Guda Amarech (PhD)Lamenew Workshet (PhD)Negesa Fikiru2018-11-192023-11-292018-11-192023-11-292015-06http://etd.aau.edu.et/handle/123456789/14396Introduction: Better performed Health Management Information System (HMIS) is most frequently cited as critical for evidence-based decision making and effective targeting of interventions to those in greatest need at each level of health system. However, in Ethiopia, data quality and information use for evidence-based decision making remain weak within health sector, especially at peripheral level of woreda and health facility which have primary responsibility for operational management under the woreda decentralization process begun in 2002 GC. Objective: Creating a baseline for HMIS performance and its determinants to formulate and implement possible interventions and review post interventions changes in view of improving HMIS data quality and information use in Beghi District Methodology: A facility based cross- sectional descriptive study design was used for the baseline assessment of HMIS Performance by gauging it in terms of data quality and continuous use of information as well as to place the routine HMIS performance in a context of its technical, behavioral and organizational determinants to formulate, take possible actions and review Post interventions. Result: The result of the project showed that proportion of HMIS data accuracy has been increased from about 65% before to 87% after interventions. Similarly, level of HMIS data completeness has been increased from about 42% before to 100% after intervention. In addition, the project paved way for culture of information use promotion as well as addressing behavioral determinants of HMIS performance within Begi District. Poor management support, lack of effective supportive supervision and feedback provision focusing on HMIS data quality and information use practice were identified as contributing factors for poor HMIS data quality and information use practice in Begi District. Conclusion: For improving HMIS data quality and information use practice in local action-oriented performance monitoring; simple, strategic and practical interventional activities were carried out throughout the project. As a result, the encouraging improvement were achieved in terms of increasing proportion of data accuracy, completeness and timeliness of monthly HMIS reporting as well as on information use practice for identifying gaps, setting targets, making decisions and give feedback in internal health management for Begi District case. Recommendation: Further research for analyzing cost and effectiveness of similar interventions as well as to see association between better performed HMIS process and improved performance of health service delivery.enHealth Management Information Systemdata qualityThesis