Guadie Habtamu Alganeh, Kindie Amarech, Derseh Hunegnaw Almaw, Atnafu Desta Debalkie
Department of Health System Management and Health Economics, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Amhara Regional Health Bureau, Bahir Dar, Ethiopia.
Front Digit Health. 2025 Feb 25;7:1449510. doi: 10.3389/fdgth.2025.1449510. eCollection 2025.
District Health Information System version 2 (DHIS2) is an open-source platform designed for data collection, processing, analysis, and visualization within healthcare systems. However, there is limited empirical evidence regarding health professionals' intentions to use district health information systems. Understanding the factors influencing health workers' intention to utilize DHIS2 is crucial for ensuring successful implementation and sustained usage. This study aimed to assess the intention to use DHIS2 and identify associated factors among health professionals in health centers of Bahir Dar Metropolitan City, Ethiopia, in 2022.
An institutional-based cross-sectional study was conducted involving 368 randomly selected health professionals from health centers in Bahir Dar City, Ethiopia, between 24 May and 24 June 2022. Data were collected using a structured, self-administered questionnaire. Completed questionnaires were entered and coded in EpiData version 4.6 and exported to SPSS version 25 for cleaning and statistical analysis. Descriptive statistics and bivariate and multivariable logistic regression analyses were performed. Model fitness was assessed using the Hosmer-Lemeshow goodness-of-fit test, with statistical significance set at a -value < 0.05 and a 95% confidence interval.
A total of 342 participants completed the study, resulting in a response rate of 92.9%. The sample included 176 (51.5%) women, of whom 147 (43%) were nurses. Nearly two-thirds (65.2%) of health professionals expressed an intention to use the DHIS2 system. The intention to use DHIS2 was significantly associated with factors including attitude, computer skills, perceived utility, and perceived ease of use.
The findings indicate that attitude, perceived utility, perceived ease of use, and computer skills significantly influence the intention to utilize DHIS2. Therefore, it is imperative to implement targeted interventions before system rollout, including practice-based training, fostering positive attitudes, and enhancing knowledge of the system's usability and functionality to improve the adoption of the district health information system.
地区卫生信息系统2.0版（DHIS2）是一个开源平台，旨在用于医疗系统内的数据收集、处理、分析和可视化。然而，关于卫生专业人员使用地区卫生信息系统的意图的实证证据有限。了解影响卫生工作者使用DHIS2意图的因素对于确保成功实施和持续使用至关重要。本研究旨在评估2022年埃塞俄比亚巴赫达尔市卫生中心卫生专业人员使用DHIS2的意图，并确定相关因素。
2022年5月24日至6月24日，在埃塞俄比亚巴赫达尔市的卫生中心对368名随机选择的卫生专业人员进行了一项基于机构的横断面研究。使用结构化的自填问卷收集数据。完成的问卷在EpiData 4.6版本中录入和编码，并导出到SPSS 25版本进行清理和统计分析。进行了描述性统计以及双变量和多变量逻辑回归分析。使用Hosmer-Lemeshow拟合优度检验评估模型拟合度，统计学显著性设定为P值<0.05和95%置信区间。
共有342名参与者完成了研究，回复率为92.9%。样本包括176名（51.5%）女性，其中147名（43%）是护士。近三分之二（65.2%）的卫生专业人员表示打算使用DHIS2系统。使用DHIS2的意图与态度、计算机技能、感知效用和感知易用性等因素显著相关。
研究结果表明，态度、感知效用、感知易用性和计算机技能显著影响使用DHIS2的意图。因此，在系统推出之前必须实施有针对性的干预措施，包括基于实践的培训、培养积极态度以及增强对系统可用性和功能的了解，以提高地区卫生信息系统的采用率。
