Health System Management Monitoring & Evaluation(HSME)

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    Assessment of Health Management Information System (HMIS) perfomance in health facilities in Mbarali, Kyela, and Busokelo District Councils
    (Mzumbe University, 2015) Sanga, Jactany L.
    The purpose of this study was to assess the Health Management Information System (HMIS) Performance in health facilities in Mbarali, Kyela and Busokelo District Councils. The study adopted a mixed method design which enabled the study to triangulate the data and information. In this study, four methods of data collection were used, namely questionnaires, semi-structured interviews, focus group discussions and documentary review. The sample size was 49 respondents. PRISM DEAT was used in data analysis. The data analysis included the use of simple description of percentages, tables and graphs this was done using excel spreadsheet. The level of the HMIS performance was measured in terms of data quality and information use. The data accuracy at the facility level was observed using OPD Attendance, ANC and PMTCT MAT and observed to be higher than 95%. The use of information accounted to 65% of the health facilities stored meeting records and 100% of the reports requested were available at the facility and the district level, while 95.5% had a discussion at facility level on the HMIS, of these 83.3% made a decision after discussion, while 95.83% of health facilities referred their issue to higher levels for further assistance. The evaluation report recommend to improve HMIS skills specifically on data interpretation, use of information and problem solving, and the use of the performance improvement tools such as cause and effect analysis, flow chart, priority matrix, control chart, this may be achieved by developing a simplified HMIS training curriculum, conduct training of staff per facility and all health area management team members. The evaluation also recommends the promotion of a culture of information use, motivating health care providers and providing training on moral and ethical issues to improve information use for decision making.
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    Evaluation of longterm methods family planning training to skilled health care provider to reach the national target: A case of Mufindi District.
    (Mzumbe University, 2019) Balama, Elizabeth
    Introduction; The government through its councils wants to put an emphasis on training health care providers on family planning in the implementation of family planning program. The main objective of this study is to assess the training on long term methods of family planning to skilled health care provider to reach the family planning National target. Methodology; The study included 10 health facilities (1 private hospital, 3 public Health Centers and 6 public Dispensaries). In-depth Interviews (IDIs) were conducted to all 10 RCH in charges from 10 facilities and 1 Focus Group Discussion were conducted to 6 members from Council Health Management Team (CHMT) who were DRCHCo, DHS, DHIS2 Coordinator, BRN coordinator DNO and CBHCo. A cross sectional design was used in evaluating this program using purposive sampling methods. Data was collected through Focus Group Discussions where by 6 members of CHMT were involved in FGD and in-depth interviews for Council Health Management Teams and RCH in charges. Phenomenological and narrative analysis was used to explore individual and group experience with the help of Atlas.ti software. Findings; The findings show that family planning is conducted as it planned and the family planning health care providers are trained on the provision of long term methods of family planning methods. But there are inadequate documentations for the training conducted on who have been trained, what methods were used, where the training was conducted and who funded it. Also training on long acting methods of family planning is offered through the MoHCDGEC and Boresha Afya with full package according to the family planning teaching module. Conclusion; The provision of long term methods of family planning training to skilled health care providers is of great impact on the process of reaching the National target. Follow up should be done to those who are trained and proper documentation should be made. Key words: Evaluation; long term; family planning; skilled health care providers