Effectiveness of e-Tracker System in Strengthening Health Information System in Volta and Eastern Regions, Ghana: Findings from the Pre- and Post-Surveys (Preprint)

2020 ◽  
Author(s):  
Young-Ji Lee ◽  
Sun-Young Kim ◽  
Seohyun Lee ◽  
SeYeon Kim ◽  
Wonil Choi ◽  
...  
Keyword(s):  
Data Management ◽  
Health Information ◽  
Health Workers ◽  
Health Information System ◽  
Comparison Analysis ◽  
African Countries ◽  
District Health ◽  
Attitude And Practice ◽  
System P ◽  
Mch Data

BACKGROUND Despite the increasing attention to electronic health record (EHR) system in the field of global health, most African countries still depend on inconvenient and inaccurate paper-based system. Good Neighbors International and Evaluate 4 Health have recently supported Ghana Health Service (GHS) rollout its EHR system called e-Tracker in three Regions in Ghana -- Upper East, Volta (recently renamed to Oti and Volta Regions), and Eastern Regions. The e-Tracker is an Android-based tracker capture app to collect maternal and child health (MCH) data electronically and transmit the data into the District Health Information Management System (DHIMS)-2 managed by District Health Offices in Ghana. This mHealth program has been implemented in the Community Health Planning and Services (CHPS) in the three Regions. OBJECTIVE The aim of this study is to evaluate whether the use of the e-Tracker system has been effective in improving the quality of MCH data management in Ghana. Specifically, this study assesses changes in the knowledge, attitude and practice (KAP) of the health workers regarding MCH data management by comparing the pre- and post-survey results. METHODS To assess the effectiveness of the e-Tracker system, KAP of frontline health workers were measured through self-administered surveys before and after the implementation of the e-Tracker system. The surveys were conducted among participants of the e-Tracker system training sessions, with a purposive sampling scheme. A total of 1,124 health workers from Volta and Eastern Regions participated in both pre- and post-surveys. McNemar’s Chi-Square test, Wilcoxon signed-rank test were used for a pre-post comparison analysis. Also conducted were random-effects ordered logistic regression and random effects panel analysis. RESULTS The results of the pre-post comparison analysis showed significant improvement in the Knowledge and Practice levels. However, the level of Attitude towards electronic data management has worsened compared to the pre-survey when they hadn’t start to use the e-tracker system. The results of the regression analyses showed that demographic and environmental factors had impact on Attitude and Practice. These findings imply that using a tablet PC-based e-Tracker system could enhance the health data management system in Ghana but external support would be needed to improve Attitude towards the emergent system. CONCLUSIONS In Ghana, the e-Tracker system is to be scaled up nationally, increasing the need to evaluate its capability and sustainability more comprehensively and rigorously. This study provides empirical evidence for the effectiveness of the e-Tracker system and some policy implications for a nation-wide scale-up of the mHealth system. This study may also provide insights for other African countries regarding strengthening health data management and health information system. CLINICALTRIAL null

Knowledge, Attitude and Practice of Health workers in Using Health Information Management System in Volta and Eastern Regions, Ghana: Findings from the Pre- and Post-Surveys (Preprint)

2021 ◽  
Author(s):  
Young-Ji Lee ◽  
Seohyun Lee ◽  
SeYeon Kim ◽  
Wonil Choi ◽  
Yoojin Jeong ◽  
...  
Keyword(s):  
Data Management ◽  
Random Effects ◽  
Health Workers ◽  
New Technology ◽  
Information Management System ◽  
District Health ◽  
Ordered Logistic Regression ◽  
Knowledge And Practice ◽  
Knowledge Attitude And Practice ◽  
Mch Data

BACKGROUND Despite the increasing attention to electronic health record (EHR) system in the field of global health, most African countries still depend on inconvenient and inaccurate paper-based system. Good Neighbors International and Evaluate 4 Health have recently supported Ghana Health Service (GHS) on rollout of EHR system called e-Tracker in two Regions in Ghana -- Volta (recently renamed to Oti and Volta Regions), and Eastern Regions. The e-Tracker is an Android-based tracker capture app that collects maternal and child health (MCH) data electronically and transmit the data into the District Health Information Management System (DHIMS)-2 managed by District Health Offices in Ghana. The GHS has implemented this new mHealth program in the Community Health Planning and Services (CHPS) in the three regions. OBJECTIVE This study aims to evaluate the improved capacity and behavioral change of health workers in using an EHR technology, the e-Tracker system to deliver MCH services. Specifically, this study assesses the changes in Knowledge, Attitude, and Practice (KAP) of the health workers towards MCH data management by comparing the pre- and post-survey results. METHODS To assess behavioral change towards the e-Tracker system, KAP of frontline health workers were measured through self-administered surveys before and after implementing the e-Tracker system. The surveys were conducted among participants of the e-Tracker system training sessions, with a purposive sampling scheme. A total of 1,124 health workers from Volta and Eastern Regions participated in both pre- and post-surveys. This study used McNemar's Chi-Square test and Wilcoxon signed-rank test for a pre-post comparison analysis. Random-effects ordered logistic regression analysis and random effects panel analysis were also conducted to identify factors associated with the level of KAP. RESULTS The results of the pre-post comparison analysis showed significant improvement in the Knowledge and Practice levels, but the positive response to the Attitude(acceptability) towards electronic data management were reduced compared to the pre-survey. The result of random-effects ordered logistic regression showed that 'days of overwork' was significantly associated with health worker’s Attitude towards this emergent e-Tacker system. CONCLUSIONS In Ghana, the e-Tracker system is planned to be scaled up nationally, increasing the need to evaluate its impact on MCH data management, and user's Attitude for sustainable utilization of the new technology. This study provides empirical evidence that the e-Tracker system has a positive impact on health workers' KAP in managing MCH data. The findings imply that using a tablet computer-based e-Tracker system could enhance Knowledge and Practice on MCH data management. However, efforts to increase acceptability of the new technology among health workers are necessary for sustainable usage of the e-Tracker system and its scale-up.

Integration of the UNHCR Refugee Health Information System into the National Health Information Management System for Uganda

2019 ◽  
pp. 183335831988781
Author(s):  
Caroline Kyozira ◽  
Catherine Kabahuma ◽  
Jamiru Mpiima
Keyword(s):  
Information System ◽  
Data Management ◽  
Health Information ◽  
National Health ◽  
Health Management ◽  
Health Information System ◽  
Health Data ◽  
Refugee Health ◽  
Health Management Information System ◽  
District Health

Background: The Uganda Government, together with development partners, has provided continuing support services (including protection, food, nutrition, healthcare, water and sanitation) to refugee-hosting Districts to successfully manage refugees from different neighbouring countries in established settlements. This service has increased the need for timely and accurate information to facilitate planning, resource allocation and decision-making. Complexity in providing effective public health interventions in refugee settings coupled with increased funding requirements has created demands for better data and improved accountability. Health data management in refugee settings is faced with several information gaps that require harmonisation of the Ugandan National Health Management Information System (UHMIS) and United Nations High Commission for Refugees (UNHCR) Refugee Health Information System (RHIS). This article discusses the rationale for harmonisation of the UNHCR RHIS, which currently captures refugee data, with the UHMIS. It also provides insights into how refugee health data management can be harmonised within a country’s national health management information system. Method: A consultative meeting with various stakeholders, including the Ugandan Ministry of Health, district health teams, representatives from UNHCR, the United Nations Children Education Fund (UNICEF), United States Government and civil society organisations, was held with an aim to review the UHMIS and UNHCR RHIS health data management systems and identify ways to harmonise the two to achieve an integrated system for monitoring health service delivery in Uganda. Results: Several challenges facing refugee-hosting district health teams with regard to health data management were identified, including data collection, analysis and reporting. There was unanimous agreement to prioritise an integrated data management system and harmonisation of national refugee stakeholder data requirements, guided by key recommendations developed at the meeting. Conclusion: This article outlines a proposed model that can be used to harmonise the UNHCR RHIS with the UHMIS. The national refugee stakeholder data requirements have been harmonised, and Uganda looks forward to achieving better health data quality through a more comprehensive national UHMIS to inform policy planning and evidence-based decision-making.

scholarly journals Evaluasi Sistem Informasi Manajemen Puskesmas Guna Mendukung Penerapan Sikda Generik Menggunakan Metode Hot Fit Di Kabupaten Purworejo

2016 ◽  
Vol 4 (2) ◽  
pp. 129-138 ◽  
Author(s):  
Viera Juniver Thenu ◽  
Eko Sediyono ◽  
Cahya Tri Purnami
Keyword(s):  
Information System ◽  
Health Center ◽  
Health Information ◽  
Health Information System ◽  
Health Centers ◽  
Accurate Information ◽  
System Quality ◽  
District Health ◽  
Routine Monitoring

Purworejo District Health Office (DHO) has developed Health Center Management Information System (HCMIS) to provide quick, precise, and accurate information for supporting the process of decision making and the policy of services at Health Center. However, there was still any empty forms and did not use the system. To standardize Health Information System, Ministry of Health has released a concept of Generic SIKDA. Therefore, the system applied by Purworejo DHO needs to be evaluated using the method of HOT fit. This was qualitative research using indepth interview and direct observation. Main informants were nine data operators and informants for triangulation purpose was six persons from health centers and five persons from DHO. Furthermore, data were analyzed using content analysis. The result of this research revealed that the application of HCMIS at Purworejo DHO was equal to Generic SIKDA. The system had been applied routinely but there was no a guidance book and training. Number of human resources was sufficient. However, there needed to make an implementer team of Health Information System in accordance with competency. There was no routine monitoring and current budget was not sufficient to maintain hardware to support the system. Quality of the system used was good, easy to use, and available of menu to communicate data. Unfortunately, quality of resulted information had still been inaccurate and incomplete because it did not cover data of services at Subsidiary Health Centers (SHC) and Village Health Posts (VHP). The lateness of services was related to a funding procedure. HCMIS at Purworejo DHO was equal to Generic SIKDA but it had not been used to make a decision. As a suggestion, DHO needs to conduct training, monitor, and provide hardware and a network. Meanwhile, Health Centers needs to make a commitment for applying the HCMIS maximally by SHC and VHP.

scholarly journals Evaluasi Sistem Informasi Kesehatan di Provinsi Jawa Tengah Dalam Rangka Penguatan Sistem Informasi Kesehatan Nasional

2016 ◽  
Vol 4 (3) ◽  
pp. 222-231
Author(s):  
Endah Sri Lestari ◽  
Sutopo Patria Jati ◽  
Aris Puji Widodo
Keyword(s):  
Information System ◽  
Health Information ◽  
Government Regulation ◽  
Assessment Tool ◽  
Health Information System ◽  
Research Subjects ◽  
District Health ◽  
Central Java ◽  
High Quality Information ◽  
Central Java Province

Evaluasi SIK bertujuan untuk memastikan SIK berjalan secara efisien, mampu mengumpulkan informasi yang relevan dan berkualitas sebagai dasar pengambilan keputusan oleh pemangku kebijakan. Hasil penilaian SIK sangat dibutuhkan dalam meningkatkan kinerja SIK.SIK Provinsi Jawa Tengah merupakan sub sistem dari SIKNAS sehingga pengembangan SIK Provinsi Jawa Tengah akan berpengaruh terhadap penguatan SIKNAS. Tujuan dari penelitian ini adalah untuk mengevaluasi SIK di Provinsi Jawa Tengah dalam rangka Penguatan SIKNAS. Penelitian ini merupakan penelitian deskriptif evaluatif dengan pendekatan kuantitatif dan kualitatif. Subyek penelitian adalah 35 petugas SIK DKK dan enam petugas SIK Dinas Kesehatan Provinsi Jawa Tengah. Pengumpulan data kuantitatif melalui pengisian kuesioner, pengumpulan data kualitatif melalui FGD dan wawancara. Analisis data penelitian dilakukan dengan menggunakan perangkat Evaluasi SIK Provinsi yang merupakan modifikasi dari Assessment Tool HMN Versi 4.00. Modifikasi Assessment Tool HMN Versi 4.00 dilakukan dengan cara menghapus item pertanyaan yang tidak relevan dengan SIK di provinsi dan menambahkan item pertanyaan berdasarkan PP no 46/2016 tentang SIK. Hasil evaluasi terhadap tujuh komponen SIK, empat diantaranya dinilai “ada tapi tidak adekuat” yaitu komponen pengelolaan (54,7%), sumber daya (54,2%), sumber data (58%) dan manajemen data (41,3%). Sementara tiga komponen lainnya dinilai “adekuat”, yaitu komponen indikator (74,3%), produk informasi (71,3%) dan diseminasi dan penggunaan informasi (74,5%).Disimpulkan bahwa secara umum SIK Provinsi Jawa Tengah berada dalam kategori “adekuat”. Untuk meningkatkan pengelolaan SIK di Provinsi Jawa Tengah, direkomendasikan untuk membuat suatu standar tata kelola SIK sebagai acuan pengelolaan SIK di Provinsi Jawa Tengah. Evaluation of Health Information System (HIS) aimed at ascertaining the efficient implementation of HIS that could result relevant and high-quality information to be used as a basis of making a decision by a decision maker. The result of HIS assessment was needed to improve the HIS performance. HIS of Central Java Province was a sub-system of National Health Information System (NHIS) in which the development of HIS there would strengthen the NHIS. The aim of this study was to evaluate HIS in Central Java Province in order to strengthen NHIS. This was a descriptive-evaluative study using quantitative-qualitative approach. Research subjects were 35 HIS officers at District Health Office (DHO) and six HIS officers at Central Java Province Health Office. Quantitative data were collected by filling a questionnaire whereas qualitative data were collected by conducting FGD and indepth interview. Data analysis was performed using a software of Province HIS evaluation that was modified from Assessment Tool HMN version 4.00. Modification of Assessment Tool HMN version 4.00 was performed by deleting questions that were irrelevant with HIS at province and adding questions based on government regulation number 46/2016 about HIS. The results of evaluation of seven components of HIS, four of these seven components indicated “available but inadequate”, namely components of management (54.7%), resource (54.2%), data source (58%), and data management (41.3%). In contrast, three of these seven components were “adequate”, namely components of indicator (74.3%), information product (71.3%), and dissemination and use of information (74.5%). To sum up, generally HIS of Central Java Province was categorised as “adequate”. To improve HIS management in Central Java Province, a standard of HIS management needs to be made as a reference to manage HIS in Central Java Province.

scholarly journals Determinants of knowledge, attitudes, and practices of front-line health workers during the first wave of COVID-19 in Africa: a multi-center online cross-sectional study

2021 ◽  
Author(s):  
Larrey Kasereka Kamabu ◽  
Hervé Monka Lekuya ◽  
Richard Newton Iranya ◽  
Bienvenu Muhindo Kasusula ◽  
Franck Katembo Sikakulya ◽  
...  
Keyword(s):  
Health Workers ◽  
Cross Sectional Study ◽  
Sub Saharan Africa ◽  
Sectional Study ◽  
Front Line ◽  
African Countries ◽  
Cross Sectional ◽  
Poor Knowledge ◽  
Attitude And Practice ◽  
Good Attitude

Abstract Background: During its first wave of COVID-19 infection in sub-Saharan Africa, there was insufficient understanding of the pandemic among front-line health care professionals that has led to a misidentification, and mistreatment of affected patients, with a potential risk of contracting and spreading the disease. This study was carried out to determine the Knowledge, attitude, and practices (KAP) of front-line health workers (HWs) towards COVID-19 in Africa and their related factors.Methods: This was a multi-centers online cross-sectional study conducted over a 3-months study-period using a google survey link among front lines HWs involved in the COVID-19 response in 26 African countries. Chi-square test & logistic regression were used in the bivariate and multivariate analysis respectively to assess determinants of KAP. Statistical analysis was done using STATA version 16; all tests were two-sided with 95% confidence interval. Results: Five hundred and seventeen (517, 96.3%) consented to participate in this study from 26 African countries; 289 (55.9%) were male and 228 (44.1%) female. Overall, most of HWs, 379 (73.3%) showed poor knowledge about COVID-19 infection and preventive measures. In contrast, majority of them showed good attitude (89%) and practice (90.3%) towards prevention of COVID-19 infections. Knowledge varied among countries; Uganda had the greatest number of HWs with good knowledge. (OR = 28.09, p <0.0001) followed by Ghana (OR=10.92, p=0.001) and DRC (OR: 4.59, p=0.015). The cadre of HWs also influenced knowledge; doctors were the most knowledgeable as compared to other cadres (OR: 3.4, p= 0.005). Additionally, knowledge increased with increasing HWs’ education level (p=0.011).Attitude and practice were both influenced by HWs country of workplace (p=0.05 & p< 0.0001 respectively) and their cadre (p = 0.025 & p < 0.0001 respectively).Conclusions: Majority of the front-line HWs in the African region had an overall good attitude and practice towards COVID-19 infection and practice measures despite relatively poor Knowledge. The KAP is influenced by HWs country of workplace, their cadre and level of education.

scholarly journals District Health Information System Assessment: A Case Study in Iran

2013 ◽  
Vol 21 (1) ◽  
pp. 30 ◽  
Author(s):  
Ahmad Raeisi ◽  
Sakineh Saghaeiannejad ◽  
Saeed Karimi ◽  
Asghar Ehteshami ◽  
Mahtab Kasaei
Keyword(s):  
Information System ◽  
Health Information ◽  
Health Information System ◽  
District Health ◽  
System Assessment

scholarly journals Use of mHealth Solutions for Improving Access to Adolescents' Sexual and Reproductive Health Services in Resource-Limited Settings: Lessons From Zimbabwe

2021 ◽  
Vol 3 ◽  
Author(s):  
Dominica Dhakwa ◽  
Fungai H. Mudzengerere ◽  
Mulamuli Mpofu ◽  
Emmanuel Tachiwenyika ◽  
Florence Mudokwani ◽  
...  
Keyword(s):  
Information System ◽  
Reproductive Health ◽  
Health Services ◽  
Health Information ◽  
Adolescent Girls ◽  
Young Women ◽  
Health Information System ◽  
Completion Rates ◽  
District Health ◽  
Referral Completion

Background: Gaps still exist in reducing new HIV infections among adolescent girls and young women (AGYW) aged 10–24 years. High Internet coverage and mobile phone penetration rates present opportunities for the use of mobile health (mHealth) to support access to health services. We present results of an FHI 360 and Zimbabwe Health Interventions-implemented mHealth intervention for reproductive health (RH) and HIV testing service (HTS) referral among AGYW aged 10–19 years between October 2019 and September 2020.Methods: Adolescent girls and young women referred for RH and HTS under the Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe (DREAMS) program had automatic reminders sent to their phones to facilitate access to services through short message service (SMS) and also using a paper-based system. These data were captured in a web-based District Health Information System (DHIS) database, which captured the referral completion status of the AGYW. Data for AGYW referred for RH and HTS for the period October 2018 to September 2019 for the paper-based system and October 2018 to September 2020 for the mHealth were extracted from District Health Information System version 2 (DHIS2) database and analyzed using SPSS to generate descriptive statistics. The Chi-square test was used to assess differences in referral completion rates by age-group; marital status, district, and type of service, as well as differences between mHealth and paper-based referral completion rates within each of the groups for the variables above.Results: A total of 8,800 AGYW referred for RH and HTS, where 4,355 and 4,445 were referred through the mHealth and paper-based systems, respectively. About 95.2% (4,148/4,355) and 87.8% (3,903/4,445) referred through mHealth and the paper-based system, respectively completed referrals. The median time for referral completion was 1 day (Range = 0–9 days) for mHealth and 11 days (Range = 0–28 days) for the paper-based system. AGYW referred through mHealth were 17.995 timesmore likely to complete the referral system than those referred through the paper-based system (OR =17.995; p &lt;0.001).Conclusion: Compared to the paper-based referral system the mHealth solution resulted in a higher, service referral completion rates and shorter turnaround time. We recommend expansion of the mHealth solution to all DREAMS supported districts to increase uptake of RH and HTS among AGYW aged 10–19 years.

scholarly journals Pattern of adverse events following immunization among recipients of first dose of ChAdOx1-S [recombinant] Covid-19 vaccine in a resource-limited country

2021 ◽  
Vol 12 (1) ◽  
pp. 006-012
Author(s):  
Azubuike Benjamin Nwako ◽  
Okechukwu Francis Nwako ◽  
Charles Emeka Nwolisa ◽  
Magaret-Lorritta Chidimma Nwako ◽  
Charles Nwaora Nwako
Keyword(s):  
Side Effects ◽  
Adverse Events ◽  
Injection Site ◽  
Health Workers ◽  
Health Information System ◽  
Secondary Data ◽  
Allergic Reactions ◽  
District Health ◽  
Cross Sectional ◽  
Resource Limited

Background/Aim: Vaccines are said to be associated with side effects. The aim of the study was to show the pattern and distribution of adverse events following immunization observed with ChAdOx1-S [recombinant] Covid-19 vaccine after the first dose. Methodology: The study design was cross-sectional descriptive study over four weeks. We included records of 6589 high risk recipients of the vaccine and 33 of them who reported adverse events following immunization. The study used secondary data from the covid-19 vaccination register and District Health Information system II. Result: Out of 6589 individuals vaccinated with the first dose of ChAdOx1-S [recombinant] Covid-19 vaccine, 69.66% were female, 69.49% were fifty-five years or less, 86.04% were health workers and 27.26% had comorbidity. Only 0.5% of those vaccinated reported adverse events following immunization out of which 0.41% was systemic, 0.06% local and 0.03% allergic reactions. The commonest systemic side effects were headache and dizziness while local adverse events had pain at injection site as the commonest side effect. Multiple swelling in the buttock and swelling of the face and lip were the only two cases of allergic reactions reported. Eighty-eight percent of those who reported side effects did so on the day of vaccination. Conclusion The study reported less adverse events with the first dose of ChAdOx1-S [recombinant] Covid-19 vaccine than in other studies which included headache, dizziness and pain at the injection site. Most were reported in the first day of vaccination. There is need for encouraging vaccine recipients to report any adverse events following immunization.

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