Dagnew Eshetu, Woreta Solomon Assefa, Shiferaw Atsede Mazengia
Gondar specialized hospital, Gondar, Ethiopia.
Department of Health informatics, University of Gondar, P.o.box: 196, Gondar, Ethiopia.
BMC Health Serv Res. 2018 Sep 4;18(1):685. doi: 10.1186/s12913-018-3498-7.
Routine health information systems (RHIS) are vital for the acquisition of data for health sector planning, monitoring, and evaluation. However, in developing countries the insufficient quality of the data produced by RHIS limits their usefulness in decision-making. As routine health information utilization is still low in Ethiopia, this study aimed to assess the magnitude of routine health data utilization and associated factors among health care professionals in some public health institutions in North Gondar, northwest Ethiopia.
An institution based cross-sectional study was conducted from March to April2017, at public health institutions of North Gondar Zone, northwest Ethiopia. A total of 720 health care professionals were selected from public health institutions using the multi-stage sampling technique. Data were collected using a structured self-administered questionnaire and an observational checklist, cleaned, coded, and entered into Epi-info version 3.5.3 and transferred into SPSS version 20 for further statistical analysis. In the multiple logistic regression analysis, a less than 0.05 P-vale was considered statistically significant.
In this study, the level of good routine health information utilization among health professionals was 78.5% (95% CI: 73.2%, 84.3%). According to the multivariable logistic regression analysis, sex (AOR = 2.19, 95% CI: 1.47, 3.27), type of institution (AOR = 3.57, 95% CI: 2.39, 5.32), standard indicators (AOR = 3.28, 95% CI: 1.90, 5.65), data analysis skills (AOR = 1.90, 95% CI: 1.12, 3.23), and good governance (AOR = 1.97, 95% CI: 1.31, 2.95), were found significantly associated with a good level of health information utilization.
Over three-fourths of the health care professionals working at public health institutions of North Gondar utilized health information better than the respondents in previous studies. Sex, type of institution, standard indicators, data analysis skills, and governance were factors related to routine health information utilization. Therefore, standard indicators, data analysis skills and good governance are highly recommended for improving routine health data utilization of health care professionals working at public health institutions.
常规卫生信息系统(RHIS)对于获取用于卫生部门规划、监测和评估的数据至关重要。然而,在发展中国家,RHIS产生的数据质量不足限制了其在决策中的有用性。由于埃塞俄比亚常规卫生信息的利用率仍然较低,本研究旨在评估埃塞俄比亚西北部北贡德尔一些公共卫生机构中卫生保健专业人员对常规卫生数据的利用程度及相关因素。
2017年3月至4月,在埃塞俄比亚西北部北贡德尔地区的公共卫生机构开展了一项基于机构的横断面研究。采用多阶段抽样技术从公共卫生机构中选取了720名卫生保健专业人员。使用结构化自填式问卷和观察清单收集数据,进行清理、编码,录入Epi-info 3.5.3版本,并转入SPSS 20版本进行进一步统计分析。在多元逻辑回归分析中,P值小于0.05被认为具有统计学意义。
在本研究中,卫生专业人员中良好的常规卫生信息利用率为78.5%(95%置信区间:73.2%,84.3%)。根据多变量逻辑回归分析,性别(调整后比值比[AOR]=2.19,95%置信区间:1.47,3.27)、机构类型(AOR=3.57,95%置信区间:2.39,5.32)、标准指标(AOR=3.28,95%置信区间:1.90,5.65)、数据分析技能(AOR=1.90,95%置信区间:1.12,3.23)和良好治理(AOR=1.97,95%置信区间:1.31,2.95)与良好的卫生信息利用水平显著相关。
在北贡德尔公共卫生机构工作的卫生保健专业人员中,超过四分之三的人对卫生信息的利用情况优于以往研究中的受访者。性别、机构类型、标准指标、数据分析技能和治理是与常规卫生信息利用相关的因素。因此,强烈建议采用标准指标、提高数据分析技能和加强良好治理,以提高公共卫生机构中卫生保健专业人员对常规卫生数据的利用。