Madebo Merkineh Mekebo, Elitro Yoseph Olonjo, Sundako Bereket Birege, Anore Adimasu Jemal, Ashegire Muluken, Funga Mengistu Lodebo, Lalore Marta Tesema, Samuel Abriham
Clinical Department, Hosanna College of Health Sciences, Hosanna, Ethiopia.
Public Department, Hosanna College of Health Sciences, Hosanna, Ethiopia.
PLOS Digit Health. 2024 Aug 5;3(8):e0000552. doi: 10.1371/journal.pdig.0000552. eCollection 2024 Aug.
Evidence based practice is a key tool to increase effectiveness and efficiency of healthcare providers worldwide and using health facility data at all levels is vital. But, it is poorly practiced in developing countries including Ethiopia. As a result, the purpose of this study was to evaluate the level of practice of District Health Information for decision making and associated factors among performance monitoring teams in Hadiya Zone public health facilities, South Nation Nationality People Republic, Ethiopia, in 2022.
A facility based-cross sectional study was employed from May 3 to June 3, 2022. To obtain data, a pre-tested structured questionnaire with qualitative was employed. A multistage random sampling technique was employed to select performance monitoring team from public health facilities. Data was entered into a computer using Epi data version 4.6, and analyzed using SPSS version 25. Bivariable and multivariable analyses were used to identify determinants related to practice of district health information. For the qualitative section, thematic analysis was used.
The practice of district health information for decision making among performance monitoring team in this study was 48% (95% CI: [42.3, 54.1]). having standard sets of indicators [AOR = 4.055; 95% CI: (1.67, 9.86)], Being trained [AOR = 3.12; 95%CI: (1.385, 7.023)], having internet access [AOR = 3.23; 95% CI: (1.52, 6.9)], having positive attitudes [AOR = 2.667; 95% CI: (1.28, 5.56)], having low motivation [AOR = 0.202; 95% CI: (0.081, 0.504)], Sufficient skill [AOR = 3.239: 95%CI; (1.328, 8.164)] and having knowledge [AOR = 6.227; 95% CI: (2.12, 12.8)] were significantly associated with practice of District health information for decision making.
In general, this study found that the performance monitoring team at health facilities poorly practiced district health information. It requires major improvement to provide a consistent set of indicators, training, internet access, user attitudes, motivation, and necessary skills and knowledge, as well as to raise users' confidence in DHIS2.
循证实践是提高全球医疗服务提供者效率和效益的关键工具，利用各级卫生机构的数据至关重要。但是，包括埃塞俄比亚在内的发展中国家在这方面的实践较差。因此，本研究的目的是评估2022年埃塞俄比亚南方民族州哈迪亚地区公共卫生机构绩效监测团队用于决策的地区卫生信息实践水平及相关因素。
2022年5月3日至6月3日采用了基于机构的横断面研究。为获取数据，使用了一份经过预测试的定性结构化问卷。采用多阶段随机抽样技术从公共卫生机构中选取绩效监测团队。数据使用Epi数据4.6版本录入计算机，并使用SPSS 25版本进行分析。采用双变量和多变量分析来确定与地区卫生信息实践相关的决定因素。对于定性部分，采用了主题分析。
本研究中绩效监测团队用于决策的地区卫生信息实践率为48%（95%置信区间：[42.3, 54.1]）。拥有标准指标集[AOR = 4.055；95%置信区间：(1.67, 9.86)]、接受过培训[AOR = 3.12；95%置信区间：(1.385, 7.023)]、能够访问互联网[AOR = 3.23；95%置信区间：(1.52, 6.9)]、态度积极[AOR = 2.667；95%置信区间：(1.28, 5.56)]、积极性低[AOR = 0.202；95%置信区间：(0.081, 0.504)]、技能充足[AOR = 3.239；95%置信区间：(1.328, 8.164)]以及有知识[AOR = 6.227；95%置信区间：(2.12, 12.8)]与用于决策的地区卫生信息实践显著相关。
总体而言，本研究发现卫生机构的绩效监测团队在地区卫生信息实践方面较差。需要进行重大改进，以提供一套一致的指标、培训、互联网接入、用户态度、积极性以及必要的技能和知识，并提高用户对DHIS2的信心。
