MoH-AHBS Report from Unity and Solidarity Union: Obstruction in Health Services

Unity and Solidarity Union (BDS) announced the results of the field research it conducted with the participation of 3 thousand 632 healthcare workers in 75 provinces regarding the Ministry of Health Family Medicine Information System (MOH-AHBS) application and announced to the public the burden imposed by the system.

At the press conference held with the participation of union managers, it was emphasized that the new software brought health services to a deadlock instead of relieving the workload in Family Health Centers (FHC).

1,723 family physicians and 1,909 family health midwives and nurses working in FHCs in 75 provinces contributed to the research, which was completed in September 2026.

BDS Chairman Dr. Ahmet Mehlepçi, BDS Branch No. 1 President Dr. Speaking at the meeting attended by Emrah Kırımlı and BDS Central Executive Board Member Midwife Melike Sigeze, Mehlepçi stated that 84.8 percent of the participants in the research stated that the procedure time per patient has increased and 84.7 percent stated that working conditions have become worse.

Emphasizing that the software directly affects the clinical workflow negatively, Mehlepçi noted that over 80 percent deterioration was detected in all six main areas examined in the study.

According to field results; There was a deterioration of 83.9 percent in daily workflow, 83.8 percent in access to patient records, 83.7 percent in general user experience and 81.1 percent in preventive health monitoring.

In addition, 80.7 percent of the participants reported that the procedure time per patient increased, and 79.6 percent reported that the daily workload increased. Drawing attention to the technical problems in the system, Mehlepçi said that 75.2 percent of the employees had to enter the same information many times, and 68.8 percent experienced data loss due to system interruptions and entered the records from the beginning.

It turned out that the slowdowns and deadlocks in the system were felt much more severely by midwives and nurses. While the rate of those who found the speed of the program insufficient was 53.6 percent among family physicians, this rate rose to 75.4 percent among midwives and nurses.

The rate of family physicians stating that the system crashes or slows down during busy working hours is 56.8 percent; This rate reached 81 percent for midwives and nurses. The rate of midwives and nurses who said that the procedure time per patient has increased peaked at 87.3 percent.

Serious concerns about data integrity also came to the fore in the research. 64.4 percent of the participants reported that they observed deficiencies in past patient information, 59.9 percent in clinical notes, and 55.2 percent in old follow-up records. While the rate of those who realized that the data they entered was not recorded later was 50.2 percent, disruptions were also detected in the preventive health modules.

While 63.2 percent of the participants see the availability of child vaccinations and follow-ups on different screens as a problem; 64.7 percent of women aged 15-49 stated that they had difficulty accessing their follow-up history, and 64.3 percent stated that new pregnancy notifications were not prominent enough on the home screen.

Stating that the prepared report will be forwarded to the Ministry of Health and Provincial Health Directorates, Mehlepçi called on the Ministry of Health to improve the software.

BDS demanded that notifications from the field be taken into account, data integrity be technically inspected, SB-AHBS be subjected to performance tests in real FHC conditions, and family physicians, midwives and nurses be directly involved in software development processes.