Integrating maternal and child health data into the Iraqi Kurdistan health information system (original) (raw)
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A Study on Setting up a Database for Maternal Health Care Program in Darbandikhan-Kurdistan
Journal of University of Human Development, 2016
There are around 8.64 million women in Iraq who need to maternal health. While, maternal health program in Iraq is considerably down regulated, the vertical national health program, maternal health, has been not monitored appropriately. The aim of this study was to determine the most essential preliminary indicators for monitoring maternal health program in Kurdistan/ Iraq, and to assess those technical challenges for computerizing the maternal health program of Kurdistan Regional Government. This is interventional hospital based study which was carried out in Darbandikhan district-Kurdistan State. An access database was developed for entering whole records of the maternal health program components data in the 200 mothers' file. And, we got staff belief about database. The study has shown that antenatal care visit record would be a good indicator for assessing maternal health program, when the program was computerized. And, the staff had a positive attitude to computerize the program. This database could accelerate the monitoring and evaluating the maternal health program in considering to indicators of the program.
Lecture Notes in Computer Science, 2013
Development and use of specific information systems are nowadays a priority to healthcare organizations. This interdisciplinary paper, between Medicine and Computer Science, comprises an exploratory survey of obstetric and neonatal assistance during the process of birth by focusing on clinical records. It also involves the development of a healthcare indicators dashboard and the implementation of an Obstetric Electronic Health Record. All these efforts aim to improve quality of healthcare assistance. This prototype has been installed within a Brazilian university hospital. Preliminary results included 907 deliveries (from August to December 2012). The Cesarean section rate was 36.4% (65.4% high-risk pregnancy). Among the perinatal indicators, the Apgar Score bellow seven in the 5 th minute was 5.56% and 0.93% whenever considering only fetuses defined as compatible with life. Disclosure and discussion of these data proved to be able to contribute to researches and to management of an obstetric healthcare unit.
Frontiers in Public Health
Background: Iraq has endured several conflicts and socio-political tensions that have disrupted its public health system. Nowadays, because health data are not collected on a routine basis, the country still lacks proper statistics and, consequently, response plans to meet present and future health needs of its population. An international partnership is developing in the Iraqi Kurdistan a Health Monitoring System with the aim of supporting evidence-based health policy decisions. Methods: The pilot phase for assessing the feasibility of the programme was launched in 2015. In 2018 the implementation phase began. The first step was to choose the software platform and the coding system, as well as to identify the public hospitals (PH) and Public Health Centers (PHC) to be included in the e-health system. The technical infrastructure of each PHC or PH was updated. The staff of each center was trained in the use of the e-health system and in disease coding. Several seminars introduced regional and district health managers to the basic concepts of data-driven decision making. A local team of experts was trained to create a highly specialized staff with the objective of "training the trainers" and ensuring the future self-sufficiency of the system. Results: By September 2019, 59 PHC and PH were entering data in the Health Monitoring System, while 258 health operators (medical doctors, administrative staff, nurses, statisticians, IT and public health specialists, pharmacists) have been already trained. Currently, more than 600,000 disease events have been collected. Additionally, further 734 medical doctors, statisticians, and health managers have been trained on the basics of public health practice. The goal during the next 3 years is to reach 120 operative centers within the region, envisaging a subsequent expansion of the system to all Iraq. Emberti Gialloreti et al. Health Monitoring System in Iraq Conclusions: The creation of a functioning health monitoring system is feasible also in regions characterized by socio-political tensions. However, multiple stakeholder partnerships are essential. The provision of an e-health information system, coupled with the establishment of a team of local experts, allows the routinely and timely collection of health information, facilitating prompt responses to present and emerging needs, while guiding the formulation and evaluation of health policies.
Health Informatics and Health Information Management in Maternal and Child Health Services
Health Information Management Journal, 2004
In November 1997, the South Western Sydney Area Health Service launched the Mother and Infant Network (MINET). The key objective of MINET is to develop an integrated clinical data network which has the capacity to inform and support a continuum of care for the population of all mothers, infants and children. The MINET data network integrates in-patient services, ambulatory services, and community-based services. The focus of this article is the development and implementation of MINET with reference to the crucial role of data linkage and health informatics in health outcomes/health services research.
[Production of data for the pre-natal information system in basic health units]
Revista da Escola de Enfermagem da U S P, 2013
The objective of this study was to analyze the process of data production for Information System Prenatal and Birth (SISPRENATAL) in Basic Health Units of Cuiabá, MT, Brazil. This qualitative, exploratory and descriptive study was developed in eight units of Basic Health Coordination, through semi-structured interviews with professionals who worked with SISPRENATAL (nurses, physicians, managers and data entry) and comparative document analysis between system data and the written patient records. Data analysis revealed a lack of definition of the team's participation in the production of data and different modes of completing forms within the system. Professionals' knowledge about many aspects of the formswas divergent, completion of the forms was inadequate, and flaws in the computerized system were identified. Measures such as professional training, the review of the system and its forms are indispensible for the production of reliable information about prenatal care in the...
A Case Study of the Health Information System in Family Medicine Practice in Canton Sarajevo
International Journal on Biomedicine and Healthcare, 2022
Background: Family medicine is defined as continuous, comprehensive medical care of the patient in the context of the family and the community. Continuous patient care includes prevention, diagnosis and treatment of acute and chronic diseases and palliative care. Caring for individuals during different diseases and stages in the life cycle, understanding the role of the family in disease and using community resources makes family medicine unique among medical disciplines. With the development of new technologies, there was a need for changes in the work and introduction of the Health Information System, in all areas of medicine, including family medicine. Objective: The objectives of this study are to analyze CHIS functions in family medicine, analyze CHIS data reports, complaints, and suggestions for improvement, and then, based on the results of these analyses, to offer recommendations for future development of the CHIS family medicine module. Methods: This article represents a qu...
A Model for Perinatal Information Management System in Iran
2015
The final model was presented in three major topics: goals, structures and mechanism of data collection. In this model, 32 goals were confirmed. Responsible organizations, monitoring organizations, committees and centers of data production in the axis of structure were determined. In data collection mechanism, data sources, media types, long range data transmission, data collection processes, privacy and data security procedures were also examined. Conclusion: The proposed model is expected to serve as a basis for improving the quality of perinatal health information, exchanging health data and achieving an integrated information management system.
About this series The Health Information Systems Knowledge Hub's Working Paper Series is the principal means to disseminate the knowledge products developed by the hub as easily accessible resources that collectively form a lasting repository of the research findings and knowledge generated by the hub's activities. Working papers are intended to stimulate debate and promote the adoption of best practice for health information systems in the region. The series focuses on a range of knowledge gaps, including new tools, methods and approaches, and raises and debates fundamental issues around the orientation, purpose and functioning of health information systems. Generally, working papers contain more detailed information than a journal article, are written in less-academic language, and are intended to inform health system dialogue in and between countries and a range of development partners. Many working papers have accompanying products such as summaries, key points and actio...
Primary health care computing analysis of Swedish maternal health records
Journal of Medical Systems, 1994
In our attempt to develop an "Essential Data Set" for a computer based information system to support Maternal & Child Health Care services an analysis of Swedish maternal care services was undertaken. The present study analyses the information system in the domain of maternal and child health care at the primary health center level with a view to identify areas where a computer-based medical record could effect improvements. The study showed that even in a well organized maternal care service as in Sweden lacunae exist in the information system. The paper forms, called MHV1, MHV2, MHV3 and FV1, though well designed, were incomplete in a large number of the cases. The MHV1 forms were completed in less than 45%, the MHV 2 form in 87.5% and the FV1 form in 70% of the cases. Certain elements of the data set were less likely to be completed than others. Another weak spot was the inaccessibility of the paper records during off-hours. These deficiencies could be eliminated by the use of a computerized medical record based on an essential data set.
A national framework for e-health data collection in Jordan with current practices
International Journal of Computer Applications in Technology, 2019
This paper proposes a health data collection and integration framework for the Jordanian health sector. It aims to strengthen the quality of Jordanian Health Systems (JHS) and ensure the provision of sustainable high quality e-health services for populations. The framework is developed to prepare the strategy involving current practices for health data collection basedon DLL and V-Model. We studied critical features associated with collection and integration processes through concentrating on analysing a set of actual data (cancer and diabetes in Jordan). The result of analysis demonstrates the needs and optimum data collection process for e-health data and directs all Jordanian Health Organisations (JHOs) to work within a common mechanism, which can reduce data inconsistency, enhance the JHS's capacity and sustainability, leverage the quality of the delivered health services and reduce the cost of healthcare.