Assessment on Utilization of Health Management Information System at Public Health Centers Addis Ababa City Administrative, Ethiopia

Abstract

Health Management Information System (HMIS) has sub system under HIS is specially designed to assist the management and planning of health programmes opposed to delivery of care that provides decentralized decision making and planning. However, decentralized informational management is at infancy stage in Ethiopia. Hence, to ensure the effective and efficient utilization of a system, periodic assessment becomes imperative at this juncture. The study aims in assessing utilization of HMIS at Public Health Centers in Addis Ababa. Institution based cross sectional quantitative and qualitative study was conducted from July to September 2011. The sample size was calculated using single population proportion formula and a total of 416 health professionals were included. Frequencies, proportion and summary statistics were used to describe the study population in relation to relevant variables. Bivariate and multivariate analyses were also be carried out to see the effect of each independent variable on the dependent variable. 416 respondents respond to the questionnaire with 98% response rate. The current utilization rate of HMIS at health centers were about 41.7%. The total outcomes of the generated routine data were compiled using tally sheet, registers, and reports, and in combination of these formats. The combined utilization of the mentioned formats constituted 199 (48.8%). The odds ratio result indicated that the provisions of technical supports, presence of computers, generated data at department level and practice of conversion of data into information enhanced the utilization of HMIS (AOR=1.69, 95%CI:1.09-2.63), (AOR=2.08, 95%CI:1.29-3.35) (AOR=2.78, 95%CI:1.65 -4.68), and (AOR=3.44, 95%CI:(1.82-6.51) respectively.

Routine Health Information System Utilization for Evidence-Based Decision Making in Amhara National Regional State, Northwest Ethiopia: a multi-level analysis.

“…As a result, the low level of information-use for evidence-based decision making affects the quality of healthcare services. However, the nding was higher than the study done in Jimma and Addis Ababa which reported the level of information-use as 31% (14) and 41.7% (18), respectively. The variation might be because of the difference in the study period and efforts exerted in the past two years following the development of IRR by different actors in the study area.…”

“…al. mentioned that provisions of technical supports, presence of computers, the practice of conversion of data into information, residence, data management knowledge, workload, and computer skill enhanced the utilization of HMIS for evidence-based decisions making (18,19).…”

“…Hence, the country has made immense efforts through the information revolution agenda since 2017 to enhance the utilization of routine health information for evidence-based decisions at lower levels of the healthcare system. The ndings of previous studies indicated that the use of routine health information for decision making varied from place to place but failed to account for individual and organizational level variations that affect the enhanced use of routine health information (12,13,(16)(17)(18)(19)(20). Failing to capture the variations at different level did not provide appropriate parameters estimates (21,22).…”

Routine health information system utilization for evidence-based decision making in Amhara national regional state, northwest Ethiopia: a multi-level analysis

“…Teklegiorgis et al reported that a friendly format for reporting and managers provide regular feedback to their staff were found to be significantly associated with health information utilization[ 17 ]. Likewise, Adane et al and Asemahagn et al mentioned that provisions of technical supports, presence of computers, the practice of conversion of data into information, residence, data management knowledge, workload, and computer skill enhanced the utilization of HMIS for evidence-based decisions making [ 18 , 19 ].…”

Utilization of routine health information and associated factors among health workers in Hadiya Zone, Southern Ethiopia

“…It involves a fundamental shift from old methods of information utilization to bring about a fundamental cultural and attitudinal change regarding practical use of information [10]. Despite these efforts, the utilization of routine health information at the local level is still a big challenge [11][12][13]. Health information is generated at each level of the health system and then submitted to each subsequent next level without adequate use for performance improvement at the point of generation [14].…”