and nutrition Program manager, 5 days training, 1 day for travel and 1 day for report writing. Training tools suitable for use during with counseling are provided by the Trainer having HMIS TOT / consultant (computer loaded with PowerPoint slides)
b. All others supplies needed are identified by the consultant in time for AAH logistics to procure for the trainings.
c. Pre and post tests are developed by the Trainer having IMNCI TOT/ consultant and administered to staff before and after training as a way of measuring learning
d. A brief final report on the experience and recommendations for going forward is completed and submitted to AAH Nutrition and health technical advisor within 5 days after all trainings are complete.
Logistics Arrangement
1. AAH will provide all necessary materials for the training (room, projector, stationary), although the consultant will be responsible for his own content and laptop (if necessary)
2. Transportation to and from ACF Sekota base will be arranged by ACF
Administrative arrangement
· The training would be conducted from the May 29th –June 4th, 2017. (5 days for HMIS training) in Sekota.
· The consultant/ individual trainer having TOT on HMIS will receive a fee of 1000/500 birr per day.
· All the cost related to accommodation while in the field will be covered by AAH. The consultant/ individual trainer having TOT on HMIS will be responsible for his/her own meals throughout the training period.
· AAH has also paid 500 ETB birr per day for the training facilitator having a HMIS training certificate from the zonal health office.
Material / Resources Required
· LCD, Laptop and other stationery materials
· Different registration, reporting and tally sheet formats
· HMIS participant manual one per trainee
7. Participant representation and profile
Ø A total of 40 Health workers will be participated from five woreda of the zone (Abergelle 8, Dehana 10, Sekota 10, Sehala 6 and for Ziqualla woreda 6)
8. Place/ venue and duration of training
The training was given for five days on HMIS at Tefera Haylu memorial Hospital.
9. Budget utilizatio
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