Rab Nawaz, Shahzad Ali Khan, Ghulam Sarwar Khan


Background: Health information is necessary for effective and efficient health service delivery, management and planning of health programs. Objective of this study was to evaluate and highlight within a framework of a SWOT analysis, the strengths, weaknesses, challenges and opportunities of District Health Information System.
Material & Methods: Provincial office and two districts Nowshera and Swabi were assessed for DHIS by conducting SWOT analysis. Literature was searched and health managers were interviewed for detailed information regarding DHIS in Khyber Pakhtunkhwa province.
Results: SWOT analysis included strengths of DHIS as infrastructural design of the system at provincial level, computerized system at district and provincial levels. Weaknesses identified in the system included invalid data, non-integration of the system with DHIS program, non motivated and untrained staff, improper implementation with any supervision mechanisms and non-usage of information for any decision making process. Opportunities included integration with other sources of information, making coverage of services vast, potential contribution in health system research, and use of quality and valid data for decision making in planning and management. Threats the program may face are non-political commitment, lack of funds for stationery, social threats and implications for professional malpractices.
Conclusion: After 18th amendment, DHIS in Khyber Pakhtunkhwa needs redesigning. Health information system can be improved at the district level by developing capacity of district health managers and health care providers. There should be a strong political support and commitment in formulating health policy regarding DHIS. Good governance, monitoring and supervision and accountability are essential factors to be addressed.

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