Health Department Balochistan

Enhancing Institutional Capacity: The Role of BHMIS in Digital Health Governance

The Health Department, Government of Balochistan, hosted a pivotal Health Leadership Conference on 12–13 July 2025 to spotlight the province’s digital health transformation. The conference convened District Health Officers, Medical Superintendents, program leads, development partners, and technical experts to deliberate on innovations that are reshaping healthcare governance through enhanced transparency, accountability, and data-driven decision-making.

DHIS-2 Performance and Data Intelligence

The District Health Information System 2 (DHIS-2) has become the province’s primary tool for real-time health data management. Dr. Ababgar Baloch presented notable performance trends:

  • Top-performing districts: Harnai (92%), Jaffarabad (89%), Gwadar (84%)
  • Overall compliance: 68% reporting rate across 1,250 health facilities
  • Capacity building: 132 training batches completed, reaching 3,695 personnel through support from UNICEF, Pathfinder, and BHCIP

Low-performing districts such as Khuzdar, Surab, and Musakhail were identified for urgent intervention, with district-wise dashboards used to pinpoint gaps.

Real-Time Monitoring Systems

The Health Department has implemented robust digital dashboards for daily tracking of critical indicators:

  • Live location monitoring of DHOs and Medical Superintendents via HRMIS
  • HRMIS data compliance checks for every district and facility
  • Daily review of pharmacy digitization status and equipment inventories
  • Automatic alerts for non-reporting health facilities under DHIS-2

These dashboards enable rapid oversight and shift the governance model from reactive to predictive.

HRMIS: Enhancing Workforce Visibility

The Human Resource Management Information System (HRMIS) has been fully rolled out across Balochistan, offering:

  • Facility-wise visualization of staffing structures and cadre strength
  •  Individual employee profiles, including academic history and transfers
  • AI-based biometric attendance integration (phased implementation)

The system has significantly reduced duplication and ghost postings, ensuring equitable HR distribution and enabling strategic HR planning.

Pharmacy Digitization and Medicine Supply Chain Optimization

Pharmaceutical services have undergone digitization at public hospitals in Quetta and beyond. Key achievements include:

  • Full digitization of pharmacy stores in major tertiary hospitals
  • Integration of pharmacy stock updates into DHIS-2 at both district and hospital levels
  • Auto-triggered procurement alerts and real-time stock dashboards

This has strengthened medicine availability monitoring and streamlined procurement processes, ensuring uninterrupted patient access to essential drugs.

Strengthening Digital Public Access through Web Infrastructure

The redesigned and actively maintained Health Department website now serves as a transparent, multi-functional digital platform. It features:

  • Real-time news ticker and Facebook/YouTube content integration
  • Regular postings on job vacancies, executive orders, and program updates
  • DHIS-2 performance dashboards, downloadable regulations, hospital rosters, and available medicine inventories

The platform enhances public engagement and facilitates open access to key government health services.

Digital Insights: Medicine Inventory Management System (MIMS)

Summary Report – 17 July 2025

The MIMS dashboard provides a real-time overview of pharmaceutical stock and distribution across public hospitals. Highlights from the 17 July 2025 summary report include:

  • Stock overview: 639 medicines in stock, only 26 out of stock, zero nearing expiry
  • Valuation: Total medicine value over PKR 734 million, with:
    • PKR 465 million in primary pharmacies
    • PKR 256 million distributed to hospital wards
    • PKR 12.6 million directly issued to patients
  • Patient summary: 27,124 patients recorded (3,829 IPD, 23,295 OPD)
  • Indent processing: 253 indents generated; 197 approved, 35 pending

Hospital-specific snapshots:

  • MBGH: PKR 50.7M inventory; 18 items out of stock
  • BICHQ: PKR 20.78M stock, mainly held in main store; no items near expiry
  • Helper Eye Hospital: PKR 31.3M stock, 10 items out of stock
  • Fatima Jinnah Hospital: PKR 218.17M inventory, no activity recorded
  • SPH & BMC: Combined inventory over PKR 412M; no reported activity

Key recommendations:

  • Enforce accountability for inactive facilities despite high inventories
  • Prevent supply disruptions by addressing stock-outs and pending indents
  • Integrate patient service data to enable demand-responsive medicine distribution

Looking Ahead: HISDU Balochistan

As a forward-looking measure, the Health Department has launched a Public Sector Development Program (PSDP) project titled Health Information System Development Unit (HISDU). This unit will:

  • Institutionalize data governance frameworks
  • Consolidate digital health architecture under one umbrella
  • Sustain innovations such as DHIS-2 and HRMIS across the health sector