Abstract:
Abstract
Background: Health management information system (HMIS) is a cross-cutting
attribute in the health system building blocks whereby health data are managed.
In Ethiopia, the private health facilities were implemented HMIS since 2014.
However, there is lack of evidence that shows the level of HMIS information
utilization among health workers of private health facilities. So, this study aimed to
determine HMIS information utilization status of health workers at private health
facilities.
Objective: This study aimed to determine the status of Health Management
Information System (HMIS) Information utilization and factors associated among
Health workers in private Hospitals of Amhara regional state, Ethiopia, 2020.
Methods: Institution based cross-sectional study design supplemented with
qualitative method was conducted among health workers working at private
hospitals in Amhara region, Ethiopia from February 15 to May 30, 2020. A total of
407 health workers were participated (with 95.9% response rate), Data were
collected using self-administered questionnaire and in-depth interview for
quantitative and qualitative part respectively. The reliability measure were obtained
by calculating the value of Cronbach’s alpha (? = 0.91). The data were entered
using Epi-Info version 7 software and the analysis were done using SPSS software
version 20. Descriptive statistics, bi-variable, and multi-variable logistic regression
analyses were used to assess factors associated with HMIS information utilization
among health workers. Adjusted odds ratio (AOR) at 95% CI was used to describe
the association between the factors and the outcome variable. Thematic content
analysis method was used for qualitative data analysis.
Results
This study found that overall; only 24% of the health workers had health
management information system (HMIS) information utilization at the private
hospitals. About 81.6% of the health workers didn’t get supportive supervision
supervision/mentorship, 65.8% of the health workers had never been formal HMIS
training & 74.7 % of the health workers responded as they didn’t understood data
collection tools are easily. HMIS training [AOR = 0.204, 95% CI: 0.099 0.421] and
attitude towards HMIS information [AOR = 0.491, 95% CI: 0.299, 0.808] were
found to be statistically significant variables associated with health management
information system (HMIS) information utilization.
Conclusion
In conclusion health management information system information utilization was
poor among health workers working at private hospitals. Attitude and training were
factors associated with health management information system information
utilization. Therefore, a comprehensive &intensive training and awareness
creation or advocacy are highly recommended to improve health management
information system information utilization among health workers at private
hospitals.
Keywords: Health management information system information utilization, Health
workers, private hospital.
