Ramathebane Maseabata M, Maja Lineo J, Lets'olo Mosala, Monts'i Sello
Department of Pharmacy, Faculty of Health Sciences, National University of Lesotho, Maseru, Lesotho.
Department of Economics, Faculty of Social Sciences, National University of Lesotho, Maseru, Lesotho.
J Coll Med S Afr. 2024 May 9;2(1):3. doi: 10.4102/jcmsa.v2i1.3. eCollection 2024.
Universal Health Coverage (UHC) is an integral part of the Sustainable Development Goals, with community-based services playing a crucial role. Various stakeholders contribute to human immunodeficiency virus (HIV) interventions, which must be documented and shared with others for informed decision-making.
This study aims to review the availability of a community health information system (CHIS) in Lesotho and its integration between the Ministry of Health (MOH) and the National AIDS Commission (NAC).
The study is based on the Ministry of Health and the National AIDS Commission in Maseru, Lesotho.
A scoping review used peer-reviewed articles, documents from MOH and NAC, and other relevant reports from non-governmental organisations. The community information systems were examined for inclusion of clinical and non-clinical information. Possible linkages of information between MOH and NAC were reviewed.
Clinical information from CSOs is recorded in DHIS2 at the MOH facilities, while non-clinical information is reported in LOMSHA. However, clinical information from VHWs is currently not included in DHIS2 and formal reporting tools are being developed. There are no links between MOH and NAC, which limits information sharing.
Although a CHIS exists, it lacks the necessary linkages. Community-based information from VHWs is not reported through DHIS2. Therefore, the country does not benefit fully from community-based health information.
Community health information systems review has never been conducted in Lesotho before. Therefore, this review will raise awareness about its importance and use in decision-making.
全民健康覆盖是可持续发展目标的一个组成部分，基于社区的服务发挥着关键作用。各种利益相关者为人类免疫缺陷病毒（HIV）干预措施做出贡献，这些措施必须记录下来并与他人共享，以便做出明智的决策。
本研究旨在评估莱索托社区卫生信息系统（CHIS）的可用性及其在卫生部（MOH）和国家艾滋病委员会（NAC）之间的整合情况。
该研究以莱索托马塞卢的卫生部和国家艾滋病委员会为基础。
采用范围综述法，使用同行评审文章、卫生部和国家艾滋病委员会的文件以及非政府组织的其他相关报告。对社区信息系统进行检查，看是否纳入了临床和非临床信息。审查了卫生部和国家艾滋病委员会之间可能的信息联系。
民间社会组织的临床信息在卫生部设施的DHIS2中记录，而非临床信息在LOMSHA中报告。然而，志愿卫生工作者的临床信息目前未纳入DHIS2，正在开发正式报告工具。卫生部和国家艾滋病委员会之间没有联系，这限制了信息共享。
虽然存在社区卫生信息系统，但缺乏必要的联系。志愿卫生工作者的基于社区的信息没有通过DHIS2报告。因此，该国没有充分从基于社区的卫生信息中受益。
莱索托此前从未进行过社区卫生信息系统审查。因此，本次审查将提高人们对其在决策中的重要性和用途的认识。
