Bogale Addisu
Pathfinder International Ethiopia, Addis Ababa, Ethiopia.
Clinicoecon Outcomes Res. 2021 Jan 6;13:1-8. doi: 10.2147/CEOR.S288998. eCollection 2021.
Health Management Information Systems (HMIS) is an information system for health management and planning at district, regional, and national levels. Problems of data collection and processing, poor information use, lack of identifying information required at specific levels, and inadequacy of resources are hindering the implementation of the program.
To assess the implementation status of Health Management Information System (HMIS) in hospitals of South West Shoa Zone, Oromia, Central Ethiopia.
The assessment was conducted in South West Shoa Zone hospitals using a cross-sectional study design. Using three dimensions, namely, availability of resources, compliance to guideline, and utilization of information were studied. All hospitals in the zone were included and 210 health workers were included in the study. Quantitative data were entered into Epi-data and analyzed using SPSS.v.23. Descriptive summery was done using the proportion and frequencies and qualitative results were analyzed thematically. The study was conducted from February 20, 2020, to March 20, 2020.
All hospitals have at least one computer specifically assigned for HMIS, while none of the hospitals have an allocated budget for HMIS. Regarding service training, 82% of the respondents had received HMIS training. The overall Implementation status of HMIS was 58%, which showed as a judgment parameter of "poor" implementation. Particularly, availability (58%) and compliance (55%) dimensions are categorized as "poor" implementation, whereas the information utilization dimension is categorized as a judgment parameter of "fair" implementation.
The overall implementation status of HMIS in the study area was poorly implemented according to the preset criteria with stakeholders. Therefore, allocation of budget specifically for HMIS, strengthening capacity building activities such as training and supportive supervision with written feedbacks are recommended for effective implementation of the Health Management Information System.
健康管理信息系统（HMIS）是用于地区、区域和国家层面健康管理与规划的信息系统。数据收集与处理问题、信息利用不佳、缺乏特定层面所需的识别信息以及资源不足正阻碍着该项目的实施。
评估埃塞俄比亚中部奥罗米亚州西南绍阿地区医院健康管理信息系统（HMIS）的实施状况。
采用横断面研究设计在西南绍阿地区的医院进行评估。从资源可用性、指南遵循情况和信息利用三个维度展开研究。纳入该地区所有医院以及210名卫生工作者参与研究。定量数据录入Epi - data并使用SPSS.v.23进行分析。采用比例和频率进行描述性总结，定性结果进行主题分析。研究于2020年2月20日至2020年3月20日开展。
所有医院至少有一台专门用于HMIS的计算机，但没有医院为HMIS分配预算。关于服务培训，82%的受访者接受过HMIS培训。HMIS的总体实施状况为58%，作为实施判断参数显示为“差”。特别是，资源可用性（58%）和指南遵循情况（55%）维度被归类为“差”的实施，而信息利用维度被归类为“一般”的实施判断参数。
根据与利益相关者预设的标准，研究区域内HMIS的总体实施状况不佳。因此，建议专门为HMIS分配预算，加强能力建设活动，如培训和提供有书面反馈的支持性监督，以有效实施健康管理信息系统。
