scholarly journals Perspectives on utilization of community based health information systems in Western Kenya

Author(s):  
Otieno Careena Flora ◽  
Kaseje Margaret ◽  
Kaseje Dan
Author(s):  
Susan N. Mambo ◽  
George W. Odhiambo-Otieno ◽  
George Ochieng’-Otieno ◽  
Wanja Mwaura-Tenambergen

Background: WHO places health information as a key pillar of an effective health system (HS). HS strengthening has become a key focus of many nations. A paradigm shift from being disease specific focus to holistic strengthening of pillars of a HS. Kenya’s functionality of CbHMIS (community based health information systems)                                 stands at 55% down from 64% in year 2015, majorly contributed to by organization of community health volunteers (CHVs) work. The aim was to establish influence of organizational factors of CHVs on CbHMIS use in Kenya.Methods: A cross-sectional design which employed both quantitative and qualitative approaches was used. Kiambu, Kajiado and Nairobi counties formed the study location. A systematic random sample of 366 respondents was drawn. Multistage sampling was used to identify the community units (CUs). Ethical clearance was obtained from KEMU, ethics and research committee (SERC), national commission for science, technology and innovation (NACOSTI) gave a research permit. 3 FGDs and 6 KIIs were conducted. Quantitative data was analyzed using SPSS version 23 to generate univariate and bivariate analysis at p<0.05 significance level. Qualitative data was analyzed using content analysis. Results were presented in form of graphs, tables, figures and narration.Results: Use of CbHMIS stood at 56.6%. Organizational factor explains 39.9% (R2=0.399) of total variations in the use of CbHMIS. Organizational factors of the CHVs were found to positively and significantly influence use of CbHMIS.Conclusions: Organizational factors influences use of CbHMIS by CHV. Government/partners to build CUs capacity on sustainable resource mobilization strategies.


2012 ◽  
Vol 9 (2) ◽  
Author(s):  
Edem Kwame Kossi ◽  
Johan Ivar Sæbø ◽  
Jørn Braa ◽  
Mohamed Mumeneeh Jalloh ◽  
Ayub Manya

Health service provision is a public concern that mostly takes place at community level, through primary health care. Using cases from Sierra Leone and Kenya, this study shows how country health information systems, producing simple information products such as quarterly bulletins and league tables being distributed widely, have enabled the communities to be engaged in improving the health status of the population. The community based information systems were part of a national system and the usefulness of comparing local data with data from other communities and from across the country in pursuing equity in health services provision is demonstrated. A community based information system is thus benefiting from being part of and integrated with the larger national system. The article presents and discusses community based participatory approaches to developing information systems which are enabling the community to take ownership and ‘cultivate’ culturally appropriate systems. Illustrated by the cases, the article argues that modern ICT and Internet based technologies, and even ‘cloud’ based infrastructures, are indeed appropriate technologies even at community level in rural Africa. 


1998 ◽  
Vol 37 (04/05) ◽  
pp. 518-526 ◽  
Author(s):  
D. Sauquet ◽  
M.-C. Jaulent ◽  
E. Zapletal ◽  
M. Lavril ◽  
P. Degoulet

AbstractRapid development of community health information networks raises the issue of semantic interoperability between distributed and heterogeneous systems. Indeed, operational health information systems originate from heterogeneous teams of independent developers and have to cooperate in order to exchange data and services. A good cooperation is based on a good understanding of the messages exchanged between the systems. The main issue of semantic interoperability is to ensure that the exchange is not only possible but also meaningful. The main objective of this paper is to analyze semantic interoperability from a software engineering point of view. It describes the principles for the design of a semantic mediator (SM) in the framework of a distributed object manager (DOM). The mediator is itself a component that should allow the exchange of messages independently of languages and platforms. The functional architecture of such a SM is detailed. These principles have been partly applied in the context of the HEllOS object-oriented software engineering environment. The resulting service components are presented with their current state of achievement.


1979 ◽  
Vol 18 (04) ◽  
pp. 214-222
Author(s):  
K. Sauter

The problems encountered in achieving data security within computer-supported information systems increased with the development of modern computer systems. The threats are manifold and have to be met by an appropriate set of hardware precautions, organizational procedures and software measures which are the topic of this paper. Design principles and software construction rules are treated first, since the security power of a system is considerably determined by its proper design. A number of software techniques presented may support security mechanisms ranging from user identification and authentication to access control, auditing and threat monitoring. Encryption is a powerful tool for protecting data during physical storage and transmission as well.Since an increasing number of health information systems with information-integrating functions are database-supported, the main issues and terms of database systems and their specific security aspects are summarized in the appendix.


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