Assessment of health management information system (HMIS) data quality and information use: The case of Yekatit 12 Hospital, Addis Ababa
| dc.contributor.advisor | Mekonnen, Alemayehu (PhD) | |
| dc.contributor.advisor | Jemaneh, Getachew (PhD) | |
| dc.contributor.author | Bayisa, Regasa | |
| dc.date.accessioned | 2018-11-19T08:23:32Z | |
| dc.date.accessioned | 2023-11-29T04:57:09Z | |
| dc.date.available | 2018-11-19T08:23:32Z | |
| dc.date.available | 2023-11-29T04:57:09Z | |
| dc.date.issued | 2014-10 | |
| dc.description.abstract | Background: Good quality data delivered on time to users (as information) is an important aspect of healthcare planning, management and decision making. Data must be collected, processed and transformed, communicated, and used to help decision makers on resource allocations, policy formulation, staffing, service delivery, cost-recovery, supportive supervision, and other elements required in the effort of ensuring quality health service provision. HMIS is a core health system building block designed to provide important data for continuous quality improvement at all level of decentralized health care administration. For consistent data use to occur, data need to be of high quality so that data users are confident that the data they are consulting are accurate, complete, and timely. Without quality data, demand for data drops, data-informed decision making does not occur, and program efficiency and effectiveness will suffer. Objective: To assess Health Management Information System (HMIS) data quality and information use in Yekatit 12 Hospital, Addis Ababa, Ethiopia. Methodology: Descriptive cross sectional case study design in the form of both quantitative and qualitative study methods were used to identify the HMIS interventional areas in the hospital. Customized questionnaire and observation guide from PRISM tool was used to collect both descriptive and analytical data. Following the selected tools guideline most of the HMIS performance determinants were measured through continuous or Likert scale of 1-7 (one- very weak to seven- very strong) indicators. The organizational and behavioral part has involved 187 respondents selected from each department staff. Mix of data collection technique used was: interview of key informants, self-administered questionnaire, record review and observation. Discussion of results: This assessment revealed high report completeness (100%) and data accuracy (90%); however, it also demonstrated limited generated information use at senior management level and totally non-existence of information use practice at departments and case team levels. Both organizational and behavioral determinants were found to be major rate limiting factor for low level information use observed. Overall, information culture promotion was found to be only 51.0 (47.2, 54.7); meaning the hospital management was weak in creating good work environment for HMIS related activities, use of collected data for evidence based decision making, empowering and creating responsibility among employees. This assessment also revealed low level staff motivation 45.2 (41.5, 49.0) and comparatively higher staff confidence in performing HMIS related activities. Respondents were more confident in interpreting results and their implication 67.0 (63.5, 70.6) than routinely collecting information which they rated as most boring activity 40.4 (36.7, 44.1). Conclusion and recommendation: This assessment confirmed high report completeness, data accuracy and report generation in Yekatit 12 Hospital; with limited information use practice which was not because of data quality rather because of low information culture promotion and low level of staff motivation on HMIS related activities. This also indicated that data was primarily collected for reporting not for use. Therefore, in order to ensure the continuity of present data quality and to improve the observed poor information use; the hospital shall: Adopt and implement context-appropriate incentive systems for accurate and complete data collection, analysis and use at individual, case team or department levels with timely report submission to HMIS unit and evidence-based plans and performance achievements. The hospital should functionalize the hospital performance monitoring team established to oversee the HMIS data collection, analysis and utilization performance in hospital. Quarterly performance review meeting should be fully implemented as per EHRIG standard both at department and hospital levels especially using objective performance measurement based on selected respective indicators. Key words: Data quality, Information use and Performance determinants. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/14382 | |
| dc.language.iso | en | en_US |
| dc.publisher | Addis Ababa University | en_US |
| dc.subject | Data quality | en_US |
| dc.subject | Information use and Performance determinants | en_US |
| dc.title | Assessment of health management information system (HMIS) data quality and information use: The case of Yekatit 12 Hospital, Addis Ababa | en_US |
| dc.type | Thesis | en_US |