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Information Management
System in Emergency
(IMSE)
Prepared by :
1. Dr. Ahmed AlQasmi
2. Mr. Salah Al-Muzahmi
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
Topics
•Health System in Oman
•IMSE components
•Strategies for improving data quality
and use in terms of emergency
responses
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
Health System in Oman
• Total area is 309.5 thousands Km2
3% Plans
15% Mountains
82% Wadis & Desert
• 9 Governorates / Regions with 61
Wilayates
• 11 Health Regions
• Upper Middle Income
•Total Government Expenditure
millions RO 6709.5 (≈US$17,382
millions)
•Per Capita GDP RO 5586.5
(≈US$14,472)
•Total Health Expenditure 2.4% of
GDP
•Per Capita Health Expenditure RO
145 (≈US$375) (2007)
•MOH expenditure R.O. 104 – (2009)
Source: Monthly Statistical Bulletin, Ministry of National Economy, volume 18(4), April 30, 2007
Health System in Oman … cont
• Public Health System
– Government finance and provide health care and
health services
– Public health expenditure accounts for 80% of total
health expenditure
– Public inpatient services 98%, public dental services
41% and public outpatient services 81%
– Government provides 93% of hospitals and 97.6%
of hospital beds
– Public health services has 78% of doctors 92.5% of
nurses and 85% of other paramedics
• Ministry of Health is the main health Care provider
• Other health care providers:
– Other Government
– Private Sector
MOH Health Facilities
50 Hospitals (4549 beds)
21 EHC
69 HC with beds (144 beds)
72 HC without beds
Health System in Oman … cont
IMSE Components:
1. Resources
2. Indicators
3. Data Sources
4. Data Management
5. Data Quality
6. Dissemination and Use
1. Resources
• Legal, regulatory and planning
• Financial, Human Resources
• Infrastructure
• Coordination
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
2. Health Indicators
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
2. Health Indicators…
• Key Indicators are defined as Health
Status Indicators*; these include:
– Demographic indicators
– Socio-economic
– Health Services
– Human Resources
– Health Care
– Nutritional and Morbidity Indicators
– Mortality Indicators
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
Health Indicators … cont
• List of indicators in disasters:
– Case fatality rate
– Cause-specific mortality
– Child mortality rate
– Crude mortality rate
– Infant mortality rate
– Maternal mortality rate
– Under-five mortality rate
– Incidence rates
– Prevalence rates
– Morbidity rates
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
3. Data Sources
Population-based:
•Census
•Civil registration
•Pop based surveys
Health services based
•Health & disease Records
•Health service records
•Health administrative records
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
4. Data Management
Set of procedures for the :
collection,
storage,
analysis, and
interpretation of Data
Health Information
Management System
(Facility Based)
Health Statistical
Information (Facility
based)
Birth & Death
Notification System
Other health care providers
data bases
Other notification
Systems
Data management…
• Computer Hardware
- focus on the needs
- technical expertise required at all
levels
• Computer Software
- standard packages
- specialized packages
• Capacity Building
• Maintenance
• Maps
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
5. Data Quality
• Data collection method
• Timeliness
• Periodicity
• Consistency
• Representativeness
• Disaggregation
• Confidentiality, security and
accessibility
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
6. Dissemination and Use
Strengthening information use practices:
• Use of evidence for decision-making,
• Standards and guidelines for information use
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
Strategies for improving HIS in terms of
emergency response
• Decentralized HIS (data are available and
usable in different level of health care).
• Coordinate with different health Program
managers to make their products
responsive to the nature of data usage in
emergency and disaster.
• Regular updates of statistics required for
emergency responses
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
Strategies for improving HIS in terms of
emergency response….
• Central Health information department
in collaboration with environmental &
Occupational health department and
other end-users have the responsibility
of setting standards, controlling quality
and overseeing the use of information.
• Periodic assessment carried out to
measure the extent of information use
and to devise measures for
improvement.
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
Strategies for improving HIS in terms of
emergency response….
• Strengthen evidence-base to inform
management, health planners, health care
providers.
• Improvement of tools for health data
management and better understanding of
their use in emergency and disaster response
• Increase dialogue between national, regional
and international organizations and actors
working in emergency and disaster
response.
Strategies for improving HIS in terms of
emergency response (Contd.):
• Make use of AlShifa program in health
institutions and provide Electronic linkage
between regions to ease the flow of data
transfer, particularly during disasters.
• Introducing GIS in order to increase the
efficiency of the Health information system
(through integration)
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman
Thank You
First National Course on Public Health Emergency Management
12 – 23 March 2011. Muscat, Oman