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Management Information System (MIS), DGHS

Introduction

The Management Information System (MIS) under the Directorate General of Health Services (DGHS) is a pivotal entity in Bangladeshs healthcare sector. Established in March 2008, the MIS leverages digital health technologies to strengthen healthcare delivery across the nation.

Vision: To create a digitally empowered healthcare ecosystem for every citizen of Bangladesh.

Mission: To integrate health systems, streamline health information, and provide accessible, equitable, and quality healthcare services through advanced technology.

Organizational Framework

Governance Structure

  • Operates under the Ministry of Health and Family Welfare (MOHFW).
  • Functions at national, divisional, district, upazila, union, and community levels.

Key Collaborations

  • Local: DGFP, DGDA, Urban Health, and municipalities.
  • International: WHO, UNDP, and Oslo University.

Network Infrastructure

  • Local Area Networks with high-speed broadband internet in primary, secondary, and tertiary care hospitals.
  • Mobile data connectivity for community clinics and health workers.
  • Hospitals equipped with computers and printers.

Core Activities

Health Information Systems (HIS)

  • Purpose: Provides real-time health data for decision-making through comprehensive digital tools.
  • Key Tools and Features:
    • DHIS2:
      • Manages routine health information and public health campaigns.
      • Facilitates both individual and aggregated data capture for effective monitoring.
    • HRIS (Human Resource Information System):
      • Centralized management of healthcare workforce data.
      • Modules for training, leave, promotions, and Annual Confidential Reports (ACR).
      • Integrated registries for providers, facilities, and geolocations.
    • OpenMRS+: Supports electronic medical records and clinical data management.
    • OpenSRP: Focuses on maternal and child health service delivery through digital platforms.
    • CRVS (Civil Registration and Vital Statistics):
      • Tracks births, deaths, and causes of death with MCCOD and ICD-10 compliance.
      • Aims for comprehensive death tracking by 2024.
    • SHR (Shareable Health Record):
      • A centralized repository for clinical data sharing across providers.
      • Integrated with OpenMRS+, OpenSRP, and OpenELIS for seamless interoperability.
    • Media Monitoring System: Automatically tracks health-related media coverage for actionable insights.
    • Asset Management and eLMIS:
      • Manages logistics and inventory efficiently.
      • Supports supply chain optimization for medical and non-medical assets.
    • ICT Equipment Distribution System: Tracks distribution, installation, and utilization of digital devices to ensure resource optimization.

eHealth Services

  • Purpose: Enhances accessibility and efficiency in healthcare delivery using modern digital solutions.
  • Key Tools and Features:
    • Biometric Attendance System:
      • Ensures accurate attendance tracking through fingerprint and face detection technologies.
    • Complaint Management System:
      • Facilitates efficient resolution of citizen grievances and feedback management.
    • Telemedicine:
      • Provides remote consultations through 144 advanced telemedicine centers.
      • 24/7 support via the National Health Call Center (16263).
    • Video Conferencing System:
      • Enables virtual meetings, training, and collaboration among healthcare professionals.
    • National Health Call Center (16263):
      • A comprehensive platform offering doctor consultations, ambulance booking, and real-time public support services.
    • BI-Driven National Health Dashboard:
      • Offers real-time visualization of health metrics for data-driven decision-making.

Local Health Bulletin

  • Purpose:
    • Provides a district and sub-district level snapshot of health status.
    • Automatically formulated using data captured from multiple systems.
  • Benefits:
    • Helps local health administrators monitor and assess their performance.
    • Supports evidence-based policy and decision-making.
    • Offers the public an accessible overview of regional health indicators.

Achievements and Impact

National Impact

  • Comprehensive digitization and automation of public health facilities.
  • Seamless integration of community clinics (14,000 CCs) for grassroots healthcare delivery.
  • Efficient and accurate management of pandemic data and public health emergencies.

Global Recognition

  • UN Digital Health for Digital Development Award (2011).
  • German Government Award on Routine Health Information Systems (2014).

Success Stories

  • The COVID-19 systems real-time data accuracy and global compatibility earned widespread acclaim.
  • Enhanced public health strategies driven by robust routine health data and surveillance systems.

Services for Citizens

Health Services

  • Telemedicine: 24/7 consultations with qualified doctors.
  • Ambulance Booking: Real-time ambulance availability and dispatch.
  • Health Card: Unique health IDs and electronic health records for all citizens (planned).

Public Support Channels

  • National Health Call Center (16263): A centralized hub for public inquiries and services.
  • Bulk SMS System: Provides instant updates to healthcare professionals and citizens.
  • National Health Dashboard: Accessible at https://dashboard.dghs.gov.bd.

Technology and Innovation

Advanced Technologies

  • PostgreSQL for managing large-scale health data efficiently.
  • GIS for geolocation-based health services and planning.
  • Disaster Recovery Center in Khulna ensuring system resilience and continuity.

Future Innovations

  • AI and big data integration for predictive healthcare analytics.
  • Nationwide standardization of health data aligned with ICD-11 compliance.
  • Expansion of eHealth tools for urban and rural healthcare settings.

Future Goals

  • Achieve full electronic health record implementation by 2025.
  • Establish a unique health ID for all citizens.
  • Expand telemedicine and urban health data collection systems.
  • Strengthen logistics and asset tracking under MOHFW.

Contact and Communication