|INADEQUACIES OF THE HEALTH INTELLIGENCE SYSTEM IN
INDIA AND SOME SUGGESTIONS FOR IMPROVEMENT
|SS Nair: NTI Newsletter 1977, 14, 20-24.
The Health Intelligence System has to provide information
for the planning, monitoring and evaluation of the Health Services
which are provided by the Health Care Delivery System in the country.
The Health Intelligence System should also be in a position to provide
information on the health needs and demands of the community so
that the Health Care Delivery System can plan to meet the unmet
demands and needs. Information available is quite often incorrect,
incomplete and out dated. Appreciable improvements can be effected
only on the basis of a critical appraisal of the system. Some of
the important reasons are lack of training, aptitude and
sense of involvement in the work by the staff, improper reporting
proformae, enforcement of targets, absence of discrimination between
routine and special health intelligence, quantitative and qualitative
data and lack of systematic & regular supervision by health
administrators particularly at the district level. Suggestions
for improvement are better utilization of collected data, simplification
of proformae, adequate training to the staff in health intelligence,
realistic variability of targets, integration of health intelligence
for various components of the health care delivery system, bifurcation
of data into two i.e., simple routine use and for use for special
purposes and regular and systematic supervision and make suggestions
for taking top level decisions. The major gaps and other problems
listed in this paper and the suggestions made to overcome these
are of such nature that these have to be considered at top levels
and decisions taken, preferably on the basis of the observations
and recommendations of a study group of experts set up for the purpose.
Until some basic changes are made, the Health Intelligence System
will continue to be thoroughly inadequate for proper planning, monitoring
and evaluation of the Health Care Delivery System.
|KEY WORDS: HEALTH INTELLIGENCE, HEALTH SERVICES.