Implementation Status of Health Management Information System in Hospitals of South West Shoa Zone, Oromia, Central Ethiopia.

Abstract

BackgroundHealth Management Information Systems (HMIS) is an information system for health management and planning at district, regional, and national levels. Problems of data collection and processing, poor information use, lack of identifying information required at specific levels, and inadequacy of resources are hindering the implementation of the program.ObjectiveTo assess the implementation status of Health Management Information System (HMIS) in hospitals of South West Shoa Zone, Oromia, Central Ethiopia.MethodsThe assessment was conducted in South West Shoa Zone hospitals using a cross-sectional study design. Using three dimensions, namely, availability of resources, compliance to guideline, and utilization of information were studied. All hospitals in the zone were included and 210 health workers were included in the study. Quantitative data were entered into Epi-data and analyzed using SPSS.v.23. Descriptive summery was done using the proportion and frequencies and qualitative results were analyzed thematically. The study was conducted from February 20, 2020, to March 20, 2020.ResultsAll hospitals have at least one computer specifically assigned for HMIS, while none of the hospitals have an allocated budget for HMIS. Regarding service training, 82% of the respondents had received HMIS training. The overall Implementation status of HMIS was 58%, which showed as a judgment parameter of “poor” implementation. Particularly, availability (58%) and compliance (55%) dimensions are categorized as “poor” implementation, whereas the information utilization dimension is categorized as a judgment parameter of “fair” implementation.ConclusionThe overall implementation status of HMIS in the study area was poorly implemented according to the preset criteria with stakeholders. Therefore, allocation of budget specifically for HMIS, strengthening capacity building activities such as training and supportive supervision with written feedbacks are recommended for effective implementation of the Health Management Information System.