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Assessment of Health Management Information System Implementation in Ayder Referral Hospital, Mekelle, Ethiopia

Received: 3 October 2014     Accepted: 11 October 2014     Published: 20 October 2014
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Abstract

Effective Health Management Information System (HMIS) is essential for setting priority for community based problems, for allocation of budget and human resource and decision making in general to managers and stakeholders. In Africa there are many problems in data management in the health sector in relation to missing of data in reports this leads to a picture which could not represent the country health information. A facility based cross sectional study was conducted in Ayder referral and teaching hospital. Six months reports have been assessed including all the data, which were registered in the six month. In addition the tally sheets generated during this six month were also included as part of the assessment. Out of the six-month data used 63.3% was accurate. More than 95% of the reviewed patient cards were complete. Out of the questioned 50 staffs (93%) have good attitude towards HMIS. Data consistency between register and the tally sheets was measured as 72.2% even though the value difference was not largely seen. There was 78.6% an average report completeness measure in the HMIS unit. There was no sign of using the information generated by the facility. Use of accurate data in the facility was low. In addition, information was not still used for action. The original HMIS tallies were not used in the hospital instead minimized and photocopied tallies were used. Refreshing training was not given to staff. Therefore; training should be given to the higher bodies and all staffs about the importance of HMIS and the value of health data in decision making. The performance monitoring team should have to be established. The HMIS unit staffs should have to be trained on basic indicators calculation.

Published in International Journal of Intelligent Information Systems (Volume 3, Issue 4)
DOI 10.11648/j.ijiis.20140304.11
Page(s) 34-39
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

HMIS, Ethiopia, Ayder Referral Hospital, Data Quality

References
[1] F.Rabbani, B.a (2005).health management information system: a tool to gauge patient satisfaction and quality of care. Easter Mediterranean health journal
[2] Gething PW, Noor AM, Gikandi PW, Ogara EAA, Hay SI, et al. (2006) Improving Imperfect Data from Health Management Information Systems in Africa Using Space–Time Geostatistics. PLoS Med 3(6): e271. doi:10.1371/journal.pmed.0030271
[3] HMIS reform, t. (2008).HMIS/M&E strategic plan for Ethiopia health sector.FMoH.
[4] MekelleUniversity. (2002). nine months performance report of 2002 fiscal year of Ayder referal hospital. Mekelle.
[5] Department,p.a(2005) Ethiopian sector strategic plane(HSDPIII)2005/6-2009/2010.Addis Ababa: Federal Ministry of Health
[6] WHO, FMO, CSA, & HMN. (2007). Assessment of the Ethiopian national health informationsystem. Addis Ababa.
[7] Hotchkiss, D., Aqil, A., & Mukooyo, T. L. (2010). evalution ofperformance routine information system management(PRISM) framework:evidence from Uganda . BioMed central .
[8] World Health Organization.(2008).Framework and Standards for Country Health Information System.Geneva:WHO.
[9] MUTEMWA, R. I. (2005). HMIS and decision-making in Zambia: re-thinking. Oxford university.
[10] Peter Y. et al. Medical record completeness and accuracy at an HIV clinic in Mozambique. JHIDC.(2010)
[11] Murodillo Latifov A. Global standards and Local Applications: Case of Implementing ICD-10 Standard in HMIS Tajikistan..JHIDC.(2013).
[12] Garrib, N.Stoops, A.McKenzie, L.Dlamini, T.Govender, J.rohde, et al. (2008). An evaluation of District health informatio system Rural South Africa. south aafrican Medical jornal .
[13] Igira, F. T., Titlestad, O. H., Lungo, J. H., Makungu, A., & Khamis, M. M. (2006). Designing and Implementing Hospital Management Information Systems in developing countries: case study from Tanzania -Zanzibar.
[14] HMIS reform, t. (2006).HMIS Business Re-engineering Assessment Report.FMoH.
[15] HMIS Reform Team.(2007). Indicator definition: Area 1. Addis Ababa: FMoH.
Cite This Article
  • APA Style

    Kidane Tadesse, Ejigu Gebeye, Girma Tadesse. (2014). Assessment of Health Management Information System Implementation in Ayder Referral Hospital, Mekelle, Ethiopia. International Journal of Intelligent Information Systems, 3(4), 34-39. https://doi.org/10.11648/j.ijiis.20140304.11

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    ACS Style

    Kidane Tadesse; Ejigu Gebeye; Girma Tadesse. Assessment of Health Management Information System Implementation in Ayder Referral Hospital, Mekelle, Ethiopia. Int. J. Intell. Inf. Syst. 2014, 3(4), 34-39. doi: 10.11648/j.ijiis.20140304.11

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    AMA Style

    Kidane Tadesse, Ejigu Gebeye, Girma Tadesse. Assessment of Health Management Information System Implementation in Ayder Referral Hospital, Mekelle, Ethiopia. Int J Intell Inf Syst. 2014;3(4):34-39. doi: 10.11648/j.ijiis.20140304.11

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  • @article{10.11648/j.ijiis.20140304.11,
      author = {Kidane Tadesse and Ejigu Gebeye and Girma Tadesse},
      title = {Assessment of Health Management Information System Implementation in Ayder Referral Hospital, Mekelle, Ethiopia},
      journal = {International Journal of Intelligent Information Systems},
      volume = {3},
      number = {4},
      pages = {34-39},
      doi = {10.11648/j.ijiis.20140304.11},
      url = {https://doi.org/10.11648/j.ijiis.20140304.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijiis.20140304.11},
      abstract = {Effective Health Management Information System (HMIS) is essential for setting priority for community based problems, for allocation of budget and human resource and decision making in general to managers and stakeholders. In Africa there are many problems in data management in the health sector in relation to missing of data in reports this leads to a picture which could not represent the country health information.  A facility based cross sectional study was conducted in Ayder referral and teaching hospital. Six months reports have been assessed including all the data, which were registered in the six month. In addition the tally sheets generated during this six month were also included as part of the assessment. Out of the six-month data used 63.3% was accurate. More than 95% of the reviewed patient cards were complete. Out of the questioned 50 staffs (93%) have good attitude towards HMIS. Data consistency between register and the tally sheets was measured as 72.2% even though the value difference was not largely seen. There was 78.6% an average report completeness measure in the HMIS unit. There was no sign of using the information generated by the facility. Use of accurate data in the facility was low. In addition, information was not still used for action. The original HMIS tallies were not used in the hospital instead minimized and photocopied tallies were used. Refreshing training was not given to staff. Therefore; training should be given to the higher bodies and all staffs about the importance of HMIS and the value of health data in decision making. The performance monitoring team should have to be established. The HMIS unit staffs should have to be trained on basic indicators calculation.},
     year = {2014}
    }
    

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    AB  - Effective Health Management Information System (HMIS) is essential for setting priority for community based problems, for allocation of budget and human resource and decision making in general to managers and stakeholders. In Africa there are many problems in data management in the health sector in relation to missing of data in reports this leads to a picture which could not represent the country health information.  A facility based cross sectional study was conducted in Ayder referral and teaching hospital. Six months reports have been assessed including all the data, which were registered in the six month. In addition the tally sheets generated during this six month were also included as part of the assessment. Out of the six-month data used 63.3% was accurate. More than 95% of the reviewed patient cards were complete. Out of the questioned 50 staffs (93%) have good attitude towards HMIS. Data consistency between register and the tally sheets was measured as 72.2% even though the value difference was not largely seen. There was 78.6% an average report completeness measure in the HMIS unit. There was no sign of using the information generated by the facility. Use of accurate data in the facility was low. In addition, information was not still used for action. The original HMIS tallies were not used in the hospital instead minimized and photocopied tallies were used. Refreshing training was not given to staff. Therefore; training should be given to the higher bodies and all staffs about the importance of HMIS and the value of health data in decision making. The performance monitoring team should have to be established. The HMIS unit staffs should have to be trained on basic indicators calculation.
    VL  - 3
    IS  - 4
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Author Information
  • Biostatistics and Health Informatics, Department of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia

  • Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia

  • Health Informatics, Tulane University Technical Assistant Program to Ethiopia, Addis Ababa, Ethiopia

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