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    1London Academy of Management

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    Understand the existing MISinternationallyInterpret the strength andweaknesses of the systemsConceptualize Theory versusPracticality

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    What is Information System?

    Can we manage withoutinformation system? Why is it necessary to have an MIS?

    What can be possible methods?Examples

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    Internet

    Headquarters

    Centre 1Centre 3

    Centre 2

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    The HMIS has been defined

    as a system that provides anappropriate informationsupport to each decision

    making level of the healthcare delivery system.

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    Communication for better management Effective Communication Flows of Communication

    Communication NetworksCharacteristics of information Quantity of information

    Quality of Information

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    COMMUNICATION

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    Information is data which has been

    organized

    Communication is transmission of

    information (conveying meanings to

    others), added with feelings andother human elements

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    Communicate = Make known, Announce,Break the news, Advise, Transmit, Bestow

    When managers communicate one orcombination of the following occurs:

    information transmissionmotivationcontrolemotive expression

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    Desire of communicator (values andexpectations)Understanding of how others learnReceivers clarity about purpose

    Manner according to content, importance,and complexity of intended messagetrust of receiver on sender (ascribed andachieved credibility)

    time frame (availability and allocation)

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    For Instance .

    Sender Message Receiver

    Feedback

    Encode Decode

    Barriers Barriers 11London Academy of ManagementSciences

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    Downwards (info, verbal orders,

    instructions)

    upward flow (reports, complaints,proposals)

    Horizontal and Diagonal (interdependence)

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    Chain (follows authority relationships)

    Y-shaped (2 to 1 reporting)

    Wheel pattern (4 to 1 reporting)

    Circle pattern (1 to 2 reporting)

    All-channel (wheel with all to report to each Other)

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    Information is data which has been organizedInformation is the content of communicationInformation tends to be formal, abstract and

    impersonal, when feelings and other humanelements are added to transmission ofinformation , it is called as communication

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    Neither too much nor too little

    Information generation implies costs (timemoney and energy)

    Paradoxically less information lead tohigher quality costs

    Desired quantity of information is a balancewith tradeoffs (difficult but inevitable)

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    Exact, Authenticated, well-timedShould comply Oriented in time, place and person Reliable and Validate-able

    Meets the internationalstandards

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    Information withoutmeaning for receiver isnothing but noise, energyand time (wasted)

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    Action Vs Non-action

    Recurring Vs Non-recurring

    Documentary Vs Non-

    documentary

    Formal Vs Informal

    Historical Vs Future projections19

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    What info should flow?

    To whom it should flow?

    When or at what frequency?

    How and through what channel?

    Who will do what?

    How it will be put together andsummarized?

    How and when it will reported and towhom?

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    Ministry of Health.

    National Programme for PHC and FP Expanded Programme of Immunisation. Acute Respiratory Infections Control Programm Malaria Control Programme. National Tuberculosis Control Programme. AIDS Prevention and Control Programme.Ministry of Population Welfare.Local Bodies (Municipal Corporations)

    Census and Surveys 21London Academy of ManagementSciences

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    Relationships and Flow of Information in the Different MIS

    Provincial DG Health Services

    Federal Director General Health

    National ProgrammeManagers, EPI, Malaria, AIDS

    Provincial ProgrammeManagers, EPI, Malaria, AIDS

    Divisional Director Health Services

    Vaccinator/ CDC LHWMalaria / TB, ARI, etc.

    District Health Offices

    First Level Care Facility

    District Programme

    Implementation Unit(NP-PHC/FP)

    National ProgrammeManagers, NP-PHC/FP

    Provincial ProgrammeManagers, NP-PHC/FP

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    Data is often delayed and is not analysed promptly

    Weak Vital Event Registration System Multiple information systems organized throughpublic health programs work independently

    Dis-integrated Hospital-based information

    Missing information about private sector Quality of information generated not reliable Non-utilization of information at micro and macro

    levels

    MIS component missing from regular training andeducation programmes. The current information systems is becoming

    difficult to sustain given the available level of

    financial and human resources. 23London Academy of ManagementSciences

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    Challenges Consolidation(of what is already achieved)

    Initiate Modifications(Focus on client orientation, effectiveness and efficiency)

    Further System Expansion

    Improve Data Quality Promote Information Use

    Hospitals Private Care Other Department Facilities

    User-friendly computerization Electronic info. sharing Incorporate new technology(GIS)

    Integrate of Multiple MIS

    Integrate of MIS with Devolution Plans

    Research & Development

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    Please Go on to your Class Exercise after a TenMinutes Teasing and Relaxing

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