F = Field

H = Health

S = Service

I = Information

S = System
Field Health Service Information
System
It is a network information.

It is intended to address the short

term needs of DOH and LGU staff
with managerial or supervisory
functions in facilities and program
areas.

It monitors health service delivery

nationwide.
Ultimate Goal of a Health
Information System

To enable various
health system
stakeholders to make
transparent and
evidence-based
decisions.

NATIONAL EPIDEMIOLOGY CENTER

 To produce relevant and
quality information in
Objective
support of health system
interventions.

NATIONAL EPIDEMIOLOGY CENTER

 Objectives
To provide data on health service delivery and
selected program accomplishments at local levels;

To provide data which, when combined with data

from other sources, can be used for program
monitoring and evaluation;

To provide a standardized, facility level database

which can be accessed for more in - depth studies;
and

To minimize the burden of recording and reporting

at the service delivery level in order to allow more
time for patient care and promotive activities.
 FHSIS Importance
Helps local government determine public health
priorities
Basis for monitoring and evaluating health program
implementation
Basis for planning, budgeting, logistics and decision
making at all levels
Source of data to detect any unusual occurrence of a
disease
Needed to monitor the health status of the
community
Helps midwives in following up clients / patients
Documentation of the midwives / nurses day to day
activities
 Uses of Information

Policy formulation
Planning
Implementation
Monitoring
Control
Further studies/researchers
ACTION
 Sources of Information
Epidemiological Investigation and
Surveillance System

National Health Survey

Ad-Hoc Survey/Studies, ex. EPI

Cluster Survey

Field Health Service Information

System
 Demand for Information

Program Coordinators

Researchers

Politicians

Municipal Health Officers, PHN,

Midwives, etc.
 FHSIS History

1987 conceptualization stage

1988 consultative meetings
1989 pilot implementation
(Regions 4 and 7)
1990 nationwide implementation
1993 devolution
1996 1st modification (Modified)
2008 - 2nd modification
(FHSISv2008)
 Objectives of Revision

Update/Change some indicators based on

the present needs of central office Program
Managers and LGUs
Features and Principles of 2008
Version
Key health indicators to be monitored at
the national level are identified and
targetted under the FHSIS version 2008
 Difference: Original,Modified & V2008
Original Modified Version 2008
24 pages reports that are data are
monthly report submitted up to the DOH disaggregated by
is required for Central Office has been sex
submission reduced to a one-page a column for
from BHS and report form on a quarterly analysis
RHU and basis. BHS through the (interpretation
computer midwives accomplish a 1- and action taken)
processing/ page monthly report form was included in
consolidation for submission to PHN. The the quarterly and
at PHO PHN consolidates reports on annual form
a quarterly basis and
submits consolidated report
to the PHO for
consolidation.
Difference: Original,Modified & V2008
Original Modified Version 2008
only the reporting form all recording
was revised/modified and reporting
forms are
revised/modified
based on the
present indicators
 Components of FHSIS
Recording Tools Reporting Forms
Individual Treatment Monthly Form
Record (ITR) M1 Program
Target Client List M2 - Morbidity
(TCL) Quarterly Form
Summary Table Q1 Program
> HPA Q2 - Morbidity
> Morbidity Disease Annual Forms
Monthly A-BHS
Consolidation A1 Vital Statistics
Table (MCT) Envi/Demographic
A2 - Morbidity
A3 Mortality
Difference of Recording & Reporting
Recording Reporting
Facility Based Transmitted /
Submitted

Detailed Data Summary Data

Day to Day Monthly/Quarterly

Annual

Source: Services Source: Dependent on

delivered to patients / the records (Summary
clients of Records)
 Uses & Importance of each
Recording Forms
1. Individual Treatment Record (ITR)

- foundation/building block
- piece of paper
- patient consultation record
a. Complaints/presenting symptoms
b. Diagnosis
c. Treatment given
d. Date, name, address of patient, etc.
2. Target Client List (TCL)

- To plan and carry out patient care and service

delivery Targets/Eligibles

- Facilitate the monitoring and supervision of

service delivery activities

- Record services delivered

- Provide a clinic-level data base accessible for

further studies

- TCLs to be maintained are:

TCL for Prenatal, TCL for Post-partum Care,
TCL for Family Planning, TCL for Under One
year old children and TCL for Sick Children
FHSIS Flow of Reports

DOH (NEC)

CHDs

USERS PHO

RHU

BHS
Best Practices at CHD 6:

Regional Consultative and Data

Reconciliation Workshop
Regional Data Validation for TB and
Leprosy Programs with LGUs
Data Quality Check for MNCHN
Indicators
DOH Innovation:

Development and nationwide

implementation of LGU-Based
Electronic FHSIS (e-FHSIS) effective
January of 2011.
 Health Programs Supported
Child Care Schistosomiasis
Dental Care Tuberculosis
Family Planning Environmental Health
Maternal Care Natality
Malaria Morbidity
Filariasis Mortality
Leprosy Demography
 System Objectives
To produce an accurate, reliable and
timely reporting system.
 System Scope
Capture data at the barangay level
Reporting/Uploading of Data from the
Municipal/City, Provincial, Regional
and National Database Server
Produce National FHSIS data
Generation and Access to
Data/Information
 Simplified Process Flow
ITR TCL

RHUs
Health Municipal Provincial
and Regional
M1 Centers and
Component Chartered
City City

Municipal
Component City
RHU/HC Chartered City Provincial Regional National
 System Model
Data
Sources Upload to
eFHSIS Data/Access
eFHSIS eFHSIS Report
web site
RHU
System

Maintenance
of Security Clients
Codes and
Stakeholders
Passwords
Data
Consolidatio
Nn and
Analysis
Approval
System
Administratio
n
 Information Flow
RHU/HC Level
ITR TCL
Upload to
eFHSIS
Web Site
M1
Return M1
If No
form to
Barangay
If Yes Discrepanc
Encode in y
eFHSIS for
verification

Print-Out
on Validate
screen or Data
paper
 Information Flow
MHO/CHO Level
Download
DHO/RHU/HC Upload to
data from the eFHSIS
eFHSIS Web Web Site
Site
Print and If No
Consolidate return M1
data in the form to If Yes Discrepanc
eFHSIS DHO/RHU/H y
software C for
verification

Print-Out
on screen Validate Data
or paper
 Information Flow
PHO Level
Download
CHO (comp)
Upload to
and MHO
eFHSIS
data from the
Web Site
eFHSIS Web
Site
Print and If No
Consolidate return M1
data in the form to If Yes Discrepanc
eFHSIS MHO/CHO y
software (comp) for
verification

Print-Out
on screen Validate Data
or paper
 Information Flow
CHD Level
Download
PHO and CHO
Upload to
(chartered)
eFHSIS Web
data from the
Site
eFHSIS Web
Site
Print and If No
return M1
Consolidate
form to
data in the If Yes
PHO/CHO Discrepancy
eFHSIS
(chartered)
software
for
verification

Print-Out
on screen Validate Data
or paper
 Information Flow
National Level
Download Upload to
CHD data from eFHSIS Web
the eFHSIS Site
Web Site

If No
Print and
Consolidate
return M1
data in the If Yes
form to CHD Discrepancy
eFHSIS
for
software
verification

Print-Out
on screen Validate Data
or paper
National Database Server
CAR 3 4A 4B
2
1 NCR
5
UPLOADING OF
6
REGIONAL DATA
7
8
NEC 9
10
11
12
13
ARMM
Security Features
Local Database
User Account:
Username
Password
 e-FHSIS is called the
AgreSys (source: M1 form)

ClinicSys is now being

developed by DOH-IMS
and soon to be adopted
by FHSIS (source: TCL)
THANK YOU!