scholarly journals ASSESSMENT OF HEALTH INFORMATION SYSTEM IN DISTRICT NOWSHERA KHYBER PAKHTUNKHWA, PAKISTAN

2021 ◽  
Vol 29 (02) ◽  
pp. 102-109
Author(s):  
Rab Nawaz ◽  
Shahzad Ali Khan ◽  
Ghulam Sarwar Khan ◽  
Shah Nawaz ◽  
Fatima Nasir ◽  
...  

Objective:  To evaluate the general status and functioning of health information system (HIS) in district Nowshera. Methodology: An observational study was conducted in district Nowshera Khyber Pakhtunkhwa, Pakistan between June 2015-2016.The study population included all districts, health information system (HIS) health workers in Khyber Pakhtunkhwa. District Nowshera was selected for the purpose on non probability sampling technique. The data collection instruments used in this study was adapted from the PRISM tool package that was modified for the purpose of this study.    Results:   A total of 30 health facilities of District Nowshera were assessed for Quality of Data and Use of Information through DHIS Diagnostic Tool. 60% of the health facilities compile DHIS data and 93% do not get feedback from DHO office. 94% of the health facilities have not displayed map of their catchment areas. 87% of the health facilities do not arrange meetings regarding the managerial issues. Regarding the use of information, no documentation is available in any health facility of the district. The DHIS workers were assessed and interpreted according to the scale of Mann-Whitney-U method. The organizational and behavioral assessment was done which was statically insignificant.  Conclusion: There is an immediate need to install the system wide up gradation of technology and software. The manageable data would help the health personnel and managers to formulate the policies that would be helpful in up grading the standard of HIS and a universal HIS should be operated throughout the province.              

2021 ◽  
Author(s):  
Adisu Tafari Shama ◽  
Hirbo Shore Roba ◽  
Admas Abera ◽  
Negga Baraki

Abstract Background: Despite the improvements in the knowledge and understanding of the role of health information in the global health system, the quality of data generated by a routine health information system is still very poor in low and middle-income countries. There is a paucity of studies as to what determines data quality in health facilities in the study area. Therefore, this study was aimed to assess the quality of routine health information system data and associated factors in public health facilities of Harari region, Ethiopia.Methods: A cross-sectional study was conducted in all public health facilities in Harari region of Ethiopia. The department-level data were collected from respective department heads through document reviews, interviews, and observation check-lists. Descriptive statistics were used to data quality and multivariate logistic regression was run to identify factors influencing data quality. The level of significance was declared at P-value <0.05. Result: The study found a good quality data in 51.35% (95% CI, 44.6-58.1) of the departments in public health facilities in Harari Region. Departments found in the health centers were 2.5 times more likely to have good quality data as compared to departments found in the health posts. The presence of trained staffs able to fill reporting formats (AOR=2.474; 95%CI: 1.124-5.445) and provision of feedback (AOR=3.083; 95%CI: 1.549-6.135) were also significantly associated with data quality. Conclusion: The level of good data quality in the public health facilities was less than the expected national level. Training should be provided to increase the knowledge and skills of the health workers.


2021 ◽  
Author(s):  
Beverly M. Ochieng ◽  
Dan C. Kaseje

Abstract Background A perennial problem in information systems is the unidirectional flow of information. Bidirectional information systems are mechanisms by which consumers and providers generate, discuss and use information at each level of data collection. This paper describes opportunities in the health service delivery system for bidirectional information flow that can be established as part of the health information system to inform decisions, planning, and action by both providers and consumers of care. Methods The study was quasi-experimental and involved pre and post-intervention, cross-sectional surveys at intervention and control sites. The intervention was a Community Based Health Information System. Quantitative and qualitative data were collected. The surveys covered five health facilities in the intervention sites and five in the control sites in each of the six study districts. Five clients were interviewed at each intervention and control health facility. Communities served by the selected health facilities were included in household cluster sample surveys. Thirty clusters of 10 households, each with under-five children, were included in each community served by the selected health facilities. Quantitative data were cross-tabulated to compare health outcomes at intervention and control sites. A content analysis was performed on the qualitative data; themes and sub-themes that identified opportunities for bidirectional information-sharing were identified. Results We identified five nodal points in the health system that provide opportunities for bidirectional information sharing at the household, community, and health facility levels. Immunization coverage, skilled delivery, water treatment, and latrine use improved more at the intervention than control sites. Where all of the mechanisms were implemented, there was better performance in outcomes. Conclusion A conscious engagement of service providers and consumers in dialogue, using available health system information to iteratively inform decisions and actions, improves health outcomes.


2018 ◽  
Vol 7 (2) ◽  
pp. 29
Author(s):  
Samad Hi Husen ◽  
Irma B Lewa

Abstract : Health information system is an information management at all levels of government systematically for service delivery to the public. Legislation that mentions the health information system is Kepmenkes No. 004/Menkes/SK/I/2003 on the policy and strategy of decentralization in health and Kepmenkes No. 932/Menkes/SK/VIII/2002 on the implementation of the instructions of health information reporting system development district / the city. It's just the two of contents Kepmenkes contains weaknesses which are both just looked at the health information system from the point of the field of health management, do not utilize state of the art technology and no information relating to the national information system. Information and communication technology are also not yet elaborated so that the data presented are not appropriate and not timely. Based on the background of the problem, it can be argued formulation of the problem "How Ability Health Workers In SIK in PHC Sulamadaha Management District of Ternate Island" viewed from the aspect of education and training, motivation, and work experience. General Purpose To determine the ability of health professionals in the management of health information in health centers Sulamadaha District of Ternate Island. Specific Objectives To determine the ability of health professionals in the management of health information in health centers Sulamadaha District of Ternate Island in terms of aspects of education and training, to determine the ability of health personnel in the management of health information in health centers Sulamadaha District of Ternate Island viewed from the aspect of motivation and to determine the ability of health personnel in the management of SIK The PHC Sulamadaha District of Ternate Island viewed from the aspect of work experience.


Cureus ◽  
2020 ◽  
Author(s):  
Rab Nawaz ◽  
Shahzad Ali Khan ◽  
Tayyaba Khattak ◽  
Fatima Nasir ◽  
Kiran Abbas

2020 ◽  
Author(s):  
Brian Bongwong Tamfon ◽  
Chanceline Bilounga Ndongo ◽  
Serge Marcial Bataliack ◽  
Marie Nicole Ngoufack ◽  
Georges Nguefack-Tsague

Abstract Background: Management of health data and its use for informed decision making is a challenging health sector aspect in developing countries. Monitoring and evaluation of health interventions for meeting health-related Sustainable Development Goals (SDGs), and Cameroon Health Sector Strategy (HSS) targets is facilitated through evidence-based decision-making and public health action. Thus, a Routine Health Information System (RHIS) producing quality data is imperative. The objective of this study was to assess the RHIS in the health facilities (HFs) in Yaoundé in order to identify gaps and weaknesses and to propose measures for strengthening. Methods: A health facility-based cross-sectional descriptive study was carried out in the six health districts (HDs) of Yaoundé; followed by a qualitative aspect consisting of in-depth interviews of key informants at the Regional Health Office. HFs were selected using a stratified sampling method with probability proportional to the size of each HD. Data were collected (one respondent per HF) using the World Health Organization (WHO) and MEASURE Evaluation RHIS rapid assessment tool. Data were entered into Microsoft Excel 2013 and analyzed with IBM-SPSS version 20. Results: A total of 111 HFs were selected for the study. Respondents aged 24-60 years with an average of 38.3±9.3 years; 58 (52.3%) male and 53(47.7%) female. Heads of HFs and persons in charge of statistics/data management were most represented with 45.0% and 21.6% respectively. All the twelve subdomains of the RHIS were adequately functioning at between 7% and 30%. These included Human Resources (7%), Data Analysis (10%), Information and Communication Technology (11%), Standards and System Design (15%), Policies and Planning (15%), Information Dissemination (16%), Data Demand and Use (16%), Management (18%), Data Needs (18%), Data Quality Assurance (20%), Collection and Management of Individual Client Data (26%), Collection, Management, and Reporting of Aggregated Facility Data (30%). Conclusions: The level of functioning of subdomains of the RHIS in Yaoundé was low; thus, immediate and district-specific strengthening actions should be implemented if health-related SDGs and HSS targets are to be met. A nation-wide assessment should be carried out in order to understand the determinants of these poor performances and to strengthen the RHIS.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Brian Bongwong Tamfon ◽  
Chanceline Bilounga Ndongo ◽  
Serge Marcial Bataliack ◽  
Marie Nicole Ngoufack ◽  
Georges Nguefack-Tsague

Abstract Background Management of health data and its use for informed-decision making is a challenging health sector aspect in developing countries. Monitoring and evaluation of health interventions for meeting health-related Sustainable Development Goals (SDGs), and Cameroon Health Sector Strategy (HSS) targets is facilitated through evidence-based decision-making and public health action. Thus, a routine health information system (RHIS) producing quality data is imperative. The objective of this study was to assess the RHIS in the health facilities (HFs) in Yaoundé in order to identify gaps and weaknesses and to propose measures for strengthening. Methods A health facility-based cross-sectional descriptive study was carried out in the six health districts (HDs) of Yaoundé; followed by a qualitative aspect consisting of in-depth interviews of key informants at the Regional Health Office. HFs were selected using a stratified sampling method with probability proportional to the size of each HD. Data were collected (one respondent per HF) using the World Health Organization and MEASURE Evaluation RHIS rapid assessment tool. Data were entered into Microsoft Excel 2013 and analyzed with IBM-SPSS version 20. Results A total of 111 HFs were selected for the study. Respondents aged 24–60 years with an average of 38.3 ± 9.3 years; 58 (52.3%) male and 53(47.7%) female. Heads of HFs and persons in charge of statistics/data management were most represented with 45.0% and 21.6% respectively. All the twelve subdomains of the RHIS were adequately functioning at between 7 and 30%. These included Human Resources (7%), Data Analysis (10%), Information and Communication Technology (11%), Standards and System Design (15%), Policies and Planning (15%), Information Dissemination (16%), Data Demand and Use (16%), Management (18%), Data Needs (18%), Data Quality Assurance (20%), Collection and Management of Individual Client Data (26%), Collection, Management, and Reporting of Aggregated Facility Data (30%). Conclusions The level of functioning of subdomains of the RHIS in Yaoundé was low; thus, immediate and district-specific strengthening actions should be implemented if health-related SDGs and HSS targets are to be met. A nation-wide assessment should be carried out in order to understand the determinants of these poor performances and to strengthen the RHIS.


2019 ◽  
Vol 15 (1) ◽  
pp. 89-97
Author(s):  
Siti Nurhayati ◽  
Dian Anandari ◽  
Wahyu Ekowati

In order to improve the quality and performance of health services, health information systems are one of the most important technologies in health management. This study aims to determine the factors that influence the adoption of nutrition information system by nutrition officers of primary health care by using Unified Theory of Acceptance and Usage of Technology (UTAUT) Model. This research is quantitative research with survey approach, located in 39 primary health care of Banyumas district. Sampling technique using purposive sampling. Respondents are 50 people. The research instrument used questionnaire. Based on regression test results known that factors related to use behaviour is behavioral intention. While the facilitating condition is not related to use behavior. Factors associated with behavioral intention is the performance expectancy, effort expectancy and social influence.


2020 ◽  
Author(s):  
Brian Bongwong Tamfon ◽  
Chanceline Bilounga Ndongo ◽  
Serge Marcial Bataliack ◽  
Marie Nicole Ngoufack ◽  
Georges Nguefack-Tsague

Abstract Background Management of health data and its use for informed decision making is a challenging health sector aspect in developing countries. Monitoring and evaluation of health interventions for meeting health-related Sustainable Development Goals (SDGs), and Cameroon Health Sector Strategy (HSS) targets is facilitated through evidence-based decision-making and public health action. Thus, a Routine Health Information System (RHIS) producing quality data is imperative. The objective of this study was to assess the RHIS in the health facilities (HFs) in Yaoundé in order to identify gaps and weaknesses and to propose measures for strengthening. Methods A health facility-based cross-sectional descriptive study was carried out in the six health districts (HDs) of Yaoundé; followed by a qualitative aspect consisting of in-depth interviews of key informants at the Regional Health Office. HFs were selected using a stratified sampling method with probability proportional to the size of each HD. Data were collected (one respondent per HF) using the World Health Organization (WHO) and MEASURE Evaluation RHIS rapid assessment tool. Data were entered into Microsoft Excel 2013 and analyzed with IBM-SPSS version 20. Results A total of 111 HFs were selected for the study. Respondents aged 24-60 years with an average of 38.3±9.3 years; 58 (52.3%) male and 53(47.7%) female. Heads of HFs and persons in charge of statistics/data management were most represented with 45.0% and 21.6% respectively. All the twelve subdomains of the RHIS were adequately functioning at between 7% and 30%. These included Human Resources (7%), Data Analysis (10%), Information and Communication Technology (11%), Standards and System Design (15%), Policies and Planning (15%), Information Dissemination (16%), Data Demand and Use (16%), Management (18%), Data Needs (18%), Data Quality Assurance (20%), Collection and Management of Individual Client Data (26%), Collection, Management, and Reporting of Aggregated Facility Data (30%). Conclusions The level of functioning of subdomains of the RHIS in Yaoundé was low; thus, immediate and district-specific strengthening actions should be implemented if health-related SDGs and HSS targets are to be met. A nation-wide assessment should be carried out in order to understand the determinants of these poor performances and to strengthen the RHIS.


2021 ◽  
Author(s):  
Cheick Omar Diallo ◽  
Karin Linda Schioler ◽  
Helle Samuelsen ◽  
Maxime Koine Drabo

Abstract Background: Health information systems (HIS) in most developing countries face many challenges. In view of recurrent weaknesses in preparedness and response during the management of epidemics, we have examined the organization and function of the health information system in Burkina Faso.Methods: We conducted a cross-sectional study from January 1, 2019 to March 31, 2020 including a review of HIS documents, key informant interviews and direct observations. The study was conducted at the public primary health care (PHC) and community level of Bama and Soumagou in the rural health districts of Dandé and Tenkodogo. Study participants included community-based health workers (CBHWs) and health workers in the PHCs area, community-based organization animators (CBOA), CBO monitoring-evaluation officers and members of the District management team (DMT).Results: While reporting forms used in all health facilities are standardized, they are not necessarily well understood at community level and at the health center. Reports prepared by CBHWs are often delayed by the head nurse at the primary health care service. Case definitions of epidemic diseases are not always well understood by community-based health workers and front-line health workers.Conclusion: The health information system in Burkina Faso could be further improved. There is a need to hold regular training/refresher sessions for agents involved in surveillance and to ensure the development of simplified case definitions for emerging diseases and/or diseases of public health interest for community use. Furthermore, existing epidemic management committees need to be revitalize.


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