Determinants of Health Management Information Utilization for Decision Making in Health Facilities improvement project at Woliso Town administration health office S/W/Shoa zone of Oromia region
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Date
2015-06
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Addis Ababa University
Abstract
Introduction:-The primary aim of HMIS is to support informed operational and strategic
decision-making in the health care system by providing quality data that help managers and
health workers to plan and manage the service of health care delivery for the population. Data
must be collected, processed and transformed, communicated, and used to inform decisions on
resource allocations, policies, staffing, service delivery, cost-recovery, supportive supervision,
and other elements working toward improved health outcomes.
Objective: - To identify determinants of Health management information utilization for decision
making in health facilities of Woliso Town administration Health office.
Method: - A cross sectional, descriptive study was conducted in the health facilities found in
Woliso Town Administration. A structured questionnaire was filled by 38 health professionals.
Observation cheek list was used to observe different documents and in-depth interview with 6
candidates using semi structured questionnaire and a total of 44 health professionals and HIS
focal persons was participant of the study. The data from the questioner were checked, entered
and analyzed using SPSS version 16. Data was described and presented using frequencies, tables,
and graphs. Determinants that affect the use of HMIS were analyzed using logistic regression.
Odd ratio with 95 percent confidence interval and 5% level of precision were used for data
interpretation.
Result: - The overall utilization of information by health workers were 50%.The main
determinant factors that limit use of information was inadequate training of health workers to fill
out format, managers poor data quality cheek with review team regularly, Inadequate feed back
to the staff regularly by managers and poor discussions of achievements with their friend by
health workers and low confidence level of health workers in calculating percentages and rates
correctly were the major ones. These determinants need improvement through proposed
solutions and intervention.
Conclusion and recommendation: - The study project demonstrates limited utilization of
routine data to make decisions in the health facilities due to many determinant factors identified
as Technical, Organizational and Behavioral factors that needs intervention. It can be used as
base line to intervene on identified determinants to improve utilization of information for
decision making in government health facilities of Waliso Town Administration
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Keywords
Health Management Information Utilization