Assessment of the Competence of Health Facilities to operate in the current Health Management Information System (HMIS) in Dire Dawa
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Date
2010-06
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Addis Ababa University
Abstract
Introduction: - The health management information system in first instance is a “system” and, like each system, it has an organized set of interrelating components. Health information has been variously described as the “foundation” for better health, as the “glue” holding the health system together, and as the “oil” keeping the health system running. the operational boundaries of which include Routine health information systems: which is the glue of a unified health system There was a severe shortage of health informatics skills needed to provide the necessary support, feedback and, the lack of adequate basic education; poor training and heavy workload contribute to the inadequate human resource capacity to support the health management information system at facilities levels. Regarding to these scientific researches wasn’t done in the Dire Dawa and many of the other part of the country to know the strength and weakness of facilities for operating HMIS.
Abstract
Objective of the study: - Asses the competence of health facilities to operate the current health management information system.
Method: - Cross sectional study was conducted from October/2009 -June/2010 quantitative and as a supplementary qualitative study design. Quantitative data were collected using standardized questionnaire and were as the qualitative study was conducted by In-depth interview and observation of records and other different formats by using semi-structure questioners. The sample size is calculated using single population Proportion. Data was entered, cleaned and analysed using EPI info and SPSS statically packages. Descriptive analysis was done for utilization rate of information for informed decision making. Frequency, percentages, mean (SD), chi square test, OR and 95% confidence interval was computed to present the findings. Associations between variables was checked using OR with 95% confidence interval and p-value <0.05 will be considered as significant. Logistic regression analysis was done to control confounding effect of variables.
Result and conclusion: - The total outcome of this research paper was found to be the utilization rate of information was 53.2% in all the study units. Problems face in recording and reporting/data generation was fond to be 30.13% and computer was available in 82.7% of the study unities. The utilization rate of information was affected by many factors but from this
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research only change of data in to information was found to be significant at 5 % level of significance. So we can conclude that the utilization rate of information and implementation of health information system was found to be appreciable in the study area. Recommendation was given on the area of motivation of staffs and training of individual and standardization of data collection methods, transmission, processing and reporting rule should be given attention.
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The health management information system