Understanding the Field Health Service Information System (FHSIS)in the Republic of Philippines〇Thura Ko Ko1, H. Kimsroeun 1, T. Kounnavong1, S. Morm1
T. Sythala1, T. Kikuchi1, M. Sato1, A. Imoto1
1 Nagasaki University School of Tropical Medicine and Global Health

Overview on FHSIS••••

Official information system and national health statistics of Department of Health, Philippines
Main source for health policy and system, implementing, and monitoring and evaluating
Public health information (RMNCH, CD, NCD, EPI, nutrition, environment health)
Vital Statistics ( Morbidity and Mortality) and demographic Data

1．Objectives

Visited Bureau of Epidemiology, DOH, Manila• To understand the FHSIS at different management: linkage and reporting system• To study the strength and weakness of FHSIS system• To study the strength, weakness, and solution in implementing FHSIS
2. Methods: Observation, interview, and group discussion at DOHs, hospitals
MHD, PHO, RHU, BHS, and BHC in Manila and Leyte.

3．FHSIS Process Flow and Networking

Visited DOH Region 8, Leyte

Overview of the Republic ofthe Philippines• Land area: 299,404 km² with 7,109 islands• Population: 106.65 million• GDP per capita: $3,102.7, (World Bank, 2018)• Life expectancy at birth: 69.2, (World Bank, 2017)

Health Situation
1. High incidences of communicable diseases and neglected tropicaldiseases (NTDs)
2. Increasing burden of non‐communicable diseases (NCDs) andhigh prevalence of all risk factors
3. Third highest disaster risk country in the world(UNU‐EHS, World Risk report 2016)

Key Health Indicators• Under 5 mortality rate:
28.1 (/1,000 live births), (WHO, 2017)• Maternal mortality ratio:
114 (/100,000 live births), (WHO, 2015)• Incidence of tuberculosis (TB) :554 (/100,000 people), (WHO, 2017)• PhilHealth coverage 51% in 2010
to 91% in 2016.
• Rising total health expenditure381 billion in 2010 to 655 billion in 2016.

Leyte

Figure 1: Created by the researchers.

4. Strength, Weakness, and Solution of FHSISStrengthWeakness

1. One system management
2. The availability of data (Timelyand relevant)
3. Data revision (Annually reportpublishing)
4. An official data for all sectors

1. The availability of data:
1. Offline software should be set in local‐ No data from private sector available
health facilities.
2. The gathering data system
2. Health care service covering can be‐ Data quality check: base on local
improved by improving the indicators.
‐ Inadequate monitoring at local health units 3. The collaboration between MHO and3. The report systemevery health facility can ensure the accuracy‐ Paper basedof the data.
‐ Lack of computer and Internet service
4. Site visiting, either for monitoring and
4. Lack of human resource
training should be organized regularly.

Solution

5. Conclusion• FHSIS is known as an official system producing DOH annual health report for supporting decision making in the Philippine’s health care system.
• To ensure the quality and accuracy of the report, the collecting process requires the improvement on the indicators as well as the analyzation andcollaboration.
• How data is collected from the private section should be considered in further health care system study.

Reflection•The experiences from the field trip in the Philippines have been a great opportunity for the students to learn how the health systems are working andcontribute to the global health.
• The group activities were highly motivating the students to learn the fields of their interests deeply and share the knowledge and experiences.
• The students would like to express acknowledgment to DOH of the Philippines and Nagasaki University‐Tropical Medicine and Global HealthAbbreviation
BHC ‐ Barangay Health Center
BHS ‐ Barangay Health Station
BHW ‐ Barangay Health Workers
CD ‐ Communicable Disease

DOH – Department of Health
EPI – Expanded Program Immunization
HH ‐ Household
ITR – Individual Treatment Record

KMIS – Knowledge Management Information System
LGU – Local Government Units
MHD – Manila Health Department
NCD – Non‐Communicable Disease

PHO – Provincial Health Office
RHU – Rural Health Unit
RMNCH – Reproductive, Maternal, Newborn, and Child Health
TCL – Target Client List