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In: Management information systems and microcomputers in primary health care, edited by Ronald G. Wilson, Barbara E. Echols, John H. Bryant, and Alexandre Abrantes. Geneva, Switzerland, Aga Khan Foundation, 1988. 17-20.A wide array of issues must be addressed if the development and use of management information system (MIS) and microcomputers are to improve management of primary health care (PHC) programs and increase the equity and cost-effectiveness of PHC. These issues include: specification of the purpose and objectives of MIS at community and district levels; distinquishing types of information required; the understanding of organizational issues that must be resolved as a result of introducing MIS; the practical definition of the most useful indicators of program effectiveness and efficiency; the specification and monitoring of data collection, compilation, and analysis requirements and procedures; procedures for generating and using processed MIS data and management information; the PHC program's capacity to absorb technological innovations; and personnel requirements. The need for improved data systems must be recognized. Data quality and systematic flow of information must be ensured from the field level upwards, and minimum information requirements need to be defined. The success of any MIS is heavily dependent on feedback of the data collected. Unless staff at all levels of a PHC program understand the importance of the data they are collecting, the value and use of the information system will be negligible. Examples of the Egyptian government's National Health Information System and the role of the World Bank are used to show how MIS and microcomputer can be introduced and used in PHC.
Report on the evaluation of UNFPA assistance to the Sudan population and housing census of 1983: project SUD/79/P01.
New York, New York, United Nations Fund for Population Activities [UNFPA], 1985 Mar. xi, 40 p.Since the evaluation report of the 1973 Census of Sudan made recommendations on how to improve census implementation for the 1980 round, UNFPA felt it to be important to see if the 1983 census took them into account and if it achieved better results. The project document included 3 objectives concerning data collection and analysis: the availability of accurate and up-to-date information on the total population of Sudan, on the components of population growth, and on demographic, social and economic characteristics; and 2 objectives concerning institution building: the availability of trained statistical personnel and the strengthening of data processing facilities. 2 of the 5 objectives have been achieved--up-to-date information on the total population of Sudan and for all recognized civil sub-divisions is available and a new computer facility with adequate capacity and configuration has been installed and is in operation. The caliber of staff in the census office is high, and the training program overall was adequate. The census communication campaign emphasized the use of mass media. Overall, the publicity for the census was considered by the Mission to have been good. Although the enumeration took longer than scheduled in some areas, the observance of the enumeration timetable can be considered satisfactory. Data preparation and electronic processing have been severely delayed due to the low productivity of the computer staff. The strong points of the project were the high priority given to the census by the government; the better planning for the 1983 census as compared with the 1973 census; and the high quality of technical assistance provided by UN advisors. Weak points have been the lack of long-term resident advisors in general census organization, cartography and data analysis; the delay in the provision of government and UNFPA inputs; and the loss of trained personnel from the Department of Statistics, particularly in data processing.
Report on the evaluation of UNFPA assistance to the civil registration demonstration project in Kenya: project KEN/79/P04.
New York, New York, United Nations Fund for Population Activities [UNFPA], 1984 Dec. xi, 36 p.Kenya established a compulsory vital statistics and civil registration system in 1963 and it was extended nationwide in phases until it covered the whole country by 1971. Serious under-registration of births and deaths however, has persisted. In order to improve registration coverage, the government submitted a proposal to UNFPA to support experimentation with ways to promote registration in some model areas. The original project document included 4 immediate objectives: the strengthening of the civil registration system in the model areas including the creation of a new organizational structure, the training of project personnel and the decentralization of registration activities; the improvement of methods and procedures of registration through experimentation; the collection of reliable vital statistics in the model areas; and, the establishment of a public awareness program on the need for civil registration to ensure the continuation and extension of the new system. Of the 4 objectives of the project, 2 have been achieved--the strengthening of civil registration in the model areas and the improvement of methods and procedures of registration. The major deficiency during the project period was the lack of required staff in the field. The primary feature which distinguishes the project is that traditional birth attendants and village elders become key persons at the village level and act as registration informants after receiving training. The strong points of the project are the high quality of technical assistance provided by the executing agency, the close collaboration among various government departments, and the choice of project strategy and model area. Recommendations have been made to correct the problems of a lack of key personnel at the head office and in the field, and the expansion of registration to new areas before consolidation was completed in the old areas.