Interview with S.Manonov

Dear Safarbek Turaevich!

It is not so long ago that you took charge of the National Center of Medical Statistics and Information, and also took over the leadership of the project on strengthening the health management information system. What are the major problems in your working sector? Why?

I am well aware of the problems of information systems in health care, as I worked for long as a Deputy chief physician of the National Medical Centre and was in charge of the information system of the National Medical Center.

One of the major problems is first of all staffing. The project pays a lot of attention to training highly qualified staff, but the problem is that the trained professionals do not work in the position of medical statisticians for long. We continue building the workflow despite the high turnover of specialists, implementing an information system on the entire territory of the Republic of Tajikistan, planning regular retraining activities. It is necessary to solve the issues of support and encouragement of specialists.

Another problem that we encountered before is the timeliness and quality of provided information, which was due to the lengthy process of forming the reporting data, once per year, its analysis and use in health care management. This, in turn, contributed to the lack of experience of the use of information for health system management. 

In your opinion, what are the main issues to be solved at the moment in order to ensure the sustainable operation of the information system on the entire territory of the Republic of Tajikistan?

The introduction of a unified information system based on DHIS2 can solve many of these problems. It is also necessary to intensify the efforts for ensuring the quality of data, using the information for decision-making, expanding DHIS2 at the rural level, solving the staffing issues, introducing financial incentives for the specialists, introducing financial and clinical information into the system. 

What problems did you manage to solve lately?

As you pointed out earlier, I started working recently and currently I deal with some legal issues (centre’s regulations, etc.).

Is there a problem that has not yet been solved? Why?

Staffing issues remain on the agenda, but they cannot be solved as fast as we would wish. 

Any supervisor periodically faces some problems. What should be the attitude towards problems, in your view?

Solving a problem, starts with recognizing it. In order to recognize the problems, it is necessary to explore the reasons for their occurrence, analyse the contributing factors, sources of information, possible ways out, to use the accumulated knowledge, experience and then choose the most optimal solutions.

What achievements in your work are you particularly proud of? Why? What helped you achieve this?

It is too early to talk about my achievements with regard to the information system, however the establishment of a unified information system based on DHIS2, operating on-line throughout the Republic, is the greatest achievement of the whole health management information system of the Republic of Tajikistan.