From: Health information systems in developing countries: case of African countries
Organizational issue | Technical issue |
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Strengths Definition and validation of the data to be collected by all stakeholders Review and harmonization of data collection tools to avoid data overlap and duplication Definition of harmonized national indicators Validation of a national data warehouse, sometimes cohabiting with existing subsystems Consensual choice of essential indicators by theme Creation of a HIS coordination unit housed at the level of the Ministry of Health in some cases Weaknesses HIS not sufficiently taken into account in national health policies, making it difficult to ensure the sustainability of HIS at the end of projects Inadequate institutional management of HIS Coherent conceptual frameworks insufficiently defined Dependency on external donors for HIS funding | Strengths Possibility to contextualize and adapt DHIS to nationally validated models Consensus approach to a system Removal of redundant data and improvement of data quality at the central level Possibility to enter DHIS information from a mobile phone or a paper data collection medium Storage and centralization of data in a single database Weaknesses Design (of DHIS) taking insufficient account of the needs of data-producing structures because the collection and transmission of aggregated data more helps decision-making at the central level and not the local one Unable to collect primary data in DHIS (individual patient data) DHIS does not allow the linking of care data with those of other systems such as health insurance |