Enhancing data management skills of primary health care workers in enugu state, Nigeria

Abstract

The objective of this study was to evaluate the outcome of a training scheme on data collection, recording, reporting and utilisation practices among primary health care workers in Enugu State. This is a "before and after" intervention study conducted among 107 Primary Health Care (PHC) workers in Enugu State. A multistage sampling technique was used. A pre-tested, semi-structured questionnaire and an observation checklist were the instruments used in data collection pre and post-intervention. The workers in this study pre-intervention recorded data using health management information system (HMIS) forms, registers and exercise books. Seven (77.8%) and 6(66.2%) of the study and control health centres respectively kept monthly health center copies of HMIS form 000. These forms and registers were neither completely and correctly filled nor were kept up-to-date. Post-intervention, the reported and observed practices improved significantly (p<0.001) in the study unlike in the control health centress. Pre-intervention, none of the health centres entered data into the register 1-2weeks prior to this study and none remitted same monthly to the monitoring and evaluation units of the LGAs. Post-intervention, early data entry, reporting and local uses of data improved significantly (p<0.001) in the study group unlike in the control group. The data management skills of PHC workers studied were generally inadequate pre-intervention. Training greatly enhanced their overall data management skills.