Assessment of Utilization of Health Information System at District Level with Particular Emphasis to HIV/Aids Program in North Gondar Zone Amhara National Regional State
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Date
2006-06
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Addis Abeba Universty
Abstract
Given the magnitude of health problem in Africa, health services provision is a crucial
component of any national development. To make practical this development, utilization of
information for informed decision-making at all level of data generation must be implemented
especially on HIV/ADIS. But studies shows us in Africa, the utilization rate of information at all
levels where 10% and 20% in Ghana and Uganda respectively. In the interests of improving
health sectors, the Ethiopian government has engaged in the sector reform, including a process
of decentralizing decision-making and budgetary power to the district levels. To facilitate
informed local decision-making it is not well implemented a health information system to timely
and accurately to provide each level of the health sector with the necessary information.
Cross sectional study was conducted from October/2005 -April/2006 to assess utilization of
health information system in particular on HIV/ADIS at district health level in North Gondar,
Amhara Regional stated. Quantitative data were collected using pre-tested and standardized
questionnaire. In addition, reviewing of records was done in the units and departments using
observational checklist to supplement quantitative data.
Data was entered, cleaned and analyzed using EPI info and SPSS statically packages.
Descriptive analysis was done for utilization rate of information for informed decision making
by age, sex, and educational level, training, years of service, salary and position in the
organization. Chi – square test, odds ratio and confidence interval was calculated to show the
association between outcome and exposure variables. Logistic regression analysis was done to
control confounding effect of each other.
The total out come of this research paper was found be the utilization rate of information was
22.5% in all the study units and 8% especially in HIV/AIDS units and the general
implementation of health information system was also found to be 12%. The source of data was
found as routine reports, weekly identifiable diseases reports, vertical program reports and
sometimes survey results. The utilization rate of information was affected by many factors but
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from this research only salary and training and Presence of standards data collection methods,
transmission, processing, and reporting rules was found to be significant at 95 % level of
significance. So we can conclude that the utilization rate of information and implementation of
health information system was found to be very low in the study area. We recommend that
motivation of staffs and training of individual and strengthening of Presence of standards data
collection methods, transmission, processing, and reporting rules should be given attention.
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Keywords
Assessment of Utilization of Health Information System