Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Improving the National Health Information System through the development of a Master Facility List
1. Improving the National Health
Information System through
the development of a Master
Facility List
Olusesan A. Makinde & Azeez Aderemi
MEASURE Evaluation & Federal Ministry of
Health, Abuja
MEASURE Evaluation
End-of-Phase-III Meeting, June 18, 2014
2. Outline
Introduction – System/ HIS/
NHIS
Importance of Master Facility
List (MFL)
Development of the MFL
3. What is a System?
a set of things working
together as parts of a
mechanism or an
interconnecting network; a
complex whole (Google).
4. What is a Health Information System?
‘described as “an integrated effort to
collect, process, report and use health
information and knowledge to influence
policy-making, programme action and
research” (WHO, 2000)
5. The National Health Management
Information System
Established in the 80s following a
yellow fever outbreak and has
subsequently undergone several
revolutions
FMOH adopted the DHIS in 2006.
Upgraded to the Version 2, a web
enabled platform in 2012 developed on
a Java enabled platform
6. Where we were
Fragmented (Disjointed, broken, split,
uneven, scrappy) = Dis-integrated
Project/ Organization/ Donor focused
information systems
Turf protection
8. Consequences
Inability to achieve the potentials
attainable
Varying statistics from different
government agencies (Depends on who is
asked)
High cost of running information systems
with significant duplication of effort
Overburdening of staff at health facilities
9. Where we are
Where we
were few
years ago
Ideal
situation/
Where we
want to be
Where
we are
10. Where we want to be
Country led and owned system
Single, Harmonized and Robust Information
System
Health Information System that provides the data
needed for efficient decision making and guides
investment in health.
Scalable and Interoperable health information
system
11. How do we get to where we want
to be?
Standardization one of which is the development
of a Master Facility List (MFL) and the allocation
of National Provider Identifiers (NPIs) to each
health facility
Embrace best practices as advised by the 66th
World Health Assembly Resolution on e-health
on standardization and interoperability
12. The HMN Framework – Source is
HMN
Data Sources Integrated Health Information System
Policies, Resources and Processes
Census
Civil
Registration
Population
Surveys
Individual
Records
Service
Records
Resource
Records
HIS Actors
Using Evidence for
Decision Making
Senior Country Official
National Public Health Official
International M&E Officer
District Health Manager
Senior Country Official
Facility Health Officer
Civil Society
Integrated
Data
Repository
Extract
and
Integrate
Data
Allocated Length-Of-Stay Utilization
0
100
200
300
400
500
600
700
Patients
Status 143 221 412 574 325 172 68 145
25% 50% 75% 100% 125% 150% 175% 200%
Allocated Length-Of-Stay Utilization
0
100
200
300
400
500
600
700
Patients
Status 143 221 412 574 325 172 68 145
25% 50% 75% 100% 125% 150% 175% 200%
Dashboard,
Reports,
Queries,
Events & Alerts
Routine and Non-Routine
Data Collection Activities
13. What is a Master Facility List?
A Master Facility List (MFL) is a complete listing
of health facilities in a country (both public and
private) and is comprised of a set of identification
items for each facility (signature domain) and
basic information on the service capacity of each
facility (service domain). The signature domain
makes each health facility unique. (WHO, 2012)
14. The Nigerian MFL
The MFL defines the standard for health facility
identification in the country and across
information systems.
Developed between 2011 and 2013
An improvement of the different lists in the
country
16. Components of the Codes in the MFL
Code Area Description Character Length
State 01-37 2 characters (AA)
LGA 01-44* 2 Characters (BB)
Health Facility
Ownership
(1)Public (2) Private 1 Character (C)
Health Facility Type (1)Primary (2) Secondary
(3) tertiary
1 Character (D)
Unique LGA level
Serial Number
0001-9999 4 Characters
(EEEE)
17. MFL Characteristics
A unique National Provider Identifier (NPI) is
written as AABBCDEEEE (10 characters)
Information System developers advised to create
this as a text/ string variable in order to keep the
leading “0” for some codes
19. Importance of the MFL
National standard for health facility
identification
Links health facilities across different
information systems
Sampling frame
Service distribution by location
20. Drawbacks and Risks of the current
MFL
Developed as a snapshot
Electronic platform deployed before its
development
Matching of NPIs in MFL with the DHIS has been
slow and difficult – only 3 states have been
successfully matched so far and submitted to the
FMOH
Other information systems springing up with
another health facility identification process
21. Next Steps
Migration of MFL codes onto an electronic
platform
Creation of a MFL interphase application that can
interact with the Routine Health Information
System/ DHIS, Human Resources Information
System, Logistics Management Information
System and Financial Management Information
System
22. Acknowledgements
Dr Akin Oyemakinde (FMOH)
Mr Duke Ogbokor (USAID)
Mrs Wura Adebayo (FMOH)
Mr Bimbo Abioye (FMOH)
Mr Samson Bamidele
Dr Kola Oyediran
Dr Bolaji Fapohunda
All committee members, FG, states and LGA officers
who contributed to the success of the effort