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Table 3 Comparison of health workers' interviews on the manual versus computerized HMIS

From: Evaluation of computerized health management information system for primary health care in rural India

Issues Non-Computerized system Computerized System
   Record keeping: (Number of registers, time taken and problem) • Registers: 7 - 15 • Average time: around 2 hrs (0.5 - 3 hrs.) • No major problem identified • Registers: 7 - 10 • 1 hour (0.5-1.5 hrs) • No major problems
   Estimation of target population e.g. the eligible children for vaccination, or number of antenatal cases    • Procedure for estimation not known as targets are provided from District level.    • Estimation is done from information available in HMIS
Calculation of estimation of Immunization coverage and backlogs • Based on monthly report and immunization register. • Backlogs are identified with the help of ASHA1, AWW2 • Based on monthly report, and immunization register • Backlog by Work plan (eligible list) and HMIS.
   Reported completeness of Birth/Death Registration    • About 95% (90 - 100%) verified during field visits.    • All (100%) verified during field visits and during census.
   Updating of records after Annual Census • First, overwrite in the old register. After that they update in new register. • Takes about 2 months (1 - 3 month) • Make changes in the paper print out of families and update the computerized database. • Takes about 3 days (2-4 days) for each subcentre.
   Preparation of monthly report (Process and time) • Compile data from various registers • Takes about 3 days (2 to 5 days) • Compile from workplan and computer generated information • Takes about 6 hours (2 hours to 1 day)
Feedback from higher levels (CHC/District hospital/Ballabgarh) on the monthly reports    • No feedback from Community Health Centre/District Hospital. They discuss the issues during monthly meeting. • They get monthly feedback and discuss the issues during PHC monthly meeting. • They also get work plan for next month from Ballabgarh
Perceived benefits of computerization of records    • Not Applicable Work plan makes the work very easy. They know what to do during house visits. It reduces time spent per house. • Senior officers can monitor the field performance of health workers objectively.
  1. 1 ASHA - Accredited Social Health Activists, 2 AWW - Anganwadi workers. These are grass root level workers from the community who are responsible for mobilizing the community to avail maternal and child health services.