Godage Prabhadini, Dhanapala Sapumal, Jayatilleke Achala
Postgraduate Institute of Medicine, University of Colombo, Colombo, Sri Lanka
Country Office, World Health Organization, Colombo, Sri Lanka.
BMJ Health Care Inform. 2025 Jun 13;32(1):e101357. doi: 10.1136/bmjhci-2024-101357.
The Public Health Inspector (PHI) Monthly Report is a critical document that provides insights into environmental, occupational health and food safety aspects within each Medical Officer of Health area in Sri Lanka. Currently, PHIs use a paper format to track these key health indicators, resulting in incomplete and inaccurate national data. This study evaluates the usability of a DHIS2 (District Health Information Software 2) based digital solution to improve PHI reporting.
The DHIS2 system was customised to address the gaps in the current reporting process, and its usability was evaluated using the System Usability Scale (SUS) with 50 stakeholders who tested the system.
The DHIS2 platform was flexible enough to be customised to meet the requirements of the new electronic Environmental, Occupational Health and Food Safety Information Management System (eEOHFSIMS). The system achieved an average SUS score of 72.25, exceeding the accepted benchmark of 68, with a high SD of 13.37. However, a 92% knowledge gap remained.
Digitising the PHI monthly report using DHIS2 addresses the challenges of traditional paper-based reporting, enabling timely monitoring of public health indicators. The favourable SUS score confirms the system's high usability, yet the knowledge gap underscores the need for ongoing user training to ensure data quality.
The eEOHFSIMS demonstrated its capacity to deliver accurate, complete and timely data, greatly benefiting Sri Lanka's primary healthcare services. This system enhancement supports better-informed decision-making, aligns with national health policies and enables continuous monitoring and evaluation of public health services.
公共卫生检查员（PHI）月度报告是一份关键文件，可深入了解斯里兰卡每个卫生官员辖区内的环境、职业健康和食品安全方面的情况。目前，公共卫生检查员使用纸质表格来跟踪这些关键健康指标，导致国家数据不完整且不准确。本研究评估了基于DHIS2（地区卫生信息软件2）的数字解决方案在改善公共卫生检查员报告方面的可用性。
对DHIS2系统进行定制，以弥补当前报告流程中的差距，并使用系统可用性量表（SUS）对50名测试该系统的利益相关者进行评估，以评估其可用性。
DHIS2平台足够灵活，可进行定制以满足新的电子环境、职业健康和食品安全信息管理系统（eEOHFSIMS）的要求。该系统的平均SUS得分为72.25，超过了68的可接受基准，标准差为13.37。然而，仍存在92%的知识差距。
使用DHIS2将公共卫生检查员月度报告数字化，解决了传统纸质报告的挑战，能够及时监测公共卫生指标。良好的SUS得分证实了该系统的高可用性，但知识差距凸显了持续进行用户培训以确保数据质量的必要性。
eEOHFSIMS展示了其提供准确、完整和及时数据的能力，极大地惠及了斯里兰卡的初级医疗服务。这一系统改进支持了更明智的决策制定，符合国家卫生政策，并能够对公共卫生服务进行持续监测和评估。
