Browsing by Author "Masau, Elias Kwesi"

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    Use of HMIS data and its associated factors in Tabora Municipality, Tanzania.
    (University of Dar es Salaam, 2002) Masau, Elias Kwesi
    A cross-sectional study to determine the magnitude and factors associated with HMIS data use was conducted in Tabora Municipality in June 2002, involving 29 health facilities. Checklist, structured questionnaire and in-depth interviews were used to obtain the information. Findings showed that one third (34.5%) of health facilities had evidence of data use. There was no statistical significant difference in data use between government (42.2%) and non-government (20%). CHMT had evidence of data use for health planning, procurement, outbreak control, manpower allocation, and decision-making, rehabilitation of buildings and purchase of equipments. HMIS data use was higher among facilities whose in charges had secondary education and above than below (pvalue<0.05). Working experience did not influence data use. While two thirds (65.5%) of health facilities had OPD data, only 48.3% had both OPD and RCH data. Of the facilities with OPD data only 52.6% had accurate data transcribed into data book. Data completeness was high (86.2%), statistically no difference between government health facilities and non government (p-value>0.05). Although HMIS training was of acceptable level (58.6%), frequency of supervision was high (89.7%) and feedback to health facilities was also high (65.5%), these factors had no association with data use (p-value>0.05). Low data availability and use implies that most of decisions made did not reflect the facts. Findings that quality of data and HMIS training levels, supervision and feedbacks had no added effect on data use, is a challenge for policy makers to look into quality of supervision, regularity of training and other constraints.