FRONTESPIZIO - Cooperazione Italiana allo Sviluppo

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38 Augusto Cosulich, Vincenzo RacalbutoOther activitiesDonor’s technical groups: “Pharmaceutical Technical Group” and“Malaria Technical Group”Two technical groups on Pharmaceutical Services and Malaria Control havebeen started with the contribution of bilateral donors, international agenciesand NGOs in order to assist the drug Authority and the MoH in developinga master plan for the pharmaceutical sector and to control malaria inEthiopia (the major health problem in the country). One Italian expert regularlyattends those meetings on monthly basis.Health Management Information System (HMIS)The primary purpose of an HMIS is to support informed strategic decisionmakingby providing quality data which help managers and health workersin planning and managing the health services; monitoring disease trends andcontrol epidemics; provide periodic evaluation towards agreed targets.The Ethiopian HMIS, though, presents several conceptual and structuralproblems, which limit its usefulness. In the last few years, various workshopsand system reviews consistently identified some of the major ones:• Lack of integration - The HMIS is cumbersome and fragmented. The informationcollected are too many and redundant, which yields to inaccuracyand incompleteness in recording and reporting.• Absence of standards and guidelines - There are no manuals and guidelinesfor processing and interpreting the data. Standard diagnostic andclassification criteria are not available.• Inadequate staffing – The staff responsible for information managementare mostly people with inadequate skills in data collection, analysis and interpretation.• Poor ownership – There is insufficient understanding, both in producersand users of data, of their respective information needs, value and application.Health workers spend a good part of their time in recording andreporting information for which they do not see any practical use.Up to now, the attempts to rationalize the system did not yield the expectedresults. Moreover, in absence of guidance and coordination from the FMOH,various Regions have developed their own information systems which are nothomogeneous and cannot communicate with each other, with consequentfurther fragmentation of the system.
3. The ethiopian health sector and the italian contribution to HSDP 39ObjectivesThe specific objective of this component is to increase the quality of managementof the health system by developing a functional HMIS which providesquality information that can be used at all levels of the health system for planning,managing, monitoring and evaluating their respective activities.Considering the crucial role played by the FMOH, it has been decided tostrengthen its capacity through provision of additional resources and technicalassistance. At the same time, the four intervention Regions have been targetedfor HMIS implementation in order to create coordination and synergybetween central and peripheral levels.Results• A representative of the Italian Cooperation is a member of the HMISNational Advisory Committee, which coordinates all the initiatives relatedto the development of the HMIS, participating in the development ofthe National HMIS Policy and Strategy;• An expert in information systems has been seconded to the Statistical Unitof the FMOH to assist the local counterpart in revising and developingthe HMIS and the RHB in formulating a comprehensive regional HMISstrategic plan and implementing the system;• The FMOH resources have been strengthened through the rehabilitationof the physical infrastructures and the purchase of furniture and equipmentfor the Statistical Unit and the Information and DocumentationCentre;• The resources of the four Regions of intervention have been strengthenedin terms of staff capacity, infrastructures, equipment and recurrent costsincurred in the management of the HMIS.Operational ResearchThe project foresees also the implementation of Operational Research activitiesthat may offer indications and suggestion on new effective approaches inkey healthcare components. The PMU has identified three possibleOperational Researches, which started during 2005 and are now in full implementation:• “Correlation between dermatologic and systemic diseases in Tigray Region” incollaboration with the ONLUS International Institute for Medical SocialAnthropology Sciences – I.I.S.M.A.S. (Roma);• “Delivery of primary healthcare to pastoralist populations in Libaan Zone –
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