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Title: HEALTH POLICY AND THE EXTENT OF HEALTH INFORMATION USE IN WOREDA HEALTH CARE SYSTEM OF ARSI ZONE, OROMIA REGION, ETHIOPIA
Authors: MESFIN, ABERA
Advisors: Dr. Jemal Haidar
Keywords: health informatics
Copyright: Jun-2011
Date Added: 6-Aug-2012
Publisher: AAU
Abstract: Background: Information is the crux of overall building blocks of health systems strengthening which will enable health managers to utilize the same for better policy-making, planning, implementation, and monitoring and evaluation of health program. Availability of good quality information doesn’t necessarily lead to good decisions, it is, the culture and practice of evidencebased decision-making which is important and required the most at all levels. Objective: This study was intended to determine the use of health information generated at local level for evidence based decision in woreda health care delivery system of Arsi Zone, Oromia Region Ethiopia. Method: A cross sectional descriptive study involving 386 respondents form each units/departments selected entirely among 14 woreda health office, 1 district hospital and 19health center was conducted in April 2011. A pre-tested questionnaire was used to collect quantitative data, which was entered and cleaned by Epi info version 3.5.1 and SPSS 14 version. The qualitative data was collected from selected woreda health office and selected health facility by in depth interview to support quantitative data. Odds Ratio with 95% Confidence Interval was used and multiple logistic regression analysis was performed to assess association among variables. Result: woreda health office, district hospitals and health center in the Zone had HMIS committee for collecting, compiling and reporting of information in the system. The utilization of health information in the woreda was 32.1%. The magnitude of presence of standard collection tool and HMIS training was 64% and 37.1% respectively. There was no association between utilization of health information and year of service, having of standard data collection tools, having guide for data collection, presence of key indicator, having quality assurance of data and utilizing of different reporting format. Likelihoods utilization of information was increased with being male with AOR 4.29(95% CL: 2.40, 7.66), age of 30-34 with AOR 3.61(95% CL: 1.11, 1181.2). Having HMIS training increase utilization of information by 1.02 viii times compared to who had no HMIS training with AOR 1.02(95% CL: 3.64, 9.62). Using of catalogue to keep record also had strong association with utilization of information with AOR 3.42(95% CL: 1.06, 11.07). Conclusion and recommendation: Utilization of health information in the district was very low in the study area this may due to lack attention delivered by health worker and government. Considering this training of health worker on HMIS, delivering accountability for female, furnishing with training to junior health worker, provision of supportive supervision on information use, provision of adequate logistic support are recommended for better utilization of information.
Description: A Thesis Submitted to the School of Graduate Studies of Addis Ababa University in Partial Fulfillment of the Requirements for the Degree of Master of Science in Health Informatics
URI: http://hdl.handle.net/123456789/3550
Appears in:Thesis - Health Informatics

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