F = Field

H = Health

S = Service

I = Information

S = System

Field Health Service Information

System

It is a network information.

It is intended to address the short

term needs of DOH and LGU staff

with managerial or supervisory

functions in facilities and program

areas.

It monitors health service delivery

nationwide.

N A T I O N A L E P I D E M I O L O G Y C E N T E R

Ultimate Goal of a Health Information System

To enable various health system

stakeholders to make transparent and evidence-based

decisions.

N A T I O N A L E P I D E M I O L O G Y C E N T E R

Objective

To produce relevant and

quality information in

support of health system

interventions.

O b j e c t i v e s

To provide data on health service delivery and

selected program accomplishments at local levels;

To provide data which, when combined with data

from other sources, can be used for program

monitoring and evaluation;

To provide a standardized, facility – level database

which can be accessed for more in - depth studies;

and

To minimize the burden of recording and reporting

at the service delivery level in order to allow more

time for patient care and promotive activities.

FHSIS Importance

Helps local government determine public health

priorities

Basis for monitoring and evaluating health program

implementation

Basis for planning, budgeting, logistics and decision

– making at all levels

Source of data to detect any unusual occurrence of a

disease

Needed to monitor the health status of the

community

Helps midwives in following up clients / patients

Documentation of the midwives / nurses’ day to day

activities

Uses of Information

Policy formulation

Planning

Implementation

Monitoring

Control

Further studies/researchers

“ACTION”

Sources of Information

Epidemiological Investigation and

Surveillance System

National Health Survey

Ad-Hoc Survey/Studies, ex. EPI

Cluster Survey

Field Health Service Information

System

Demand for Information

Program Coordinators

Researchers

Politicians

Municipal Health Officers, PHN,

Midwives, etc.

FHSIS History

1987 – conceptualization stage

1988 – consultative meetings

1989 – pilot implementation

(Regions 4 and 7)

1990 – nationwide implementation

1993 – devolution

1996 – 1st modification (Modified)

2008 - 2nd modification

(FHSISv2008)

Objectives of Revision

Update/Change some indicators based on

the present needs of central office Program

Managers and LGUs

Features and Principles of 2008

Version

Key health indicators to be monitored at

the national level are identified and

targetted under the FHSIS version 2008

Difference: Original,Modified & V2008

Original Modified Version 2008

• 24 pages

monthly report

is required for

submission

from BHS and

RHU and

computer

processing/

consolidation

at PHO

report’s that are

submitted up to the DOH

Central Office has been

reduced to a one-page

report form on a quarterly

basis. BHS through the

midwives accomplish a 1-

page monthly report form

for submission to PHN. The

PHN consolidates reports on

a quarterly basis and

submits consolidated report

to the PHO for

consolidation.

data are

disaggregated by

sex

a column for

analysis

(interpretation

and action taken)

was included in

the quarterly and

annual form

Difference: Original,Modified & V2008

Original Modified Version 2008

only the reporting form

was revised/modified

all recording

and reporting

forms are

revised/modified

based on the

present indicators

Components of FHSIS

Recording Tools Reporting Forms

• Individual Treatment

Record (ITR)

• Target Client List

(TCL)

• Summary Table

> HPA

> Morbidity Disease

• Monthly

Consolidation

Table (MCT)

Monthly Form

M1 – Program

M2 - Morbidity

Quarterly Form

Q1 – Program

Q2 - Morbidity

Annual Forms

A-BHS

A1 – Vital Statistics

Envi/Demographic

A2 - Morbidity

A3 – Mortality

Difference of Recording & Reporting

Recording Reporting

• Facility Based

• Detailed Data

• Day – to – Day

• Source: Services

delivered to patients /

clients

Transmitted /

Submitted

Summary Data

Monthly/Quarterly

Annual

Source: Dependent on

the records (Summary

of Records)

Uses & Importance of each

Recording Forms

1. Individual Treatment Record (ITR)

- foundation/building block

- piece of paper

- patient consultation record

a. Complaints/presenting symptoms

b. Diagnosis

c. Treatment given

d. Date, name, address of patient, etc.

2. Target Client List (TCL)

- To plan and carry out patient care and service

delivery “Targets/Eligibles”

- Facilitate the monitoring and supervision of service delivery activities

- Record services delivered

- Provide a clinic-level data base accessible for further studies

- TCLs to be maintained are:

TCL for Prenatal, TCL for Post-partum Care,

TCL for Family Planning, TCL for Under One

year old children and TCL for Sick Children

DOH (NEC)

CHDs

PHO

RHU

BHS

USERS

FHSIS Flow of Reports

Best Practices at CHD 6:

• Regional Consultative and Data

Reconciliation Workshop

• Regional Data Validation for TB and

Leprosy Programs with LGUs

• Data Quality Check for MNCHN

Indicators

DOH Innovation:

• Development and nationwide

implementation of LGU-Based

Electronic FHSIS (e-FHSIS) effective

January of 2011.

Health Programs Supported

Schistosomiasis

Tuberculosis

Environmental Health

Natality

Morbidity

Mortality

Demography

Child Care

Dental Care

Family Planning

Maternal Care

Malaria

Filariasis

Leprosy

System Objectives

• To produce an accurate, reliable and

timely reporting system.

System Scope

• Capture data at the barangay level

• Reporting/Uploading of Data from the

Municipal/City, Provincial, Regional

and National Database Server

• Produce National FHSIS data

• Generation and Access to

Data/Information

RHU/HC

ITR TCL

M1

Simplified Process Flow

Municipal

Component City

Chartered City

RHUs

Health

Centers

Provincial

Municipal

and

Component

City

Regional

Provincial

and

Chartered

City

National

Regional

System Model

eFHSIS

Upload to

eFHSIS

web site

Data

Sources

eFHSIS

RHU

System

Maintenance

of Security

Codes and

Passwords Data

Consolidatio

Nn Analysis and

Approval

System

Administratio

n

Data/Access

Report

Clients

Stakeholders

Information Flow

RHU/HC Level

ITR

M1

TCL

Encode in

eFHSIS

Print-Out

on

screen or

paper

Return M1

form to

Barangay

for

verification

Validate

Data

Discrepanc

y

Upload to

eFHSIS

Web Site

If No

If Yes

Information Flow

MHO/CHO Level

Consolidate

data in the

eFHSIS

software

Print-Out

on screen

or paper

Print and

return M1

form to

DHO/RHU/H

C for

verification

Validate Data

Discrepanc

y

Upload to

eFHSIS

Web Site

If No

If Yes

Download

DHO/RHU/HC

data from the

eFHSIS Web

Site

Information Flow

PHO Level

Consolidate

data in the

eFHSIS

software

Print-Out

on screen

or paper

Print and

return M1

form to

MHO/CHO

(comp) for

verification

Validate Data

Discrepanc

y

Upload to

eFHSIS

Web Site

If No

If Yes

Download

CHO (comp)

and MHO

data from the

eFHSIS Web

Site

Information Flow

CHD Level

Consolidate

data in the

eFHSIS

software

Print-Out

on screen

or paper

Print and

return M1

form to PHO/CHO

(chartered)

for

verification

Validate Data

Discrepancy

Upload to

eFHSIS Web

Site

If No

If Yes

Download

PHO and CHO

(chartered)

data from the

eFHSIS Web

Site

Information Flow

National Level

Consolidate

data in the

eFHSIS

software

Print-Out

on screen

or paper

Print and

return M1

form to CHD

for

verification

Validate Data

Discrepancy

Upload to

eFHSIS Web

Site

If No

If Yes

Download

CHD data from

the eFHSIS

Web Site

National Database Server

NEC

4A

NCR 1 2

3 CAR

7

8

6

11

12

ARMM

9

13

10

5

4B

UPLOADING OF

REGIONAL DATA

Security Features

Local Database

User Account:

Username

Password

• e-FHSIS is called the

“AgreSys” (source: M1 form)

• “ClinicSys” is now being

developed by DOH-IMS

and soon to be adopted

by FHSIS (source: TCL)

THANK YOU!