Improving India’s Pandemic Response through a Health Information System Reform

Despite stringent lockdown measures to curb the spread of the 2019 Coronavirus disease (COVID-19), India remains vulnerable to an uncontrolled rise in the number of cases and deaths. Furthermore, in spite of the high number of recorded cases, the actual case counts may be much higher due to poor data reporting of probable and confirmed cases of COVID-19 from all of India’s states. Being a populous country with the potential to become the world’s COVID-19 epicenter, it should be the Indian government’s top priority to strengthen India’s health information system (HIS) to support their infectious disease response.

To ensure that this paper is guided by current research on India’s HIS performance, a search strategy was developed on Ovid MEDLINE using database-specific subject headings and text words. The search terms used included: “health information systems” AND “India” AND “COVID-19” OR “Coronavirus.”

Most district level COVID-19 information management is still paper-based, and with India’s vast terrain, this approach is prone to data compilation errors. Furthermore, India’s fragmented HIS has led to ineffective collaboration between COVID-19 response agencies at the central, state, and district levels, thereby creating barriers pertaining to the compilation and coordination of COVID-19 data.

Investing in the use of technology is a viable approach to strengthen the country’s HIS performance during an infectious disease pandemic. To address the challenges associated with India’s fragmented HIS, the government is encouraged to implement a national regulatory body to monitor health information inputs and outputs.