Masters Dissertations

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Browsing Masters Dissertations by Subject "Administration"

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    Challenges and strategies on standardization of information systems for integrated TB/HIV services in Tanzania: a case of Kinondoni district
    (University of Dar es Salaam, 2015) Mukasa, Esther Kokugasha
    Tuberculosis (TB) and HIV co morbidity has triggered the emergence of multiple collaborative TB/HIV implementing partners, aiming at controlling duo diseases worldwide. In Tanzania, several partners support the Ministry of Health and Social Welfare (MoHSW) through National TB and Leprosy Program (NTLP) and National AIDS Control Program (NACP), in the same vicinity. Each of these works towards the national goal and objectives and also partner specific requirements of Health Information Systems (HISs). This situation facilitates disparity of HISs across them, thus impairing Monitoring and Evaluation (M&E) system of the MoHSW. Experience from Kinondoni shows data inconsistencies across these partners, necessitating HISs standardization. The study explored challenges and proposed strategies on standardization of HISs for integrated TB/HIV services. A quantitative and qualitative cross sectional study was conducted through purposive sampling. HIS users at three levels of Health Care Providers (HCPs), Coordinators and System developers were involved. Primary and secondary data was collected through structured questionnaires, interviews and observations of existing documents and practices. It was then analysed using descriptive statistics by SPSS software. HISs diversity across partners was revealed. Elicited fundamental challenge for standardization is the existence of many partners per vicinity, in absence of HIS standards control mechanisms. Standard HIS Quality Assurance and Partner Regulatory Authority (PRA) approaches are the key standardization strategies drawn. Strong control mechanisms for HIS standards are therefore recommended.