Indian Journal of Public Health

: 2013  |  Volume : 57  |  Issue : 4  |  Page : 283--284

Status of reporting at health sub-center level in Bihar

Tukaram Narayan Khandade1, Rajeev Kamal Kumar2, Shyama P Chattopadhyay3,  
1 Associate State Coordinator, Department Research, Institute of Health Management Research, Jaipur, Rajasthan, India
2 Assistant Professor, Department - Sociology and Social Anthropology, A N Sinha Institute of Social Studies, Patna, Bihar, India
3 Assistant Professor, Research Department, Institute of Health Management Research, Jaipur, Rajasthan, India

Correspondence Address:
Tukaram Narayan Khandade
Institute of Health Management Research, 1st Floor, Indushree Apartment, Near Raj Mansion, Sursudha Lane, East Boring Canal Road, Patna - 800 001, Bihar

How to cite this article:
Khandade TN, Kumar RK, Chattopadhyay SP. Status of reporting at health sub-center level in Bihar.Indian J Public Health 2013;57:283-284

How to cite this URL:
Khandade TN, Kumar RK, Chattopadhyay SP. Status of reporting at health sub-center level in Bihar. Indian J Public Health [serial online] 2013 [cited 2020 Mar 29 ];57:283-284
Available from:

Full Text


Since 2008, Health Management Information System (HMIS) in India is fully computerized. [1] State Health Society, Government of Bihar has also been using another state specific web portal namely - District Health Information System-2 (DHIS-2) since 2009 for HMIS data uploading. The new National Rural Health Mission (NHRM) HMIS formats were introduced after revision and making them more user-friendly and hence that it could be easily fed into computers [2] in 2008 by Ministry of Health and Family Welfare, Government of India. At the health sub-center (HSC) level, the new monthly format NRHM/HSC/3/M 3 is in use. At the time of this study, the state has able to achieve 100% facilities doing timely reporting and the completeness of the report is also 68% (DHIS-2 June, 12), but the quality of these reports (correctness) remain a challenge.

The present study is carried out to calculate the correctness of 10 data elements reported in HMIS monthly reports of HSC. For this, a total of 186 HSCs of Bihar were selected randomly and the data for the period of February to June, 12 were taken. These monthly reports were cross checked and validated with the recording register (maternal and child health [MCH]) for the correct reporting, over reporting and under reporting.

Out of 10 data elements, the percentage of correct reporting varies from 65% to 80% in 5 data elements, i.e., pregnant women registered for ante natal care (ANC), ANC registration within 1 st trimester, three ANC checkups, tetanus toxoid (TT2) or booster and 100 iron folic acid (IFA) tablets. The percentage of correctness is even higher (81-90%) for rest of 5 data elements, i.e., Oral pills cycles distributed, condom pieces distributed, children between 9 and 11 months who have been fully immunized - male and female, Immunization sessions planned and held. The results are matching with the study conducted by Verma and Prinja in which TT doses were correctly recorded in more than 80% of cases. [4] In another study, the data recorded was found to be more than 95% correct. [5] The study in Tehsil Taxila of Rawalpindi district (Pakistan) has shown that only 70% of reporting facilities accurately send their reports, which sounds fairly good quality of data collection. [6]

When we look in to the reasons for the incorrect data, the prominent reason is low understanding of the data elements (19%), followed by no record in MCH register (14%) and counting error (10%). The counting error is more in ANC related data, the highest being 24% in ANC registered in 1 st trimester, followed by 22% in three ANC check-up. No record was available for condom pieces and oral pills distribution. The low understanding regarding the 100 IFA tablet was found highest at 22%, followed by 12% in routine immunization sessions held and also in ANC registered in first trimester.

To improve the data correctness, Auxillary Nurse Midwives should be imparted in-depth training on the meaning of data elements, compilation and transferring the data from the MCH register to HMIS reporting format.


The authors are gratefully acknowledge UNFPA for supporting the project titled "Strengthening of HMIS in Bihar" from where some parts of data is referred. And also thank to the "State Health Society of Bihar" for leadership and able support in implementing the large scale training on HMIS.


1Launch of HMIS web portal. NRHM Ministry of Health and Family Welfare Government of India, 2008. Available from: [Last cited on 2012 Jan 15].
2New NRHM monthly reporting format. NRHM Ministry of Health and Family Welfare Government of India. Available from: [Last cited on 2012 Jan 15].
3Monthly HMIS reporting format of Health Sub Centre. NRHM Ministry of Health and Family Welfare Government of India. Available from: [Last cited on 2012 Jan 15].
4Verma R, Prinja S. Quality of records for maternal and child health services at subcentre level in a rural block of Rohtak. Indian J Community Med 2007;32:90.
5Krishnan A, Nongkynrih B, Yadav K, Singh S, Gupta V. Evaluation of computerized health management information system for primary health care in rural India. BMC Health Serv Res 2010;10:310.
6Mehmood T, Ashraf T (Late), Mashhadi S, Roshan R. Health management information system in district health care. Pak Armed Forces Med J [Internet] 2011 Dec Volume 4. Available from: [Last cited on 2013 Nov 14].