Factors Affecting the Implementation of Electronic Health Management Information System (Ehmis) in Public Hospitals Addis Ababa

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Addis Ababa University


Background:Electronic health management information system software has been developed along with the national paper based health management information system reporting formats. Electronic health management information system is a home –grown solution developed by Ethiopian information technology experts taking advantage of international expertise made available by John Snow Inc. Electronic health management information system has been developed to suit particularly the Ethiopian health information system with ability to meet any future changes or information needs they evolve. Objective of the Study: To identify possible factors affecting the implementation ofelectronic health management information system in the public hospitals Addis Ababa. Methodology:This study was conducted in Addis Ababa from December, 2012-june, 2013 in eight public hospitals who have implemented electronic health management information system. Datawere conducted by self-administer and in-depth interviews of the stakeholders i.e. the electronic health management information system and planning head of the hospitals respectively in the surveystudy design by using qualitative method. Observational check list was also made by the investigator to supplement this qualitative finding. Result:All of eight institutions answered that there was the legislatives, regulatory and planning framework concerning the electronic health management information system and adequate organized staffs. And the studyidentified those hindering factors for the electronic health management information system implementation, i.e. lack of adequate training, finance, knowledge/skill, material resources and lack of attitude. Also the study found that adequate knowledge/skill, training, information technology infrastructure, finance, and adequate material resources are used to facilitate the implementation of this system.The attitudes of staffs toward the electronic health management information system implementation were medium. Conclusion and Recommendation: The findings of the study answered the research objective i.e. it was able to explore factors that hinderor facilitate the implementation of eHMIS system in eight public hospitals Addis Ababa. The e-HMIS-Developers and Decision makers at FMOHs/ higher officials must give special attention to sustainable the eHMIS system in the future and the FMoH have to assign the concerned eHMIS staffs for the implementations ofeHMIS system.



Electronic health management information system