Participatory development of a minimum dataset for the Khayelitsha district

Background. Traditional 'data-led' information systems have created excessi ve amounts of poor-quality and poorly utilised data. The Health Information Systems Pilot Project (HISPP), a Western Care project that started in 1996 , initiated a process in one of its three pilot sites to model an alternati ve approach to developing a district health information system. Objective. To develop a minimum dataset for Khayelitsha as part of an actio n-led district health and management information system in a participatory 'bottom-up' process. Method. The HISPP, in conjunction with health workers in the proposed Khaye litsha district, developed a minimum dataset through a process of defining local goals, targets and indicators. This dataset was integrated with data requirements at regional and provincial levels. Results. A minimum dataset was produced that defined all the data needed ac cording to the frequency of reporting and the level at which it was require d. Conclusion. The HISPP has demonstrated an alternative model for defining he alth information needs at district level. This participatory process has en abled health workers to appraise their own information needs critically and has encouraged local use of information for planning and action.