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Connecting the Information Dots A Webinar Series for International Not-For-Profit Organizations
Webinar Series Date/Time
Topic
Tues, Sep 10th @ 11:30AM - 12:45PM EDT
iHRIS: Health Worker Information Systems Strengthening
Tues, Sep 24th @ 11:30AM - 12:45PM EDT
TaroWorks: Mobile Tools to Manage Your Customers & Field Operations
Questions • Type your questions in the QUESTIONS box of the control panel. We’ll ask the presenters to respond to timely questions during their presentation. We’ll address the rest of the questions at the end of webinar. • By default, your microphone is muted. Because we have so many attendees, we’ll keep everyone muted throughout the webinar.
Webinar Recording • We’ll be recording the webinars in our series • We’ll make these recordings available to those who attended the webinars first, and eventually to the general public
Today’s Webinar iHRIS: Open Source Health Workforce Information Systems Dykki Settle Director, Health Workforce Informatics, CapacityPlus Project IntraHealth International Moderators: Bill Lester, Executive Director at NPOKI Igal Rabinovich, CEO at n-Village
Let’s Take a Quick Poll! • We want to learn about your organization • We want to learn about your knowledge of health workforce information systems
iHRIS: open source health workforce information systems Dykki Settle Director, Health Workforce Informatics CapacityPlus | IntraHealth International 10 Sep, 2013
CapacityPlus: Serving Health Workers, Saving Lives www.capacityplus.org
USAID global project dedicated to human resources for health (HRH), launched October 2009
Bureau-wide project supporting HRH goals across multiple offices
Led by IntraHealth International with Abt Associates, IMA World Health, Liverpool Associates in Tropical Health (LATH), Training Resources Group (TRG)
Empower Health Workers IntraHealth empowers health workers to better serve communities in need around the world by: • Strengthening health systems • Harnessing technology • Leveraging partnerships
11
The need for strong health workforce information systems
WHY IS HRIS IMPORTANT?
Good Health Worker Data is Needed for… • Education and Training – to make sound decisions about education and training, quantity and type Planning • Registration – to ensure qualified supply • Deployment – to meet needs • Management – of personnel; tracking Management movements • Planning – right person, right place, right skills, right time
Training
Registration
Deployment
Value to the health worker • Supports high-level awareness of health workforce challenges • Decreases time to recruitment, promotion, compensation • Supports equity and consistency in treatment of health workers • Increases supportive supervision • New ‘self-service’ technology will enable health worker participation and accountability in accuracy of their information.
Open source health workforce information software
WHAT IS
?
iHRIS Manage is for health service delivery iHRIS Qualify is for health professional councils iHRIS Plan is for workforce planning and modeling iHRIS Retain helps plan and cost retention interventions iHRIS Train tracks preservice and in-service training
HRIS Strengthening Toolkit • Country ownership & stakeholder leadership • Assessment tools and procedures • Data quality • Capacity-building – technical – data demand and use
• Sustainability and continuous improvement strategies
Understanding the health workforce information domain
NATIONAL HRH INFORMATION ARCHITECTURE
The Big Picture…
Ministry of Health (plus other relevant Ministries: Education, Public Service, etc)
Public Service HRIS
HMIS
National Health Workforce Registry
Local Government
Training Institutions
Professional Councils
Facilities & Service Providers
FBO Assoc
NGO Assoc
For Profit Assoc
HRIS FBO
HRIS NGO
HRIS FP
FBO
NGO
FP
FBO
NGO
FP
National/Local, Public/Private National
Private Sector
Ministry of Health Public Service HRIS
HMIS
National Health Workforce Registry
Local Government
Training Institutions
Professional Councils
Facilities & Service Providers Local
FBO Assoc
NGO Assoc
For Profit Assoc
HRIS FBO
HRIS
HRIS
FBO
NGO
FP
FBO
NGO
FP
…
Need to update the map…
WHERE IS IHRIS?
15 countries actively using iHRIS + 4 in the pipeline
19 iHRIS Countries (Details) Country Nigeria Botswana Rwanda Ghana Malawi
Tanzania Uganda India Kenya Lesotho Liberia Namibia Guatemala Senegal
USAID Project
CapacityPlus
Tanzania HR Project Uganda Capacity Project Multiple Capacity Kenya HRAA RBHS Namibia HIV/AIDS Project CAMCAP MNCH/FP/ Malaria Project
Start Year 2011 2009 2006 2009 2012
Health Workers Supported 186,000 34,241 27,943 2,490 TBD
2008
114,550
Country Togo Mali* Sierra Leone Chad
2006
124,685
2010
78,000
2007
47,427
2007 2013
4,174 TBD
2012
700
2012
40,000
2013
TBD
DRC
Donor & Partner WHO FSD Canada WHO University of Dar es Salaam WHO FSD DFID IMA
Start Year
Health Workers Supported
2011
9,980
2011
3,715
2011
1,756
2012
371
2012
TBD
Total: 676,032
Notes first then find specific references
USES OF IHRIS
Countries are now using iHRIS to… • improve governance and accountability • improve the efficiency of health worker support systems • save money and other resources • help increase the quantity and quality of the health workforce • increase awareness of gender discrimination and related issues
Some specific examples… • Save money – 187 ghost doctors identified at $1100 a month each is $2,468,400 a year back into health services • Address deployment issues – one country discovered that 60% of their facilities didn’t have OB/GYN specialists. They are now: – Recruiting more specialists – Offering incentives for rural and hard-to-reach facilities – Training Medical Officers in EMOC.
UMDPC license renewals (2001-2011) 2500 2190
2000
1500 1303 1146
1000
842
500 183 11
6
20
21
48
55
2001
2002
2003
2004
2005
2006
0
2007
2008
2009
2010
2011
UMDPC National Attrition by Destination (2011) Australia 6%
Canada 4%
Others 7%
Southern Africa 34%
East Africa 11%
Unspecified 16%
Europe 22%
Gender Mix of Nurses & Midwives (n=17,526) Female
Average Years to Promotion
Male 16
4270, 24%
14
13256, 76%
Years to Promotion
12
10
8
6
4
2
0
Female Male
Average Years to Promotion 14.6
12.7
Percentage of men and women by pay group 100%
90%
% of men & women
80% 70%
60% 50%
Male
40%
Female
30% 20% 10% 0%
A
B
C
D
E
F
G
H
J
K
L
M
N
Pay Group (lowest to highest)
P
Q
R
S
T
Implementing iHRIS
COUNTRY EXPERIENCES
Collective ownership = collective strengthening and success
CAPACITY-BUILDING, COMMUNITY AND COLLABORATION
iHRIS global community • 120 active participants in open source community • Over 200 issues raised, addressed and resolved in one year of operation • Six donors – – – – – –
USAID CDC Canada DFID WHO World Bank
• Six implementers – – – – – – –
IntraHealth Abt Baylor FSD IMA JSI MSH
• All supporting over over 675,000 health worker records
Capacity building eLearning – iHRIS Administrator’s eLearning course – English version has had 647 participants from 78 countries. – iHRIS User’s eLearning course – HRH Data Demand and Use course
Partnerships with Universities – eHealth Fellows internships and mentorship – Has been adapted into a blended learning course by University of Dar es Salaam attracting in-classroom participants from all over subSaharan Africa
Developers’ unconferences and connectathons – Annual Tanzania iHRIS Academy and connectathons – West Africa Regional unconference training and connecting iHRIS, DHIS2 and OpenMRS
OpenHIE Provider Registry
For more information join
[email protected] , visit www.ihris.org or contact: Dykki Settle --
[email protected] -- +1.919.360.4011
THANK YOU VERY MUCH!
Q&A
Contact Information: Dykki Settle:
[email protected]
Igal Rabinovich:
[email protected]
Bill Lester:
[email protected]
Connecting the Information Dots A Webinar Series for International Nonprofit Organizations