The use of health information system for planning and decision-making in Ejisu-Juaben District of Ghana

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2004-11-14
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Health Information Systems (HIS) integrate data collection, processing, reporting, and use of information necessary for improving health service effectiveness and efficiency through better management at all level of health care system. This study determines the use of HIS for planning and decision-making in Ejisu-Juaben District of Ghana. The study type was descriptive and the study design is cross-sectional survey, which employed both quantitative and qualitative methods. This study focused on source, storage and retrieval of data, knowledge and skills of Data Collectors, data analysis and use of information, coordination and networking, monitoring and information feedback, and factors leading to underutilization of information for planning and decision-making. Sample size of 30 Health Managers and 60 Data Collectors were purposively selected from the various facilities. Routine data is the main source of information in the district health service. Most of the respondents rely on paper form of storage as the only means of storing data and information and this make information retrieval very difficult. About forty-five percents of Data Collectors do not have adequate knowledge and skills in data compilation and analysis. Most Data Collectors have not acquired any training in HIS. Raw data is normally transmitted to next level. Consequently, some Managers either transform the raw data into the required information needed or make decisions based on personal intuition. The research revealed that there is no central database within health facilities and the District as a whole and dissemination of information is done through meetings, circulars, morbidity and mortality conference, and review of reports. The present procedures of acquiring information delays planning and decision-making. Some monitoring is done, yet information feedback from Managers to Data Collectors is rarely done. Factors such as shortage of data collection tools, shortage of personnel, delay in submission of returns, and lack of computers appeared to affect utilization of HIS in the district health service. It is recommended that the district health administration provides logistics such as cabinet, computers as well as ensuring regular maintenance of these equipments. There should be prompt dissemination of information and regular monitoring and feedback. Also there should be regular training in data collection, analysis and use of information. In addition, community participation in planning and decision-making be encouraged.
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A thesis submitted to the Department of Community Health, School of Medical Sciences, College of Health Sciences Kwame Nkrumah University of Science and Technology in partial fulfilment of the requirements for the award of MSc.degree in Health Services Planning and Management, 2004
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