HMIS Review and Assessment Report

MINISTRY OF HEALTH DEVELOPMENT

REPUBLIC OF SOMALILAND

HMIS REVIEW AND

ASSESSMENT REPORT
Technical support from UNFPA

1
Republic of Somaliland

HMIS REVIEW AND

ASSESSMENT REPORT
Technical support from
Ministry of Health Development, Somaliland

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HMIS Review and Assessment Report

Foreword

Health Management Information System (HMIS) is an indispensable element for evidence-based

decisions, development of sound policies and plans; and transforming the decisions into actions.
Building a robust intelligence for health sector has been a top priority for the Government of Somaliland.
In the past two years, the Ministry of Health Development (MoHD) has been advocating for the
renovation of the HMIS through system building, improving of data platform, tools and data quality
to ensure the evidence decision making.

This assessment is first of its kind and is a part of Ministry’s efforts to evaluate HMIS and find
out the weaknesses, gaps and develop a concrete action plan to address the identified issues. The
report of this assessment will be a reference and will guide the ministry and the partners as well
when taking actions directed to improve the HMIS. Also, the report unfolds issues surrounding the
HMIS components such as human resource and finance, tools and platform, strategic documents
and structure. Moreover, the high priority areas of the HMIS that requires immediate actions have
been identified in the report.

Firstly, I would like to thank the director of planning, policy and strategic information of Ministry of
Health Development (Mr. Saed M. Solomon) for his leadership and commitment in ensuring this
assessment takes place successfully. My thanks also go to Mr. Nasir M. Ahmed (National HMIS
manager) for his critical role of coordinating, technical contributions, assembling of participants,
and ensuring the success of the assessment. I would also like to thank Mr. Mohamed A. Hussein
(Health system strengthening lead) for his technical contributions in the assessment and drafting
of this report as well.

Secondly, I would like to give my deep appreciation to UNFPA for providing technical and financial
support to this assessment particularly Mariam Alawi (Head of population development unit) for her
commitment to support this valuable exercise. I would to like to thank the UNFPA Hargeisa leadership
as well the UNFPA technical team who have made valuable contributions to this assessment; namely
Faisa Ibrahim (Assistant representative/Head Office, UNFPA Hargeisa), Ahmed Mihile (Program
Specialist, UNFPA), (Mr. Felix Mulama (Demographer, UNFPA), Mr. Khadar Gahayr (Statistician
UNFPA), Richard Ng’etich (Statistician UNFPA) and Felix Warentho (Designer, UNFPA).

Finally, I would like to thank all the HMIS participants from the national, regional and the districts as
well for their participation and contributions to this assessment.

Dr. Mohamed Abdi Hergeye

Director General

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Ministry of Health Development, Somaliland

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HMIS Review and Assessment Report

ACRONYMS
dhis2 District Health Information System 2
DHMIS District Health Management Information System
DQA Data Quality Audit
DQIP Data Driven Quality Improvement in Primary Care
EPHS Essential Package of Health Services
EPI Expanded Programme on Immunization
FCDO Foreign, Commonwealth & Development Office
GAVI Global Alliance for Vaccines and Immunization
GF Global Fund
GIS Geographic Information System
HFs Health Facilities
HIS Health Information System
HMIS Health Management Information System
HMN Health Metrics Network
HNQIS Health Network Quality Improvement System
HPA Health Poverty Action
HSSP Health Sector Strategic Plan
ICDF Taiwan International Cooperation and Development Fund
IPD In Patient Department
LHWS Lady Health Workers
MoHD Ministry of Health Development
NDP National Development Fund
NHMIS National Health Management Information System
NSDS National Strategy for Development of Statistics
OPD Out Patient Department
OT Operation Theatre
PHU Primary Health Unit
PSI Population Services International
RDQA Routine Data Quality Assessment
RHMIS Regional Health Management Information System
RSSH Resilience Sustainable Service for Health Grant
SHINE Somali Health Nutrition
SOP Standard Operating Procedures
SRCS Somali Red Crescent Society
SWOT Strengths, Weaknesses, Opportunities and Threats
TB Tuberculosis
UNFPA United Nations Population Fund
UNICEF United Nations Children’s Fund
WHO World Health Organization

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Ministry of Health Development, Somaliland

Introduction of HMIS
Definition of HMIS: Health information described as HMIS Indicators: HMIS should have standardized data
the “foundation” for better health, as the “glue” holding elements to be recorded from clients/patients provider
the health system together, and as the “oil” keeping the interactions at the health facilities. It should also have
health system running standardized indicators to be monitored overtime
Objective of HMIS: The ultimate objective of a health HMIS Data Sources: HMIS should have sources of data.
information system is to produce high quality Data, Data sources can be either intuitional-based data sources
Transform Data into information for taking action in the that generates administrative data or population-based
health sector and ensure continues information use. data sources e.g. census, vital statistics, household survey,
Function of HIS: The main function of a HMIS is to HMIS Data Management: HMIS should have mechanism
indicate through continuous analysis of the situation for data management at all HMIS pipelines: at collection,
and performance of the health services, the action or compilation, reporting, quality checking, feedback
adjustments needed in order to meet specified goals. exchanges.
HMIS Information Product: HMIS should analysis raw
data into useful information, interpret, triangulate with
other relevant available information and come up evidence
Key Domains of HMIS: that can influence perception of decision makers.

Health Determinants: HMIS should provide information Data Dissemination and Use: HMIS should share
relating determinants of health e.g. Socioeconomic, information, advocate improving culture of information
environmental, and behavioral factors use at the different administrative levels

Health System Inputs: The structures and processes of

the health system, health infrastructure including facilities,
policy and Plans, human and financial resources
Health System Outcome: HMIS should provide information Benefits from Investing HMIS:
relating outputs appeared and related utilization e.g. Investing in the development of effective health information
the quality and availability of Health services, services systems would have multiple benefits and would enable
utilization decision- makers at all levels to;-
Health Outcome and Impact: HMIS should provide Detect and control emerging and endemic health problems,
information relating short-term changes and long- term monitor progress towards health goals; and promote equity.
impact e.g. Mortality, morbidity, disease outbreaks, and
health status Strengthen the evidence –based for effective health
policies; permit evaluation of scale- up efforts; and enable
innovation through research;
Improve governance; mobilize new resources and ensure
accountability in their use;
Core HMIS Components:
Frequently monitor short-term programme outputs and
According to HNM support performance-based resource allocations
HMIS Resources: Human Resources, Financial resources, Enhance reporting of health outcomes to monitor Global
coordination, infrastructure and other material resources Health Goals SDGs, UHC
e.g. policies, Plans, strategies, SOPs, Guidelines, case
definitions, data collection tools, reporting forms, standard Provide a foundation for sound informed decision-making
reporting format for different levels, Job descriptions,
relevant legislations

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HMIS Review and Assessment Report

Overview of the HMIS assessment Assessment Methodology:

HMIS supports informed strategic decision making The performance of HMIS can be evaluated using either
through the production of quality data and information self-assessment approach or independent approach. The
for action that helps managers and health workers plan HMIS assessment was conducted using a combination of
and manage the health service delivery for the country. both approaches through workshop presentations, group
Improving HMIS is therefore critical for planning, policy discussions, plenary sessions and review of key existing
and evidence-based efforts towards improving healthcare documents and tools.
services. HMIS is an integral part for the health
system and in particular governance for health. From The assessment was led by the technical team from
using excel sheets as data platform to an advanced dhis2 the population development unit of UNFPA. The HMIS
platform, the Somaliland health information system has teams from national, regional, hospital data officers, and
made significant improvement in the past few years. district levels participated in the assessment. Additionally,
technical members from the national Ministry of health
Despite the enhancement that HMIS has made in the also participated. During the assessment, the technical
past few years, there is room to further accelerate the team leading the assessment used the Health Metrics
continuum development of the system. The Somaliland Network (HMN) to identify the major gaps and challenges
national health policy underscores the importance of of the HMIS and develop a priority action plan.
health information and the need to strengthen the
HMIS functions such as plans, strategies, data quality,
dissemination and use.

The MoHD with the support of UNFPA has conducted Current status of the Somaliland HMIS:
an extensive workshop to review and assess the current
status of HMIS, identify its weaknesses and gaps as well as The HMIS of Somaliland has been transformed and
opportunities for improvement. The assessment reviewed made remarkable improvement in the last decade. It
the health information system entirely and found out the has been a critical instrument for the health system
drawbacks, gaps and overall challenges that impede the reforms, evidence-based decisions, policy development,
HMIS functioning at the national, regional, district and and service quality improvements that have taken place
facility levels. in the last few years. As shown in the below conceptual
framework for the health system building blocks, the
health Information is vital for strengthening the other
components of the health system which contribute to
the yielding of better service delivery.
Purpose:

The primary objective of this assessment was to review and

identify the HMIS weaknesses, challenges and gaps and
develop a priority action plan. Additionally, the assessment
did look at the HMIS strengths and opportunities available
which can be exploited to enhance the system.

Health System Conceptual Framework

Social Determinants of Health
SYSTEM BUILDING BLOCKS GOALS

Responsiveness
Leadership & Governance Coverage
Information Support

Service Delivery

Provider
Health Workforce Performance
Health
Quality &
Financing
Safety

Health Technology Efficiency

Financial Protection

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Ministry of Health Development, Somaliland

Despite the significant progress made by the HMIS, there are still areas that require prodigious attention and further
strengthening. To draw a good picture of the current situation of HMIS in Somaliland, the items outlined below entail
the existing capacities related to key components of HMIS such as the structure, reporting mechanism, tools and
system, strategic HMIS documents, coordination, human resource, finance, health facilities reporting to the DHIS, and
HMIS reports.

Structure: The HMIS is structured in the form of national, regional, and district levels. In each level,
there are units and subunits that are embedded. Each level of the three different management
levels is supporting each other to ample the information chain. The below picture indicates the
current HMIS structure which consists of the national, regional and district levels.

National HMIS
section

M.Jeeh RHMIS Awdal RHMIS Sahil RHMIS

Sanag RHMIS S RHMIS Office Togdheer RMIS Office
Office Office Office

Gabilay DMIS Lasanod Berbera

Zeila DHMIS Elafwayn D Buhodle
Office DHMIS Office DHMIS Office
Office DHMIS Office

Baligubadle Garadag Huddun Sheikh DHMIS

Baki DHMIS Ainabo DHMIS
DHMIS Office DHMIS Office DHMIS Office Office
Office Office

Hargeisa HMIS Erigabo Taleh DHMIS Odwayne

Lughaya DHMIS Office Office
Office DHMIS Office DHMIS Office

Badhan
Borama DHMIS Office Burcoa DHMIS
DHMIS Office Office

Dhahar
District DHMIS

Lasqoray
DHMIS office

Reporting mechanism and data flow: The current practice of HMIS data flow is based on the
mechanism where facilities generate the data and report either to district or regional level using
hardcopy of summary reports or directly to the dhis2 where facilities have capacity. Practically,
the regional level is a key junction where data is verified before it goes to the national level; and
the data entry occurs in some of the districts where there is manpower, capacity and equipment.
Information from the community is collected by the female/village health workers and is reported
to the facilities or to the districts. Additionally, the communication mechanism also comes from
the higher levels to the lower levels where there is two-way feedback mechanism.

MoHD NHMIS Office Users

Regional HNIS Office

Districts

Regional Hosp DHs/HCs/RHCs/

PHUs

LHWs

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HMIS Review and Assessment Report

Tools and systems in place: There are standardized Human resources and finance: skilled, motivated
registers at the health facilities which contain workforce are crucial for undertaking routine HMIS
minimum data elements to be recorded from patients/ activities and improving its performance to the next
clients during healthcare provision. HMIS also, has level. Currently, there are HMIS central office, 6
standardized monthly summary reporting forms used regional offices, 6 Hospital offices, and 14 out of
for aggregating the data recorded in the registers. 22 district HMIS offices that report. However, the
The data aggregated in the summary forms will be most 14 districts do not have an office space and
transferred into the database called dhis2 either at necessary equipment to operate independently. The
district level or regional level. HMIS receives limited financial support from Global
Fund (GF) Malaria grant particularly Resilient and
Sustainable Services for Health grant (RSSH). This
HMIS key documents: The National Health Policy, fund is limited and only provides incentives for some
Health Sector Strategic Plan (HSSP-2022-2026), HMIS officers, quarterly feedback meeting at national
National Development Plan (NDPIII), National Statistics level and supportive supervision.
Act, National Strategy for Development of Statistics
(NSDS) and emphasize the importance of the HMIS.
However, the Somaliland HMIS does not have the Health facilities reporting to HMIS: The table below
specific strategic and operational documents such indicates the total number of functioning public health
as HMIS strategy plan, policy, SOP or legal support. facilities that report to HMIS. Overall, all public health
facilities report to HMIS apart from Primary Health
Units (PHUs) of which only about 20% report to
Coordination: There is a HMIS coordination meeting HMIS currently.
held at the national level which focuses on the data
quality, feedback and other pertinent issues including
overall achievements, and plans for the next quarter. It
is important to note, the regional HMIS coordination
meetings are not held due regularly due to lack of
finance support.

S/N Description Quantity

1 Health Centers 255
2 Regional Hospitals 6
3 District Hospitals 20
4 Primary health Units 118

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Ministry of Health Development, Somaliland

Key partners supporting the HMIS HR support

In collaboration with the Ministry of health development, The six regional HMIS officers receive HR support from
the supporting partners have been instrumental for the partners. The Global Fund under the Malaria RSSH
improving and transforming the Somaliland HMIS in the grant is the main source of funding that supports the
past decade. The partners have mainly been supporting regional HMIS officers except Sahil region and some
the capacity building of HMIS staffs, development of officers from the national HMIS as well. Additionally,
tools, and platforms; and HR costs for some staff. some HMIS officers from the districts and Sahil regional
HMIS officer receive incentive from the Somali Health and
During this assessment, the following partners were
Nutrition Programme (SHINE) that is funded by Foreign
identified as currently providing some support for the HMIS:
Commonwealth and Development Office (FCDO).
I. UNICEF V. Taiwan
II. UNFPA VI. GAVI-DQIP
III. HPA VII. PSI
IV. SRCS

Level Number of people Type of support Funding source Partner managing

fund
National HMIS office 3 HR support Global fund UNICEF
Regional HMIS 5 HR support Global fund UNICEF
officers of Marodi-
jeh, Awdal, Togdher,
Sanaag and Sool
Regional officer of 1 HR support SHINE HPA
Sahil
District HMIS officers 2 HR support SHINE HPA
of Buhodle, Burao
District HMIS officer 1 HR support SHINE SRCS
Erigavo,
Total 12

There are 17 district HMIS officers who do not receive

HR support and office support across the country from
the following districts.

Regions District without support

Awdal 1. Lughaya
2. Baki
3. Zeila
4. Borama
Marodijeh 5. Balligubadle
6. Gebiley
7. Hargeisa
Sahil 8. Sheikh
9. Berbera
Togdher 10. Odweyne
11. Ainabo
Sool 13. Taleh
14. Huddun
Sanaag 15. Badhan
16. Dhahar
17. Las-qorey
18. Eil-afweyn
19. Gar-adag

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HMIS Review and Assessment Report

However, the available additional resources to support the other key essential HMIS activities is meager at the moment
and there are other critical activities which have limited or no financial support. Currently the funds available for the
HMIS tools is irregular, very minimum and all facilities experience constant stock out of HMIS tools. Moreover, there
is no support for conducting routine data quality assessment which are vital for improving data and service quality.

Health Management Information System SWOT analyses

Strengths Weaknesses
• HMIS offices are established at national, regional and district levels • Limited financial support for HMIS
• Standard HMIS tools for recording and reporting exist • Most of DHMIS offices functioning with extreme challenge
• Majority of the HMIS staffs at all levels are capacitated in dhis2 (Furniture, internet and computers)
platform navigation and use • Lack of motivation or incentive for most DHMIS and Hospital
• Availability of ministry owned dhis2 cloud server HMIS officers
• Capacity in data analysis and interpretation using dhis2 and excel • Most of PHUs do not report to HMIS (only 20% report currently)
• HMIS staff available in every district despite lack of incentive in • With except of few hospitals, all the private health facilities do
majority of the districts not report to the HMIS
• Availability of trained staff for HMIS in every health center and • Regular HMIS tools stock out.
public hospitals across the country • Most of HMIS core documents such as SOP, HMIS Policy,
• Availability of dhis2 platform for management of health facility data strategic plan, indicator reference manual, DQA guidelines, data
dissemination guideline, standard case definitions either do not
exist or are in draft form.
• Poor practices of data dissemination and use
• No standard format for HMIS quarterly and annual reports
• No, monitoring framework/assessment
• Poor data feedback mechanisms at all levels (lack of written
feedback)
• Some programs report to other platforms which outside of dhis2
[parallel reporting] e.g. TB, nutrition
• Population challenges [population figure available is based on
estimation and overestimated or underestimated due to inaccurate
catchment population]
• Some important features in dhis2 are underutilized e.g. data
quality validation, GIS, tracker captures.
• District HMIS offices are partially functioning

Opportunities Threats
• Large private facilities network to engage • Unwillingness the private sectors to collaborate to HMIS system
• Donor’s commitment to support HMIS. • Over reliance of external support
• Free and easily accessible online trainings for dhis2 • Tendency to create new and parallel platforms whenever new
• Community participation Health activities (community Surveillance) program emerges
• Media
• Growing information demand

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Ministry of Health Development, Somaliland

Key challenges and gaps of the HMIS

There are challenges and gaps pertaining to the HMIS that have been identified during the review and assessment
workshop. These common challenges were noted in the different management levels of the health information system.
The identified challenges are grouped based on the core HMIS components as shown in the below table.

HMIS core component Challenges/gaps

Resources • Lack of HMIS training for the new health facilities
• District HMIS officers do not have offices with basic equipment e.g. computers, tables, chairs etc.
• Shortage of HMIS trained staff at the health facilities [Only team leader has the capacity]
• Limited or no financial support for the HMIS staff at the districts and hospitals
• High turnover of trained staff in the hospital wards [regional hospitals] who often are not the
designated HMIS officers.
• Inadequate number of days for visiting health facilities when conducting quarterly supportive
supervision [only five days]
• Limited or lack support for internet, airtime and stationery in most offices
• Irregular weekly surveillance reporting
• Weakness identified on HMIS OPD registers e.g. insufficient row and column size to capture all
required information and no columns for capturing signs and symptoms of the patient.
• Regular stock outs for HMIS tools
• No summary form for mental health hospitals/departments
• Lack of separate summary form for operation theatre in dhis2, hence not possible to report types
of operations conducted
• Laboratory summary forms cannot capture some of the specific types of diseases investigated
• Challenges filling too many summary forms [eight]
• Registers and forms used by some of the programs are not aligned with the dhis2 format e.g. TB
registers and summary forms
HMIS indicators • Incomplete indicator reference manual
• The indicator reference manual is not capturing all the indicators in NDP and HSSP
• Some indicators are not defined clearly in the dhis2 e.g. child malnutrition
• Indicators related to health education are not captured in the manual
Data sources • Some programs report to other platforms outside dhis2 [parallel reporting] e.g. TB, nutrition
• Majority of the primary health units do not provide regular reports
• Data from campaigns is not reported in dhis2 e.g. measles, polio
• Data collected at the community level is not streamlined into dhis2
• Incompleteness of data from emergency sections in the hospitals
• Data quality validation rules and criteria not fully functional in the dhis2
Data Management • Poor commitment and collaboration with HMIS staff from regional hospital senior management
team
• Lack of data management guidelines
• Insufficient support supervision
• Lack of or insufficient HMIS training at the health facilities
• Lack of data quality assessment guidelines
• Lack of routine data quality assessment
• Lack of written feedback on data quality at the HFs, regional and central levels
Information product, • Lack or insufficient data use at some levels
dissemination and use • Poor dissemination of data to the next levels
• Delay in submission of data to the next level
• Lack of regular quarterly and annual HMIS reports

Key actions
Based on the challenges and gaps identified during the I. Challenges on HMIS core documents
assessment and review on the HMIS, the following items
that had been highlighted as main issues that require to II. Challenges on data quality and use
be addressed to improve the health information system III. Challenges on capacity and Human resources
performance. In summary, the key challenges and gaps
are grouped as follows: IV. Challenges on HMIS Tools

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HMIS Review and Assessment Report

Area Key challenges/gaps Proposed actions

HMIS core • National indicator manual is in draft • Hold consultation workshop to review and
documents • The manual however, does not capture all finalize the manual for indicators
the indicators required to monitor the service • Develop HMIS development strategy and other
progression and targets key documents e.g. SOP, data dissemination
• HMIS policy and SOP do not exist guideline
• There’s no law or regulation supporting health • Develop necessary laws and regulations
statistics production e.g. health statistics law supporting specific areas requiring legislation
such as: civil registration, private sector data,
data privacy etc.
Data quality • Data quality assurance guidelines/tools do not • Develop standardized guidelines and tools for
and use exist routine data quality assurance
• Irregular data quality assurance visits • Conduct regular data quality assurance visits
• Lack of written feedback for data quality issues to • Establish standardized format and mechanism to
and from HFs, regional and central levels implement formal and written feedback
• Poor data dissemination practices and use at all
levels
• Data quality validation rules and criteria not fully
functional in the dhis2
Capacity • High turnover of trained staff in the hospital • Train and build capacity of more than one staff in
and Human wards [regional hospitals] who often are not the the health facilities to mitigate turnover trained
resources designated HMIS officers. staffs at health facilities.
• Shortage of trained staff on HMIS at the health • Mobilize resources to support the HMIS offices
facilities [Only HF team leader or ward in-charge particularly those in the districts
has the capacity]
• Limited financial support for the HMIS teams
particularly at district and hospital levels
HMIS Tools • Regular stock outs of HMIS tools • Ensure enough HMIS tools e.g. registers and
and platform • Deficiency of HMIS OPD registers e.g. insufficient summary forms are kept in all districts to
[dhis2] row and column size to capture all required counter stock outs
information and no columns for capturing signs • Review the design and formats of the HMIS tools
and symptoms of the patient. e.g. registers
• Registers and forms used by some of the • Unlock and operationalize the key features of the
programs are not aligned with the dhis2 format dhis2
e.g. TB & nutrition registers and summary forms • Develop action plan for dhis2 roll out at facility
• Some important features in dhis2 are level
underutilized e.g. data quality validation, GIS,
tracker captures
• Lack of electronic data entry at the health
facilities [dhis2]

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Ministry of Health Development, Somaliland

High priority areas

After identifying the main challenges and gaps of the HMIS, the assessment has re-prioritized the key bottlenecks
affecting the HMIS performance and recognized the following as high priority themes.

Area Issues What is required to be done Implementation timeline Level of priority

Core documents Incomplete National HMIS Some work has already been done and there is The tentative timeline for finalization High priority
indicator Reference Manual. draft version of the Indicator reference manual. of the HMIS indicator manual will be
and SOP To finalize the indicator reference manual, the 2 months.
following activities are necessary:
a. Hiring of local consultant to support the
Ministry in revising the manual
b. Consultation workshop to carry out joint
review of the manual
c. Workshop for validation and dissemination of
the indicator reference Manual

Lack of HMIS development a. Hiring of local consultant to support the the tentative timeline for developing
strategy Ministry in the drafting for HMIS development the HMIS development strategy will
strategy be 3 months.
b. Consultation workshop to carry out joint
review of the strategy
c. Conduction of workshop for validation and
dissemination of the strategy
Quality assurance Lack of guidelines and tools Development of RQDA tools and guidelines will The tentative timeline to develop High priority
for Routine Data Quality require the following activities: RDQA guidelines and tools and
Assessment (RDQA) and a. Consultation workshop to draft RDQA implement joint RDQA visits and
irregular joint comprehensive guidelines and tools conduct establish strong feedback
data quality assessment visits b. Workshop for validation and endorsement of system is 3 years. plan.
RQDA guidelines and tools
c. Implementation of quarterly joint RDQA visits
to the health facilities
d. RDQA discussion forum

Coordination and Lack of HMIS coordination and a. Coordination and feedback quarterly meetings The tentative timeline for HMIS High priority
feedback feedback at the regional and at regional level coordination and feedback meetings
district level will be 3 years
Human resource Limited number of staffs a. HMIS trainings for new and existing HMIS the timeline for HMIS trainings is High priority
and Finance trained for data at health staffs based on the fact as long as the need
centers and hospitals b. Special and continuous development HMIS to have the new or refresher training
trainings for regional and national staffs e.g. is there. This will be a continuous
advanced data analysis, data use, analytical process
software, health informatics, statistics,
demography, GIS and epidemiology

Limited resources for district a. Office support for district HMIS staff • HMIS office support is one-time High priority
HMIS offices (computer, tables/chairs, internet) activity except the internet
b. Incentives for district HMIS staff connection
• Incentive support to the HMIS
staffs is continuing activity as long
as the person is there and working
as well

Information Lack of regular quarterly and a. Production of HMIS annual or bi-annual Production of HMIS annual reports High priority
product and use annual HMIS reports reports and data dissemination forums will
b. Development of data dissemination be implemented every year. Once
Poor data dissemination framework and data use forum it is established well, this will be a
practices and use at all levels c. Monthly HMIS news letters continuous activity
d. Production of weekly surveillance report
e. Production of HSSP progress report
Tools and platform Lack of electronic data entry at a. Commencement of digitalization of HMIS The digitalization process will be High priority
the health facilities [dhis2] tools at the facility conducted in phases and will take
around 4 years.

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HMIS Review and Assessment Report

Conclusion
The outcome of this HMIS assessment report will act as baseline document that highlights the overall gaps, challenges
and priorities of the HMIS. The report underscores the Ministry’s vision to revamp the information for health and aspire
the evidence based decisions. The identified priorities and proposed action plans in the report have been developed
for showcasing some of the long and short term areas of the HMIS that requires both financial and technical support
for their implementations. All supporting partners and donors are encouraged to contribute in any kind of support to
the aforementioned priorities regardless of their previous history of support to the HMIS.

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Ministry of Health Development, Somaliland

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HMIS Review and Assessment Report

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Ministry of Health Development, Somaliland

Republic of Somaliland

Technical support from

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