HMIS Manager [Mrs Zanela Simelane]

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Business Hours
Days Hours
 Monday - Friday  08:00 - 16:45
 Lunch Time  13:00 - 14:00
* We shall observe all holidays as stipulated by the Government of Swaziland

Physical Address: Cooper Centre Office 106, Mbabane, Swaziland

Postal Address: P.O Box 5 Mbabane, Swaziland

Phone: 2404 7712

Fax: none

HMIS - About Us

The Health Management Information System (HMIS) unit under Strategic Information Department (SID) of Ministry of Health (MoH), Swaziland aimed to assess its current HMIS system to envisage the future coherent and effective system by minimizing gaps and maximizing resources utilization to establish "a health information system providing relevant, timely and quality information to the health sector and other relevant stakeholders, in the pursuit of a healthy nation" (HIS strategy 2010).
The Strategic Information Department (SID) :
The Ministry has a fully-fledged Strategic Information Department (SID) that has three units namely, HMIS, M&E and Research. The structure for the department follows the health care delivery structure of three levels, national, regional and facility levels. There are SID offices in all the levels responsible for data management.

Strategic Objectives:
  1. Objective 1. To establish and implement a legislative and policy framework for the optimal provision and use of health information.
  2. Objective 2. To integrate and expand the data sources and systems to best meet the strategic health information needs of the country; Data sources are currently running parallel hence there is need to integrate.
  3. Objective 3. To increase timely availability of high quality comprehensive health data from relevant sources;
  4. Objective 4. To establish processes and structures to promote the effective use of health information in policy making, planning, implementation, monitoring, and evaluation.

Manager's Remarks

HMIS Manager
"Our current work in improving information technologies gives us opportunities to do things we never dreamed possible 10 years ago! But to leverage this process of reviewing the HMIS, we must be willing to think outside the box. ", IT Manager, SID – 2012
I am deeply honored and humbled to work with a team of vibrant, dedicated and committed staff.

I have a profound respect and passion for this organization, as well as timely provision of high quality Health data , and I'm incredibly motivated to serve our people, our communities and our shareholders

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Country Context

Swaziland - "Eswatini"
Swaziland officially the Kingdom of Swaziland and sometimes called "Eswatini" is a culturally rich, peaceful and small landlocked country. Swaziland is a small landlocked country situated between South Africa and Mozambique covering an area of 17,364km2. The country has a predominantly (77%) rural population of about 1.1 million (2006 Census) people.

In recent years, the country has been ranked as one of the highest estimated HIV prevalence in the world. The first AIDS case in Swaziland was reported in 1986; 26 per cent of the working-age population is estimated to be HIV positive (UNAIDS 2010a, 2010b). As a result of HIV/AIDS, crude mortality in Swaziland rose from 0.9 per cent during 1990–95 to 1.6 per cent during 2005–10 (United Nations Population Division 2009), and the probability of a new-born reaching age 50 has dropped from around 80 per cent to just over 40 per cent. Central Statistics Office and Macro International (2008) report that 20 per cent of young Swazis aged 10–14 have lost at least one parent, and 7.5 per cent have lost both parents.

UNDP human development index (health, education and income) shows Swaziland position is 143rd out of 182 countries – where health is lowest scoring attribute. Country data available at WHO database under "information system and data availability" section, census and civil registration category shows only 30% births are registered and no indication of death registration (compare to South Africa 92% and Botswana 72%). Information system for data availability and statistics are relatively inadequate compare to neighbouring countries.

Background of HMIS

A health management information system (HMIS) is essentially a collection of health statistics from various sources, used to derive information about health status, health care, provision and use of services, and the impact on a population's health. In other words, HMIS refer to integrated efforts to 'collect, process, report and use health information and knowledge to guide and influence public health policy-making, program action and research' (WHO 2003: 116).

A Health Management Information System (HMIS) has been in place in Swaziland since 1978, and was initially based at the Central Statistical Office (CSO). From 1979 onwards, health information was collected, stored and analysed at the Ministry of Health (MOH). The process was then decentralized to the regional level in 1981. In 1985 the system was expanded to include specific components such as in-patient activity, out-patient activity, notification of selected communicable diseases and facility based information. However the Ministry of Health (MOH) is still facing challenges of overwhelming data collection tools, lack of clearly documented procedures on data collection and management and lack of a robust and modular patient-based HMIS database that will efficiently capture, store and retrieve clean data sets for all health programmes.

To be able to fully carry out its mandate, the Ministry embarked on an assessment (for the purpose of strengthening) of the current HMIS to ensure that it has the correct staffing, efficient data collection tools and quality processes with an understanding of the reporting needs and overall reporting strategy at each of the different levels (National, Regional, Facility, Community).

As it was mentioned in the country context, Swaziland has been facing serious challenges on overall health service improvement to combat HIV epidemic along with other diseases such TB and malaria. Requirement of population based / patient based became high priority need for the Health Data collection. Aggregated data became challenging – as it became difficult to trace the source of data or changing reporting parameters. Tracking of patient from facility to facility became huge challenge – and reporting requirements of same patient in different facilities became nearly impossible. However, individual patient tracking came one of the vital requirements in managing health care (especially choric health care – e.g. HIV, Diabetics) situation in Swaziland.