Nwankwo Bilkisu, Sambo Mohammed Nasir
Department of Community Medicine, College of Medicine, Kaduna State University, Kaduna, Nigeria.
Department of Community Medicine, College of Medicine, Ahmadu Bello University, Zaria, Nigeria.
Pan Afr Med J. 2018 Aug 24;30:289. doi: 10.11604/pamj.2018.30.289.15802. eCollection 2018.
Reliable and accurate public health information is essential for monitoring, evaluating and improving the delivery of healthcare services. The objective of this study was to assess the effect of training health care workers on data management practice in health management information systems in primary health care (PHC) centers in Kaduna state.
The study was quasi-experimental with baseline, intervention and end point components. It was carried out in two local government areas, a study and a control. Eleven PHC facilities were selected in each LGA. The intervention was carried out among 76 PHC workers in the study LGA. Data were collected using a health facility checklist and a focused group discussion (FGD) guide. Data analysis was done using SPSS version 20.0 and statistical significance of the difference between baseline and end-line data were determined using chi-square or fisher's exact test where applicable at p < 0.05.
There was a statistically significant increase in completeness of reporting (p = 0.02), overall accuracy rate (p < 0.001), timeliness rate of reporting (p = <0.001) and feedback (p = 0.012). No improvement was found in the control group. During the baseline FGDs, PHC workers in both study and control LGAs expressed difficulty in filling registers/forms, data analysis and use of data. At end point, those in the study LGA said their practice had improved but those in the control LGA still expressed difficulty in data management.
Health management information system training achieved an improvement in the data management practice of PHC workers. In-service training and re-training should be done to improve data management practice of health workers.
可靠且准确的公共卫生信息对于监测、评估和改善医疗服务的提供至关重要。本研究的目的是评估培训医护人员对卡杜纳州初级卫生保健（PHC）中心卫生管理信息系统中数据管理实践的影响。
该研究为准实验性研究，包括基线、干预和终点部分。研究在两个地方政府区域进行，一个为研究区域，一个为对照区域。每个地方政府区域选取了11个初级卫生保健机构。在研究区域的76名初级卫生保健工作者中开展了干预措施。使用卫生机构清单和焦点小组讨论（FGD）指南收集数据。数据分析使用SPSS 20.0版本进行，在适用的情况下，使用卡方检验或费舍尔精确检验确定基线数据和终点数据之间差异的统计学显著性，p<0.05。
报告完整性（p = 0.02）、总体准确率（p < 0.001）、报告及时性（p = <0.001）和反馈（p = 0.012）均有统计学显著提高。对照组未发现改善情况。在基线焦点小组讨论中，研究区域和对照区域的初级卫生保健工作者均表示在填写登记簿/表格、数据分析和数据使用方面存在困难。在终点时,研究区域的工作者表示他们的实践有所改善，但对照区域的工作者仍表示在数据管理方面存在困难。
卫生管理信息系统培训使初级卫生保健工作者的数据管理实践得到了改善。应开展在职培训和再培训，以改善卫生工作者的数据管理实践。
