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Health Information System (HIS) Reference Manual

Health, January 2010

© UNHCR
Health Information System Reference Manual

The manual forms the core reference document for a five-day "Training of Trainers" workshop. This is the prelude to country-level training for implementing partner staff, followed by camp-based deployment of the HIS. The modules are designed to be reproduced and used independently of the manual, in field trainings and exercise work for frontline health staff.


Part One: Introduction

Part One presents an overview of the HIS. It describes the purpose of data collection, the process of selecting standards and indicators, and the importance of standardised health information. It also introduces the concept of the data cycle, the key partners involved, and explains the frequency of reporting at each level of health management.


Part Two: Technical Sections

Part Two introduces the technical sections in the HIS. The HIS contains 10 technical modules, which correspond to the primary healthcare model upon which services are planned, organised and delivered (see List).

The modules identify the sources required for data collection; define who is responsible for the data; and provide guidance on the "what, how and when" of collecting and reporting health information. Each has been designed as a reproducible, field-based guide that can be used independently of the manual to train staff at the camp level.


Part Three: Data Management and Support

Part Three contains core topics related to data management and data validation; internal auditing and quality control; and database management. It also describes how new toolkits will be updated and replaced in the field.


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Public Health

The health of refugees and other displaced people is a priority for UNHCR.

Health crisis in South Sudan

There are roughly 105,000 refugees in South Sudan's Maban County. Many are at serious health risk. UNHCR and its partners are working vigorously to prevent and contain the outbreak of malaria and several water-borne diseases.

Most of the refugees, especially children and the elderly, arrived at the camps in a weakened condition. The on-going rains tend to make things worse, as puddles become incubation areas for malaria-bearing mosquitoes. Moderately malnourished children and elderly can easily become severely malnourished if they catch so much as a cold.

The problems are hardest felt in Maban County's Yusuf Batil camp, where as many as 15 per cent of the children under 5 are severely malnourished.

UNHCR and its partners are doing everything possible to prevent and combat illness. In Yusuf Batil camp, 200 community health workers go from home to home looking educating refugees about basic hygene such as hand washing and identifying ill people as they go. Such nutritional foods as Plumpy'nut are being supplied to children who need them. A hospital dedicated to the treatment of cholera has been established. Mosquito nets have been distributed throughout the camps in order to prevent malaria.

Health crisis in South Sudan

Kuwaiti Funds Provide Vital Medical Aid for Syrians in Lebanon

As the number of Syrian refugees in Lebanon continues to grow, ensuring access to quality health care is becoming an increasing challenge for humanitarian aid groups and the international community. So, Kuwait's unprecedented donation in April of US$110 million for UNHCR's Syria crisis operations this year came at a most opportune time. Slightly more than 40 per cent of the amount has been used to fund programmes in Lebanon, including the provision of vital - and often life-saving - medical care. In the following photo gallery, photographer Shawn Baldwin looks at the essential work being done in just one Kuwaiti-supported clinic in northern Lebanon. The small Al Nahda Primary Health Care Clinic in the town of Beddawi has a staff of seven doctors and one nurse. Between 600 and 700 people seek medical attention there every month and the clinic meets the needs of some of the most vulnerable refugees.

Kuwaiti Funds Provide Vital Medical Aid for Syrians in Lebanon

Nansen Refugee Award Presentation Ceremony

More than 400 people attended the annual presentation in Geneva in October 1, 2012 of UNHCR's Nansen Refugee Award. This year's inspirational winner from Somalia, Hawa Aden Mohamed, was unable to attend for health reasons, but she sent a video message. In the former refugee's absence, UN High Commissioner for Refugees António Guterres presented the award and Nansen medal to her sister, Shukri Aden Mohamed.

The 63-year-old humanitarian, educator and women's rights advocate, widely known as "Mama" Hawa, was honoured for her extraordinary service - under extremely difficult conditions - on behalf of refugees and the internally displaced, mainly women and girls but also including boys.

Above all she has been recognized for her work - as founder and director of the Galkayo Education Centre for Peace and Development in Somalia's Puntland region - in helping to empower thousands of displaced Somali women and girls, many of whom are victims of rape. The centre provides secondary education as well as life skills training.

The packed event also included an address by Liberian peace activist Leymah Gbowee, co-winner of last year's Nobel Peace Prize, and a video tribute to Mama Hawa as well as performances from UNHCR Honorary Lifetime Goodwill Ambassador and classical singer, Barbara Hendricks, and up and coming Swiss musician Bastian Baker.

Nansen Refugee Award Presentation Ceremony

Lebanon: A Tradition Yields New OpportunitiesPlay video

Lebanon: A Tradition Yields New Opportunities

UNHCR and partners are training scores of Syrian and Lebanese women in traditional fabric printing – helping to sustain centuries-old techniques and provide livelihoods for refugees and host communities.
Chad: Health for allPlay video

Chad: Health for all

Refugees in southern Chad receive health care under a European Union-funded programme. A new clinic tackles malaria, malnutrition, respiratory infections and more.
Jordan: Getting Health CarePlay video

Jordan: Getting Health Care

In Jordan's Za'atri Refugee Camp, dust and heat are taking their toll, especially on young children.