Assessment of the New Health Management Information System Implementation in Public Health Facilities and Institutions in Addis Ababa

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Addis Ababa University


Background: Health Management Information System (HMIS) supports informed strategic decision making through the production of quality data and information for action that helps mangers and health workers plan and manage the health service system. HMIS is one of the major ’core’ activities given due attention even though the ongoing ‘businessprocess re-engineering’ in HMIS program has resulted several measures to be taken. Objective: To assess the new HMIS implementation status in Addis Ababa. Methods: A cross–sectional, descriptive study was conducted. Purposive sampling was used. Structured questionnaire, in-depth interview and observation were made between March and April 2010. Both HMN and PRISM frameworks were used to evaluate the results. Result: There were 220 respondents and among them, 80% were clinician health workers. The majority of respondents (94.5%) did not participate in the designing efforts of the new HMIS and one hundred fifty one (68.6%) respondents are currently involving in the HMIS activities. There is no incentive (93.6%).Two hundred and eleven (95.9%) respondents use HMIS for reporting purpose. Implementation lacks ownership (91.4%), coordination and leadership (85%), strategy and policy (63.3%), motivation (92.7%), shared responsibility among stack holders (57.7%) and not considered as the extension of the previous HIS(92.%). Conclusion: large numbers of respondents currently participate in the manual based HMIS activities through a well designed data collection and reporting formats. A short period on job-training, absence of incentive, motivation and lack of management support lead to poor information use culture that is limited mainly for a send-report purpose. HMIS Implementation suffered from ownership, follow-up, communication and leadership. Recommendation: HMIS should be a core activity furnished with appropriate human, material and financial resources. Improved data processing and management should be accompanied by Skilled and trained health workers with appropriate ICT use. Management shall support, facilitate and motivate information use culture. HMIS implementation in Addis Ababa should have ownership, follow up, coordination, cooperation and communication among stack holders. Key words: HMIS, HIS, Data Quality, Information Use, Implementation status.



HMIS, HIS, Data Quality, Information Use, Implementation status