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在埃塞俄比亚奥罗米亚州东沃勒加区卫生设施使用HMIS数据及其决定因素:一项基于卫生设施的横断面研究

摘要

背景:健康管理信息系统(HMIS)是一个核心的卫生系统构建模块，旨在为各级卫生保健管理的持续质量改进提供重要数据。高质量的数据是卫生保健规划、管理和决策的一个重要方面。在研究区域内，关于数据质量和信息使用的信息有限。因此，本研究的目的是评估埃塞俄比亚东沃勒加卫生设施的HMIS数据利用及其决定因素。方法:采用横断面研究。数据是通过访谈的预先测试和结构化问卷收集的。数据分析采用SPSS for Windows Version 20.0。进行了双变量和多变量logistic回归。以p值<0.05表示有统计学意义的变量。结果:研究发现HMIS数据在不同决策目的下的利用率为57.9%。 The level of data quality in terms of report timeliness, data completeness and data accuracy were 70%, 78.2 % and 48%, respectively. The utilization of HMIS data showed significant association with staff motivation (AOR=2.07, 95% CI=1.12, 4.29), decisions based on superior directives (AOR=2.46, 95% CI=1.10, 5.49) and performance monitoring by health professionals (AOR=4.07, 95% CI=1.29, 12.83). Conclusion: Staff motivation, performance monitoring and decisions based on superior directives were found to be determinants of HMIS data utilization. Therefore; policy makers and stakeholders in the area should focus their intervention on these identified factors in order to improve the HMIS data utilization for rendering quality health care services to the community

Teklemariam Ergat Yarinbab1*和Mekonnen Kebede Assefa2

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