Nwankwo B, Sambo M N
Departments of Community Medicine, Kaduna State University, Kaduna, Nigeria.
Departments of Community Medicine, Ahmadu Bello University, Zaria, Kaduna State, Nigeria.
West Afr J Med. 2020 Apr-Jun;37(2):138-144.
An effective health information system (his) generates information to enable decision makers make evidence-based decisions on health policy and allocate scarce resources. Health care workers at all levels within the health system need the knowledge and the right attitude towards hmis recognizing that they are the keys to recording accurate and reliable data.
A quasi-experimental study design was used, which consisted of baseline, intervention and end line components.
The study was carried out among a study and a control group, each consisting of 76 phc workers. The mean age was 34.6 + 8.3 years for the study group and 33.7 + 8.4 years for the control group. The baseline level of good knowledge in the study group increased from 13.2% to 48.7% at end line. The increase was statistically significant (p-value <0.001). In the control group the level of good knowledge increased from 6.6% to 9.7%. The increase was not statistically significant (p-value 0.714). Prior to the intervention, 52.6% of the study group had positive attitude towards hmis which increased to 59.2% after the intervention (p-value 0.414). In the control group, it decreased from 59.2% at baseline to 58.3% at end line (p-value 0.117). The changes in attitude in both groups were, however, not statistically significant.
This study showed that HMIS training intervention achieved a significant improvement in knowledge and a marginal improvement in the attitude of phc workers. Thus, the training intervention was effective in improving the knowledge and attitude towards hmis in the study group.
有效的卫生信息系统(HIS)能生成信息,使决策者能够基于证据对卫生政策做出决策并分配稀缺资源。卫生系统各级医护人员需要掌握有关卫生管理信息系统(HMIS)的知识和正确态度,认识到他们是记录准确可靠数据的关键。
采用了准实验研究设计,包括基线、干预和终末阶段。
研究在一个研究组和一个对照组中进行,每组由76名初级卫生保健工作者组成。研究组的平均年龄为34.6±8.3岁,对照组为33.7±8.4岁。研究组基线时良好知识水平从13.2%上升至终末阶段的48.7%。这一增长具有统计学意义(p值<0.001)。对照组中良好知识水平从6.6%升至9.7%。该增长无统计学意义(p值0.714)。干预前,研究组52.6%的人对HMIS持积极态度,干预后升至59.2%(p值0.414)。对照组中,这一比例从基线时的59.2%降至终末阶段的58.3%(p值0.117)。然而,两组态度的变化均无统计学意义。
本研究表明,HMIS培训干预使初级卫生保健工作者的知识有显著提高,态度有轻微改善。因此,培训干预在改善研究组对HMIS的知识和态度方面是有效的。