Mitike, Getenet(MD, MPH)Mengistu, Azeb2021-06-232023-11-052021-06-232023-11-052009-07http://etd.aau.edu.et/handle/123456789/26937Background: Health information systems are critical to improving health system effectiveness and monitor and evaluate performance. However, the utilization of HIS at facility level has been frequently reported to be poor. Objective: To assess the magnitude and factors affecting Health Information System (HIS) use in both private and public health facilities in Addis Ababa. Method: a cross sectional, descriptive study was conducted in Addis Ababa. A structured questionnaire was filled by 124 health facilities and; in-depth interview with 11 health facilities were conducted A total of 124 health facilities were included in the study. Result: the health facilities were found to perform poor in terms of basic inputs to HIS; inadequate processes and; insufficient outputs. The use of HIS in the facilities is thus found to be very low (22.5%) although the government health facilities were performing relatively better. The absence of incentives to the use of HIS, the inability to participate HIS workers in the planning process, lack of local skills to manipulate the data, lack of information culture, low attitude and commitment of managers as well as staffs, lack of basic inputs to HIS, centralized decision making, lack of feedback and absence of technical support as well as supportive supervision were found to be the major factors affecting HIS use in the facilities. Conclusion and Recommendations: it can be concluded that the utilization level of HIS in health facilities under study is far below the standard expectations. It is recommended from this study that a common understanding should be reached between the facilities and the responsible organs so that facilities could know the use of the data they generate to local need rather than sending reports upwards.en-USHealth information systems, Data collection; Decision making, data quality.Thesis