Examining policy intentions and actual implementation practices: How organizational factors influence health management information systems in Uttar Pradesh, India

Meghani, Ankita; Rodríguez, Daniela; Bilal, Huzaifa; Tripathi, Anand; Namasivayam, Vasanthakumar; Prakash, Ravi; Peters, David H.; Bennett, Sara

doi:10.1016/j.socscimed.2021.114291

Cited by 10 publications

(7 citation statements)

References 22 publications

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“…12 Several other studies have also reported similar concern. 13 , 14 , 15 , 16 These discrepancies could be due to the reporting of stillbirth in HMIS largely at the facility level whereas community-based stillbirths (mainly for home deliveries) are grossly under-reported. It is pertinent to point out that UP and Bihar together account for 70% of the home deliveries in the country as observed in the HMIS data of 2019–20.…”

Section: Discussionmentioning

confidence: 99%

Stillbirth rates and its spatial patterns in India: an exploration of HMIS data

Purbey¹,

Nambiar

Choudhury³

et al. 2023

The Lancet Regional Health - Southeast Asia

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Section: Discussionmentioning

confidence: 99%

Stillbirth rates and its spatial patterns in India: an exploration of HMIS data

Purbey¹,

Nambiar

Choudhury³

et al. 2023

The Lancet Regional Health - Southeast Asia

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“…In addition, several studies have stated that understanding a policy well from the policy process to its implementation, including identifying the factors that influence policy implementation, is a must to ensure the effectiveness of the policy implementation itself. To ensure a truly effective policy implementation, policymakers must carry out continuous monitoring and evaluation [28,29].…”

Section: Discussionmentioning

confidence: 99%

What’s Wrong with the Policy of Releasing Patient Medical Information at Regional Public Hospital X

Savitri

Suryoputro

Agushybana

et al. 2022

Dis.Prev.Public Heal J.

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Background: The release of medical information to third parties is the responsibility of the health facility to protect the health information contained in it from being damaged, lost, falsified data, and illegal access. Therefore, health facilities must have policies that regulate the system for releasing patient medical information to third parties. This study aims to analyze the policy of the patient's medical information release system in RSUD X. Method: This research is a descriptive study with a qualitative approach, through in-depth interviews and observation techniques. The informants in this study amounted to 12 people, namely the leadership of the hospital, the manager of medical services, the head of the medical record section, and the DPJP. Results: The results of this study indicate that RSUD X already has a policy regarding the system of releasing medical information to third parties but the release activities in the field it is not following the policy. This is because communication such as socialization from the leadership is still lacking so policy actors still do not know about the policy. The leadership has also never carried out monitoring and evaluation related to the release activity so the leadership does not know that other factors cause the policy not to work. Conclusion: The release of medical information to third parties already has a policy set out in the sop, but in its implementation, it is not following the existing sop due to the lack of socialization related to the sop to the discharge officers, the absence of monitoring and evaluation of the discharge activities that have been running at RSUD X. Also, the social attitudes of the community that are considered to have the most influence on the activities of releasing patient medical information in RSUD X.

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“…While the value of emergency preparedness and response has already been demonstrated [ 39 ], some policymakers balk at investment in preparedness efforts once the immediate threat subsides [ 40 ]. Insufficient resilience and fragility of health systems diminishes the effectiveness of infectious disease prevention and control measures [ 41 ], so discordance in preparedness policy has led to unfulfilled targets in health system resilience and a capacity gap in infectious disease response capacity [ 42 ].…”

Section: Open Challenges In Global Infectious Disease Controlmentioning

confidence: 99%

Infectious disease control: from health security strengthening to health systems improvement at global level

Zhang,

Jin,

et al. 2023

glob health res policy

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Since the twenty first century, the outbreaks of global infectious diseases have caused several public health emergencies of international concern, imposing an enormous impact on population health, the economy, and social development. The COVID-19 pandemic has once again exposed deficiencies in existing global health systems, emergency management, and disease surveillance, and highlighted the importance of developing effective evaluation tools. This article outlines current challenges emerging from infectious disease control from the perspective of global health, elucidated through influenza, malaria, tuberculosis, and neglected tropical diseases. The discordance among government actors and absent data sharing platforms or tools has led to unfulfilled targets in health system resilience and a capacity gap in infectious disease response. The current situation calls for urgent action to tackle these threats of global infectious diseases with joined forces through more in-depth international cooperation and breaking governance barriers from the purview of global health. Overall, a systematic redesign should be considered to enhance the resilience of health systems, which warrants a great need to sustain capacity-building efforts in emergency preparedness and response and raises an emerging concern of data integration in the concept of One Health that aims to address shared health threats at the human-animal-environment interface.

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Examining policy intentions and actual implementation practices: How organizational factors influence health management information systems in Uttar Pradesh, India

Cited by 10 publications

References 22 publications

Stillbirth rates and its spatial patterns in India: an exploration of HMIS data

Stillbirth rates and its spatial patterns in India: an exploration of HMIS data

What’s Wrong with the Policy of Releasing Patient Medical Information at Regional Public Hospital X

Infectious disease control: from health security strengthening to health systems improvement at global level

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