Connecting the Information Dots - NPOKI

... Manage Your. Customers & Field Operations ... New 'self-service' technology will enable health worker ... Open source health workforce information software ...
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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