Makinde Olusesan Ayodeji, Azeez Aderemi, Bamidele Samson, Oyemakinde Akin, Oyediran Kolawole Azeez, Adebayo Wura, Fapohunda Bolaji, Abioye Abimbola, Mullen Stephanie
MEASURE Evaluation/ John Snow Inc., 90 Nelson Mandela Street, Asokoro, Abuja Nigeria.
Federal Ministry of Health, Federal Secretariat Complex, Shehu Shagari Way, Abuja, Nigeria .
Online J Public Health Inform. 2014 Oct 16;6(2):e184. doi: 10.5210/ojphi.v6i2.5287. eCollection 2014.
Abstract.
Routine Health Information Systems (RHIS) are increasingly transitioning to electronic platforms in several developing countries. Establishment of a Master Facility List (MFL) to standardize the allocation of unique identifiers for health facilities can overcome identification issues and support health facility management. The Nigerian Federal Ministry of Health (FMOH) recently developed a MFL, and we present the process and outcome.
The MFL was developed from the ground up, and includes a state code, a local government area (LGA) code, health facility ownership (public or private), the level of care, and an exclusive LGA level health facility serial number, as part of the unique identifier system in Nigeria. To develop the MFL, the LGAs sent the list of all health facilities in their jurisdiction to the state, which in turn collated for all LGAs under them before sending to the FMOH. At the FMOH, a group of RHIS experts verified the list and identifiers for each state.
The national MFL consists of 34,423 health facilities uniquely identified. The list has been published and is available for worldwide access; it is currently used for planning and management of health services in Nigeria.
Unique identifiers are a basic component of any information system. However, poor planning and execution of implementing this key standard can diminish the success of the RHIS.
Development and adherence to standards is the hallmark for a national health information infrastructure. Explicit processes and multi-level stakeholder engagement is necessary to ensuring the success of the effort.
摘要。
在一些发展中国家，常规卫生信息系统（RHIS）正日益向电子平台过渡。建立主机构名录（MFL）以规范卫生机构唯一标识符的分配，可克服识别问题并支持卫生机构管理。尼日利亚联邦卫生部（FMOH）最近制定了一份主机构名录，我们介绍其过程和成果。
主机构名录是从头开始编制的，作为尼日利亚唯一标识符系统的一部分，包括州代码、地方政府区域（LGA）代码、卫生机构所有权（公立或私立）、护理级别以及专属的LGA级卫生机构序列号。为编制主机构名录，各地方政府区域将其辖区内所有卫生机构的名单发送至州里，州里再对其下属所有地方政府区域的名单进行整理，然后发送给联邦卫生部。在联邦卫生部，一组RHIS专家对每个州的名单和标识符进行了核实。
全国主机构名录包含34423个已获唯一标识的卫生机构。该名录已发布，可供全球查阅；目前用于尼日利亚卫生服务的规划和管理。
唯一标识符是任何信息系统的基本组成部分。然而，实施这一关键标准时规划和执行不力会降低常规卫生信息系统的成功率。
制定并遵守标准是国家卫生信息基础设施的标志。明确的流程和多层次的利益相关者参与对于确保这项工作的成功是必要的。
