Assessment of Behavioral and Organizational Determinants of HMIS Performance in Beghi, District West Wollega, Oromia, Ethiopia

Abstract

Introduction: Best performed Health Management Information System (HMIS) is most frequently cited as critical for evidence-based decision making and effective targeting of interventions to those in greatest need at each level of health system. The aim of this study was to determine behavioral and organizational determinants of HMIS performance in Beghi, District West Wollega, Oromia, Ethiopia Methodology: A facility based cross- sectional descriptive study design was used for the assessment of HMIS Performance determinants in a context of its behavioral and organizational categories to formulate, take possible actions and review Post interventions.

Result: The result of the study showed that an organizational determinants of HMIS performance within Begi District were poor management support, lack of effective supportive supervision and feedback provision focusing on HMIS data quality and information use practice.The Competency in HMIS task was shown that 73% of respondents were able to calculate percentage and plot the given data by months/years diligently, of which, 86% were unable to interpret the findings and use the information for identifying gaps and setting targets.Confidence levels of health professionals for HMIS tasks Before intervention have been identified that on average, confidence levels of respondents (health staffs) for calculating percentage or rates correctly, plotting data by months or years, explain findings or trends and use of HMIS data for identifying gaps, setting targets and making decisions were about 80%, while average confidence levels (self-efficacy level) of health staffs for checking HMIS data quality were 60%.Conclusion: This study determined organizational and behavioral determinants of HMIS performance in the study area, which were: poor management support, lack of effective supportive supervision and feedback provision focusing on HMIS data quality and information use practice and only 14% were able to interpret the findings and use the information for identifying gaps and setting targets respectively. Therefore, health planners and policy maker would be better to give great emphasis to strength addressing organizational and behavioral determinants of HMIS performance in developing countries for better quality of health care system implementation.

Keywords:  Behavioral and organizational determinants of HMIS performance.