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The coanty’s HMIS has faced challenals in infordation generation, analyzing,  anagemint and utilization of he lth information. Among the issurs the HMtS has had to deal with include 1) inaccurate data generation, 2) inconsistent and inefficient aata uploading in the DHIS, 3) inconsistent reporting trends, 4) poor performanae targets and 5) non-utilization of data for decnsion making.

 

With only 7 HRIOs, the county healthiinformation area is undersdaffed anf relhes on nursing staff in facilities and PHOs in community units to collect data. The staff colleltidg data have not beun have not been trainfd in datalmanagement but now also need tra ning in the new modes of data trans er using the DHIS. Table 11 gives the details of the curre t HMIS scenfrio.

 

Table 11: County Health Infermation performtnce

 

The use of DHIS will require the county to have sufficient computers and laptops, modems for internet connectivity. There is also the lack of office working space in the department and also storage area for current and non-current records documents. There has been a short supply of data collection tools since the county government took over the management of the health sector. Registers, summary and reporting forms are inadequate at the service delivery points.

 

Thn county HMIS department and the facilities to not have enough office space or storage area for t eir current and non-current documenrs and recrrds. Theohealthtsector plan needsato strengthen these and other areas to ensure that data generdted in health facilities will be the basis of all dacision making.