Perceived Usefulness, Competency and Associated Factors in using the District Health Information System Data among District Health Managers in Tanzania: Cross-Sectional Study (Preprint)

Objective: The objective of the study was to assess the effects of COVID-19 and lockdown on OPD services. Materials and Methods: A cross-sectional study was conducted at District Headquarter Hospital (DHQ) and Tehsil Headquarter (THQ) Hospitals of District Layyah. The data was collected from one DHQ hospital and six THQ hospitals. The OPD data of three years (the years 2018 to 2020) was extracted from District Health Information System (DHIS). Trends of outpatients’ flow during months of March and April of three years were taken. The data were analyzed using SPSS version 24. RESULTS: The COVID-19 pandemic was declared by World Health Organization (WHO) on March 11, 2020, and all countries started lockdown nationwide which imposed a major impact on all areas of life. Fear of coronavirus spread and lockdown resulted in significant reduction in number of patients at outdoor services. In our study, we analyzed outdoor services of seven hospitals of district Layyah - one DHQ hospital and six THQ hospitals. Conclusion: Fear of coronavirus spread and lockdown resulted in significant reduction in number of patients at outdoor services.

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Utilisation of district health information system and its associated factors among health professionals working at public health facilities of the southwest of Ethiopia: cross-sectional survey

BMJ Open ◽

10.1136/bmjopen-2020-046578 ◽

2021 ◽

Vol 11 (8) ◽

pp. e046578

Author(s):

Shuma Gosha Kanfe ◽

Gebiso Roba Debele ◽

Robera Demissie Berhanu ◽

Habtamu Setegn Ngusie ◽

Mohammedjud Hassen Ahmed

Keyword(s):

Information System ◽

Information Systems ◽

Health Information ◽

Health Professionals ◽

Associated Factors ◽

Health Information System ◽

Health Information Systems ◽

District Health ◽

Cross Sectional ◽

High Motivation

ObjectivesTo assess utilisation of district health information system and its associated factors among health professionals in the southwest of Ethiopia, 2020.SettingPublic health facilities in the southwest of Ethiopia.ParticipantsA facility-based cross-sectional study was conducted among a sample of 260 participants.Main outcome measuresThe main outcome measure was utilisation of the district health information system.ResultsOverall, 149 (57.3%) of study participants had good utilisation of district health information systems (95% CI 50 to 64.2). Sufficient skills (Adjusted Odds Ratio (AOR) 3.83, 95% CI 1.92 to 7.64), being trained (AOR 3.90, 95% CI 1.95 to 7.79), high motivation (AOR 3.93, 95% CI 1.99 to 7.76), feedback provided (AOR 2.93, 95% CI 1.53 to 5.77) and regular supervision (AOR 3.06, 95% CI 1.56 to 6.01) were associated with utilisation of district health information systems.ConclusionsIn general, more than half of the respondents had good utilisation of district health information systems. Providing regular supportive supervision and feedback, having good skills on district health information system use, high motivation and being trained on district health information system will help to bring good utilisation of district health information system for decision making.

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Two parallel reporting systems for malaria surveillance in Pakistan, 2013–17: is exact burden reflected?

F1000Research ◽

10.12688/f1000research.17202.1 ◽

2018 ◽

Vol 7 ◽

pp. 1986

Author(s):

Hammad Habib ◽

Razia Fatima ◽

Abdul Baseer Achakzai ◽

Ahmad Wali ◽

Aashifa Yaqoob ◽

...

Keyword(s):

Information System ◽

Disease Surveillance ◽

Health Information System ◽

Cross Sectional Study ◽

Surveillance Systems ◽

Malaria Surveillance ◽

District Health ◽

Cross Sectional ◽

Reporting Systems ◽

Reported Data

Background: Pakistan is facing challenges regarding the availability of reliable data for malaria surveillance. These include lack of coordination between different reporting systems and fragmented information system. This study aimed to compare the reporting of malaria surveillance systems in Pakistan. Methods: There are two parallel reporting systems for malaria surveillance in Pakistan, the District Health Information System (DHIS) and Malaria Information System (MIS). DHIS reports on all morbidity at health facility level, while MIS is only used for malaria surveillance in the donor supported districts. A cross sectional study was conducted between July-September 2018 by using the retrospective records of DHIS and MIS data reported to the Directorate of Malaria Control (DOMC) Islamabad during 2013-17. Descriptive and inferential analysis was performed to compare the coverage, outcome and impact indicators. Results: During 2013-17, all districts (n=145, 100%) across Pakistan reported on the DHIS. The MIS reporting coverage has gradually increased from 21 (14.5%) to 72 (49.7%) districts. Reported number of suspected screened and confirmed malaria cases were compared. MIS reported twice the number of suspects screened for malaria (100.5%) and confirmed malaria cases (124.4%) as compared to the DHIS. The difference in the reported average annual blood examination rate (ABER) was 3.8, test positivity rate (TPR) was -0.9 and the annual parasite incidence (API) was 4.9/1000 population over five years between two systems. DHIS reported only half the ABER and API as compared to MIS. Conclusion: There is huge under-reporting of suspected and confirmed malaria cases in the DHIS as compared to MIS. Urgent attention is needed to address this, as it is vital to have uniform reporting of true disease burden across the country. An integrated disease surveillance system, improved data validation systems, and use of the online DHIS-2 are potential options for better integrity and coherence of reported data.

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Psychological distress among mountainous farmers in Vietnam: a cross-sectional study of prevalence and associated factors

BMJ Open ◽

10.1136/bmjopen-2020-038490 ◽

2020 ◽

Vol 10 (8) ◽

pp. e038490

Author(s):

Men Thi Hoang ◽

Khanh Nam Do ◽

Hai Quang Pham ◽

Cuong Tat Nguyen ◽

Giang Hai Ha ◽

...

Keyword(s):

Psychological Distress ◽

Health Information ◽

Associated Factors ◽

Health Workers ◽

Cross Sectional Study ◽

Secondary Outcome ◽

Sectional Study ◽

Cross Sectional ◽

Major Health Problem ◽

Distress Scale

BackgroundPsychological distress has been known as a major health problem among farmers across the world. In Vietnam, approximately 50% of farmers have lived in rural and mountainous areas. Yet, little has been known about how psychological distress impacts mountainous farmers’ health.ObjectivesThis study aimed to examine the prevalence and risk factors related to psychological distress among mountainous farmers in Vietnam.Design and settingA cross-sectional study was performed from August to September 2018 in Moc Chau district, Vietnam. A structured questionnaire and face-to-face interviews were used for data collection.ParticipantsA random sample of 197 farmers aged at least 18 years, spoke Vietnamese, was not suffering from severe diseases and residing in Moc Chau at the time of the survey were recruited.Primary and secondary outcome measuresThe Kessler Psychological Distress Scale (K6) was employed to measure psychological distress. The tobit and logistic regressions were applied to indicate associated factors.ResultsThe prevalence of psychological distress was 38.2% (95% CI 31.3% to 45.5%). Having a greater comorbidities (OR=6.17; 95% CI 1.44 to 26.43), drinking alcohol (OR=3.86; 95% CI 1.02 to 14.59) and obtaining health information from health workers (OR=3.77; 95% CI 1.22 to 11.66) were positively associated with the prevalence of psychological distress. By contrast, being overweight (OR=0.29; 95% CI 0.09 to 0.93), adopting books as the primary source of health information (OR=0.11; 95% CI 0.01 to 0.8), and receiving a higher number of home visits by community health workers (CHWs) (OR=0.38; 95% CI 0.14 to 0.99) were negatively associated with the prevalence of psychological distress.ConclusionThis study highlighted a high prevalence of psychological distress among mountainous farmers. Providing routine psychological and physical health screening, developing CHWs to provide clinical support and raising health awareness are critical implications for reducing psychological distress in this population.

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Nurses' Attitudes Toward the Use of an Electronic Health Information System in a Developing Country

SAGE Open Nursing ◽

10.1177/2377960819843711 ◽

2019 ◽

Vol 5 ◽

pp. 237796081984371 ◽

Cited By ~ 2

Author(s):

Basma Salameh ◽

Linda L. Eddy ◽

Ahmad Batran ◽

Asma Hijaz ◽

Shorook Jaser

Keyword(s):

Information System ◽

Developing Countries ◽

Health Information ◽

Health Information System ◽

Cross Sectional Study ◽

Successful Implementation ◽

Documentation System ◽

Cross Sectional ◽

Electronic Health ◽

Electronic Health Information

The electronic-based documentation system is considered a major transformation in health care in many hospitals worldwide. Successful implementation of the system makes nurses' jobs easier, saves time, and improves the quality of care that is delivered to patients. However, little is known about the adoption of electronic health information systems in developing countries. The purpose of this study was to understand and evaluate nurses' acceptance and attitudes about implementation of an electronic health information system in Palestinian hospitals. A descriptive, cross-sectional study was conducted with 191 nurses in three governmental hospitals in Palestine. A majority of these nurses understood the need for and accepted the computer-based documentation as demonstrated by their scores on the attitude questionnaire. Inclusion of nurses in early phases of planning and implementation is important. Other developing countries can learn from the Palestinian experience with implementation of electronic health records.

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Mobile Phone-Based Teleconsultation Service Utilization and Associated Factors Among Healthcare Professionals in Primary Hospitals of West Gojjam Zone, Northwest Ethiopia: A Cross-Sectional Study

10.21203/rs.3.rs-601821/v1 ◽

2021 ◽

Author(s):

Mequanint Nakachew Kasie ◽

Habtamu Alganeh Guadie ◽

Kassahun Dessie Gashu

Keyword(s):

Mobile Phone ◽

Service Utilization ◽

Peer Influence ◽

Associated Factors ◽

Healthcare Professionals ◽

Cross Sectional Study ◽

Perceived Usefulness ◽

Outcome Variable ◽

Sectional Study ◽

Cross Sectional

Abstract Background: Teleconsultation with a mobile phone is one form of telemedicine which can be easily practiced since most healthcare professionals own mobile phone. Many patients are forced to wait for a while before they get to see a specialist. Patients also forced unnecessary transport and lost their time and money during the referral process. Therefore this study aims to determine the level of mobile phone-based teleconsultation service utilization and identify associated factors among healthcare professionals in primary hospitals. Methods: Institutional-based cross-sectional study design was employed. A structured, pre-tested questionnaire was used for data collection. Binary logistic regression has been used to assess factors associated with the outcome variable. Result: A total of 388 healthcare professionals (92% response rate) were involved in the study from 8 primary hospitals. Mobile phone-based teleconsultation service utilization was found 106(27.3%). Healthcare professionals who had good knowledge of teleconsultation were 6.6 times (AOR=6.6, 95%CI: 1.46-29.93) and those who perceive teleconsultation as useful were 7.2 times (AOR= 7.2, 95% CI: 2.036-25.589) more likely to utilize mobile phone-based teleconsultation service than their counterparts. Conclusion: The finding has shown that healthcare professionals’ level of mobile phone-based teleconsultation service utilization was low. Internet connectivity, participants’ knowledge towards teleconsultation, perceived usefulness, and peer influence were found to be significantly associated with mobile phone-based teleconsultation service utilization in primary hospitals.

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