Traore Bocar Mahamane, Traore Aminata, Kebe Amadou Tila, Dabou Kizito, Kassogue Djibril
Département du Système Local d'Information Sanitaire, Centre de Santé de Reference, Tombouctou, Mali.
Momentum Integrated Health Resilience, Bamako, Mali.
Pan Afr Med J. 2024 Apr 11;47:180. doi: 10.11604/pamj.2024.47.180.42772. eCollection 2024.
an effective health information system (HIS) ensures the production, analysis, dissemination and use of reliable and up-to-date information on the determinants of health. However, it can encounter obstacles that hinder its functioning, such as armed conflicts, which limit access and quality of healthcare services. The purpose of our study was to help improve data management for routine health information system in the health district of Timbuktu during a security crisis.
we conducted a descriptive cross-sectional study, among health information management professionals in the Timbuktu Health District from 15 April to 08 September 2023. Data obtained from a survey questionnaire were analyzed using Epi Info version 7.2.2. and processed using Microsoft Word and Excel 2016.
a total of 6 health facilities were surveyed. Data collection, analysis and feedback were very poor. Data quality was 100% complete, 92.40% prompt and 68.11% accurate. The major constraints were: low involvement of health workers in the SIS (22.22%), insufficient training on the SISR (29.63%), supervision (47.06%), internet inaccessibility (66.67%), feeling of insecurity (37.04%) and fear (61.76%) in health facilities.
our results show low-level processes, poor network coverage, shortage of qualified health information management professionals and increasing insecurity. A broader mixed-methods research would provide a better understanding.
一个有效的卫生信息系统（HIS）可确保生成、分析、传播和使用关于健康决定因素的可靠且最新的信息。然而，它可能会遇到阻碍其运作的障碍，例如武装冲突，这会限制医疗服务的可及性和质量。我们研究的目的是在安全危机期间帮助改善廷巴克图卫生区常规卫生信息系统的数据管理。
我们于2023年4月15日至9月8日在廷巴克图卫生区的卫生信息管理专业人员中开展了一项描述性横断面研究。从调查问卷中获得的数据使用Epi Info 7.2.2版本进行分析，并使用Microsoft Word和Excel 2016进行处理。
共对6个卫生设施进行了调查。数据收集、分析和反馈情况非常差。数据质量方面，完整性为100%，及时性为92.40%，准确性为68.11%。主要制约因素包括：卫生工作者对卫生信息系统的参与度低（22.22%）、对卫生信息系统登记册的培训不足（29.63%）、监督（47.06%）、无法接入互联网（66.67%）、卫生设施中的不安全感（37.04%）和恐惧（61.76%）。
我们的结果显示流程水平较低、网络覆盖差、合格的卫生信息管理专业人员短缺以及不安全因素不断增加。更广泛的混合方法研究将有助于更好地理解相关情况。
