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.

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

scholarly journals Routine Medical Checkup Knowledge, Attitude and Practice among Health Care Workers in a Tertiary Health Facility in Calabar, Cross River State, Nigeria

2020 ◽  
Vol 12 (8) ◽  
pp. 27
Author(s):  
Idang Neji Ojong ◽  
Alberta David Nsemo ◽  
Prudence Aji
Keyword(s):  
Health Care Workers ◽  
Positive Attitude ◽  
Health Workers ◽  
Health Checkup ◽  
Medical Checkup ◽  
Attitude And Practice ◽  
Care Workers ◽  
Knowledge And Practice ◽  
Level Of Significance ◽  
Knowledge Attitude And Practice

INTRODUCTION: Routine medical checkup is seen as effective in preventing illness and promoting health as well as reducing morbidity and mortality. The aim of this study was to determine the knowledge, attitude and practice of routine health check-up among health care workers (Doctors, Nurses, Radiographers, Lab scientists, Pharmacists, Medical record officers and Health assistants) in a tertiary health facility in Calabar, Nigeria. METHODS: A descriptive survey design was adopted for the study. Stratified random sampling technique was used to select sample size of 318. Data was collected through a structured interviewer questionnaire with the reliability coefficient of 0.83. Data generated were analyzed using statistical package for social sciences (SPSS v.20). The significance of the hypothesis was tested using Chi – Square statistics at <0.05 level of significance. RESULT: From the findings, majority of the respondents, 295 (92.8%) had good knowledge of routine health checkup. Most respondents, 205 (64.5%) had positive attitude towards routine health checkup. And a few respondents, 147 (46%) practiced routine health checkup. Hypothesis revealed that the calculated X2 value (5.92a) was greater than the critical X2 value of 3.84 at <0.05 level of significance showing that there was a significant relationship between Doctors and Nurses knowledge and practice of routine health checkup. CONCLUSION: In conclusion, health workers had good knowledge and positive attitude towards routine health checkup. Poor practice of routine medical checkup was also observed. Hence, the researchers recommended that regular seminars and mandatory annual medical examinations should be organized for health workers in all the departments in the hospital to improve their knowledge and practice of routine health check-up. There is need to study the factors associated with practice of medical checkup among Doctors and Nurses in the study area.

Knowledge, Attitude and Practice of Health Workers Toward Cervical Cancer Screening

2020 ◽  
Vol 11 (3) ◽  
pp. 272-280
Author(s):  
maryam baradaran binazir ◽  
Leila Ghotasloo ◽  
Fariba Heidari
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Health Workers ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Coastal monitoring and data management for restoration in Louisiana

Shore & Beach ◽  
2020 ◽  
pp. 92-101
Author(s):  
Richard Raynie ◽  
Syed Khalil ◽  
Charles Villarrubia ◽  
Ed Haywood
Keyword(s):  
Data Collection ◽  
Data Management ◽  
Management System ◽  
Monitoring Program ◽  
Document Retrieval ◽  
Information Management System ◽  
System Level ◽  
Coastal Protection ◽  
Second Phase ◽  
Coastal Louisiana

The Coastal Protection and Restoration Authority (CPRA) of Louisiana was created after the devastating hurricanes of 2005 (Katrina and Rita) and is responsible for planning and implementing projects that will either reduce storm-induced losses (protection) or restore coastal ecosystems that have been lost or are in danger of being lost (restoration). The first task of the CPRA board was to develop Louisiana’s first Coastal Master Plan (CPRA 2007), which formally integrates and guides the protection and restoration of Louisiana’s coast. The System-Wide Assessment and Monitoring Program (SWAMP) was subsequently developed as a long-term monitoring program to ensure that a comprehensive network of coastal data collection activities is in place to support the planning, development, implementation, and adaptive management of the protection and restoration program and projects within coastal Louisiana. SWAMP includes both natural-system and human-system components and also incorporates the previously-developed Coastwide Reference Monitoring System (CRMS), the Barrier Island Comprehensive Monitoring (BICM) program, and fisheries data collected by the Louisiana Department of Wildlife and Fisheries (LDWF) in addition to other aspects of system dynamics, including offshore and inland water-body boundary conditions, water quality, risk status, and protection performance, which have historically not been the subject of CPRA-coordinated monitoring. This program further facilitates the integration of project-specific data needs into a larger, system-level design framework. Monitoring and operation of restoration and protection projects will be nested within a larger hydrologic basin-wide and coast-wide SWAMP framework and will allow informed decisions to be made with an understanding of system conditions and dynamics at multiple scales. This paper also provides an update on the implementation of various components of SWAMP in Coastal Louisiana, which began as a Barataria Basin pilot implementation program in 2015. During 2017, the second phase of SWAMP was initiated in the areas east of the Mississippi River. In 2019, development of SWAMP design was completed for the remaining basins in coastal Louisiana west of Bayou Lafourche (Figure 1). Data collection is important to inform decisions, however if the data are not properly managed or are not discoverable, they are of limited use. CPRA is committed to ensuring that information is organized and publicly available to help all coastal stakeholders make informed, science-based decisions. As a part of this effort, CPRA has re-engineered its data management system to include spatial viewers, tabular download web pages, and a library/document retrieval system along with a suite of public-facing web services providing programmatic access. This system is collectively called the Coastal Information Management System (CIMS). CPRA and U.S. Geological Survey (USGS) are also developing a proposal to create an interface for CIMS data to be exported to a neutral template that could then be ingested into NOAA’s Data Integration Visualization, Exploration and Reporting (DIVER) repository, and vice versa. DIVER is the repository that the Natural Resource Damage Assessment (NRDA) program is using to manage NRDA-funded project data throughout the Gulf of Mexico. Linking CIMS and DIVER will make it easier to aggregate data across Gulf states and look at larger, ecosystem-level changes.

Power Communication Resources Data Manage Strategy Based on Information Lifecycle Management

2014 ◽  
Vol 644-650 ◽  
pp. 6258-6260
Author(s):  
Lei Sheng ◽  
Yi Yang ◽  
Shi Wen Wang ◽  
Wen Yu Li
Keyword(s):  
Data Management ◽  
Information Management System ◽  
Network Resource ◽  
Erp System ◽  
Use Of Resources ◽  
Data Value ◽  
Resource Data ◽  
Value Add ◽  
Gis System ◽  
Lifecycle Management

This paper introduced power communication network resource data management and the importance of effects of information lifecycle management (ILM) on the information and data management. According to this paper, the various stages of the ILM are divided into two categories. In the value realization, communication resources information management system was applied in the solutions of interconnection and data integration with ERP system, GIS system, to achieve the objective of data value-add in the stage of the generation, access and sharing. Communication resources data was shared between these three systems, to maximize the use of resources and the value of data.

CURRENT STATUS OF PHYSICAL ACTIVITY AND SOME FACTORS RELATED TO ENOUGH PHYSICAL ACTIVITY IN DIABETES AT LONG HO DISTRICT HEALTH CENTER, VINH LONG PROVINCE IN 2021

2021 ◽  
Vol 62 (6) ◽  
Author(s):  
Luu Thi Phuong Thao ◽  
Nguyen Thi Dao
Keyword(s):  
Physical Activity ◽  
Health Center ◽  
Local Governments ◽  
Health Workers ◽  
Current Status ◽  
Multivariable Logistic Regression Analysis ◽  
Diabetic Patients ◽  
Average Intensity ◽  
District Health ◽  
Cross Sectional

Objectives: To determine the rate of physical activity and some associated factors between adequate physical activity and understanding, barriers, and support from family and friends in diabetic patients at the Long Ho district Health Center in Vinh Long province in 2021. Subjects and research methods: A cross-sectional descriptive study with analysis. The toolkit is based on the GPAQ (Global Physical Activity Questionnaire) questionnaire and related research [9]. Results and discussions: Patients with incorrect knowledge about diabetes accounted for 53%, with sufficient physical activity 43.6%. The results of multivariable logistic regression analysis showed that there were relationship between sufficient physical activity and age (p<0.05), barriers including exercise taking a long time, remote locations, and a lack of facilities (p<0.05) and the patient was still confident in futures activities even when the weather was bad (OR = 0.486, p<0.05). The family and friends had not supported (OR= 0.317, p<0.05). Conclusions and recommendations: Patients need to sufficient physical activity as recommended with an average intensity of 150 minutes/week. It is necessary to update the knowledge of diabetes as well as the knowledge of sufficient physical activity from health workers, family and friends. Local governments should construct cultural houses and playgrounds to make it easier for patients to participate in activities.

scholarly journals A job analysis of selected health workers in a district health system in KwaZulu Natal - Part two: Job analysis of nurses in primary health care settings

Curationis ◽  
2003 ◽  
Vol 26 (3) ◽  
Author(s):  
S Mbambo
Keyword(s):  
Health System ◽  
Current Practice ◽  
Health Workers ◽  
Job Analysis ◽  
District Health ◽  
District Health System ◽  
Primary Health ◽  
Kwazulu Natal ◽  
Descriptive Survey ◽  
Primary Health Care Settings

The aim of this descriptive survey was to do a job analysis of different categories of nurses in a District Health System in order to clarify job expectations, describe current practice of nurses in hospitals and clinics and to make recommendations about skills mix in district services. This article deals with the clinics only.

scholarly journals A job analysis of selected health workers in a district health system in KwaZulu Natal - Part one: Job analysis of nurses in hospital settings

Curationis ◽  
2003 ◽  
Vol 26 (3) ◽  
Author(s):  
L.R. Uys
Keyword(s):  
Health System ◽  
Current Practice ◽  
Health Workers ◽  
Job Analysis ◽  
District Health ◽  
District Health System ◽  
Job Expectations ◽  
Kwazulu Natal ◽  
Descriptive Survey

The aim of this descriptive survey was to do a job analysis of different categories of nurses in a District Health System in order to clarify job expectations, describe current practice of nurses in hospitals and clinics and to make recommendations about skills mix in district services.

scholarly journals Progression of the Pathway for Public Health Care during the COVID-19 Outbreak at District Health Offices

2021 ◽  
Vol 18 (19) ◽  
pp. 10533
Author(s):  
Noraziani Khamis ◽  
Intan Syafinaz Saimy ◽  
Nor Hayati Ibrahim ◽  
Nur Khairah Badaruddin ◽  
Nor Zam Azihan Mohd Hassan ◽  
...  
Keyword(s):  
Public Health ◽  
Case Management ◽  
Health Workers ◽  
Movement Control ◽  
Public Health Care ◽  
Main Process ◽  
District Health ◽  
Work Settings ◽  
Public Health Activity ◽  
Management Flow

Public health activities under district health offices (DHOs) play a major role in Malaysia’s fight against COVID-19. This article aims to describe and illustrate the public health activity pathway in combating the COVID-19 pandemic, and a team of public health workers who are familiar with DHO work settings was created in April 2020 for that purpose. Review of documents and the Ministry of Health’s updates was carried out, followed by a series of discussions with stakeholders. Based on the steps in the outbreak investigation tasks, the flow of activities from January to May 2020 was listed in line with the phases of the country’s National Movement Control Order 2020. Results show that the activities can be classified into three different sections—namely, the main action areas, category of cases, and level of care. The main process flow of activities comprised the case management and support activities. Case management flow was split into tasks for patients under investigation and persons under surveillance, while the support services existed throughout the phases. The pathways illustrate that the progression of the pandemic translated directly to changes in the pattern of activities, with additional subgroups of activities in accordance with all imposed guidelines.

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