Assessment of Routine Health information utilization and associated factors among public Health centers in Addis Ababa, Ethiopia, 2020.
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Date
2021-04
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Abeba University
Abstract
Background: - The health management information system produces data about health service
provision and population health status to inform decision making and program planning at all
levels of the health system. Like other developing countries, the practice of utilizing health
information is low in Ethiopia especially at the local level. Lack of adequate and up-to-date
information regarding routine health information utilization in Addis Ababa led to this study.
Objectives:-To assess routine health information utilization and associated factors in public
health centers in Addis Ababa.
Methods: - An institution based cross-sectional study using quantitative method was conducted
in randomly selected 49 public health centers found in Addis Ababa from August-September,
2020. To collect data, 441 health managers were selected using simple random sampling
technique. Self-administered structured questioner was used to collect data. EPI-info version 7
and SPSS version 20 software were used for data entry and analysis respectively. Binary logistic
regression model was used to identify factors that have significant association with routine health
information utilization. Variables with p-value less than 0.2 in bi-variable analysis were selected
and exported in to multi-variable analysis. Finally p-value less than 0.05 at 95% confidence
interval was used to determine the level of significance.
Results: - A total of 416 study participants involved in the study and a response rate of 94% was
achieved. The study revealed that routine health information utilization among health managers
was 66.6%. Use of computer software for data analysis (AOR = 3.76, 95% CI; 1.84 - 7.65,
p<0.001), having training on data analysis and interpretation (AOR = 3.03, 95% CI; 1.31 – 6.99,
p=0.009), receiving feedback of supervisory visits from higher levels (AOR = 3.07, 95% CI;
1.34 - 7.02, p = 0.008) and good culture of information utilization (AOR = 2.16, 95% CI, 1.114.21,
p =
0.024)
were
significantly
associated
with
routine
health
information
utilization.
Conclusion and recommendations: - Routine health information utilization was found to be
low compared to the national expectation level. Promoting use of computer software for data
analysis, training of health professionals on data analysis and interpretation, providing regular
supportive supervision along with written feedback and improving promotion of culture of
information are highly recommended to improve routine health information utilization.
Description
Keywords
Health information,utilization,public Health