Seid Mohammed Ahmed, Bayou Negalign Berhanu, Ayele Fanos Yeshanew, Zerga Aregash Abebayehu
Zone Health Office, Oromia Specialized Zone, Kemisse, Amhara Region, Ethiopia.
Department of Health Service Management School of Public Health, College of Medicine and Health Science, Jimma University, Jimma, Ethiopia.
Risk Manag Healthc Policy. 2021 Mar 18;14:1189-1198. doi: 10.2147/RMHP.S285604. eCollection 2021.
Health management information system is a building block for the health system. Even if using health facility data at all levels is critical, it is poorly practiced in developing countries. There is limited evidence about the utilization of routine health information from the health management information system in the study area. This study aimed to assess the utilization of routine health information from health management information system and associated factors among health professionals at health centers in Oromia special zone, Amhara region, Ethiopia.
A facility-based cross-sectional study was conducted from February to March 2019. A total of 369 health professionals who were the focal person for each service delivery point were taken from the selected health centers. The data analysis was done using STATA version 14. A multilevel mixed-effect logistic regression model was carried out to identify factors associated with utilization of routine health information from the health management information system. Adjusted odds ratio with 95% CI was reported to show the strength of association. A P-value of <0.05 was used to declare statistical significance.
The magnitude of good routine health information utilization among health care professionals was 52.8%. Training (AOR=2.40, 95% CI=1.35, 4.26), availability of standard indicator definition (AOR=2.01, 95% CI=1.13, 3.57), data analysis skills (AOR=2.59, 95% CI=1.45, 4.62), regular feedback (AOR=2.29, 95% CI=1.29, 4.05), performance evaluation (AOR=2.60, 95% CI=1.19, 5.68) and timely reporting (AOR=2.89, 95% CI=1.54, 5.42) were significantly associated with routine health information utilization.
The overall utilization of routine health information from the health management information system was low. Therefore, the Zone health department and woreda health offices need to give training on HMIS data use, and avail standard indicator definition for all health care workers at all service delivery points.
健康管理信息系统是卫生系统的一个组成部分。尽管各级使用卫生机构数据至关重要，但在发展中国家，这一做法却很不完善。关于研究区域内卫生管理信息系统常规健康信息利用情况的证据有限。本研究旨在评估埃塞俄比亚阿姆哈拉州奥罗米亚特别区各卫生中心卫生专业人员对卫生管理信息系统常规健康信息的利用情况及相关因素。
2019年2月至3月进行了一项基于机构的横断面研究。从选定的卫生中心选取了369名作为每个服务提供点联络人的卫生专业人员。使用STATA 14版进行数据分析。采用多水平混合效应逻辑回归模型来确定与卫生管理信息系统常规健康信息利用相关的因素。报告调整后的比值比及95%置信区间以显示关联强度。P值<0.05表示具有统计学意义。
卫生保健专业人员对常规健康信息的良好利用率为52.8%。培训（调整后的比值比=2.40，95%置信区间=1.35，4.26）、标准指标定义的可用性（调整后的比值比=2.01，95%置信区间=1.13，3.57）、数据分析技能（调整后的比值比=2.59，95%置信区间=1.45，4.62）、定期反馈（调整后的比值比=2.29，95%置信区间=1.29，4.05）、绩效评估（调整后的比值比=2.60，95%置信区间=1.19，5.68）和及时报告（调整后的比值比=2.89，95%置信区间=1.54，5.42）与常规健康信息利用显著相关。
卫生管理信息系统常规健康信息的总体利用率较低。因此，该地区卫生部门和区卫生办公室需要提供关于卫生管理信息系统数据使用的培训，并为所有服务提供点的所有卫生保健工作者提供标准指标定义。
