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Utilization of the national cluster of district health information system for health service decision-making at the district, sub-district and community levels in selected districts of the Brong Ahafo region in Ghana

BACKGROUND: There is growing interest in the use of reliable evidence for health decision-making among low-and middle-income countries. Ghana has deployed DHIMS2 to replace the previously existing manual data harmonization processes. METHODS: This cross-sectional study was conducted in 12 districts...

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Autores principales: Odei-Lartey, Eliezer Ofori, Prah, Rebecca Kyerewaa Dwommoh, Anane, Edward Apraku, Danwonno, Harry, Gyaase, Stephaney, Oppong, Felix Boakye, Afenyadu, Godwin, Asante, Kwaku Poku
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275484/
https://www.ncbi.nlm.nih.gov/pubmed/32505209
http://dx.doi.org/10.1186/s12913-020-05349-5
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author Odei-Lartey, Eliezer Ofori
Prah, Rebecca Kyerewaa Dwommoh
Anane, Edward Apraku
Danwonno, Harry
Gyaase, Stephaney
Oppong, Felix Boakye
Afenyadu, Godwin
Asante, Kwaku Poku
author_facet Odei-Lartey, Eliezer Ofori
Prah, Rebecca Kyerewaa Dwommoh
Anane, Edward Apraku
Danwonno, Harry
Gyaase, Stephaney
Oppong, Felix Boakye
Afenyadu, Godwin
Asante, Kwaku Poku
author_sort Odei-Lartey, Eliezer Ofori
collection PubMed
description BACKGROUND: There is growing interest in the use of reliable evidence for health decision-making among low-and middle-income countries. Ghana has deployed DHIMS2 to replace the previously existing manual data harmonization processes. METHODS: This cross-sectional study was conducted in 12 districts comprising 12 district directorates, 10 district hospitals, 29 sub-district health centers, and 38 community health facilities in the Brong-Ahafo Region. Data collection tools were developed based on the Measure Evaluate assessment tools designed for evaluating the performance of routine information systems management tools. Utilization was assessed based on documented evidence and data was analyzed using STATA version 14. RESULTS: Although 93% of the health facilities studied submitted data unto the DHIMS2 platform, evidence suggested low use of this data in decision-making, particularly at the community level facilities where only 26% of the facilities used data from DHIMS2 to inform annual action plans and even less than 20% examined findings and issued directives for action. At the district level, 58% issued directives based on DHIMS2 information, 50% used DHIMS2 information for Advocacy purposes and 58% gave feedback reports based on DHIMS2 data for action. Functional computers were lacking across all facilities. CONCLUSIONS: Activities relating to the use of DHIMS2 information skew towards data quality checking with less focus on examining findings, making comparisons, and taking action-based decisions from findings and comparisons. Improving factors like internet access, availability of functional ICTs, frequency of supervisory visits, staff training and the provision of training manuals may facilitate the use of DHIMS2 in decision-making at all levels of the district health system.
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spelling pubmed-72754842020-06-08 Utilization of the national cluster of district health information system for health service decision-making at the district, sub-district and community levels in selected districts of the Brong Ahafo region in Ghana Odei-Lartey, Eliezer Ofori Prah, Rebecca Kyerewaa Dwommoh Anane, Edward Apraku Danwonno, Harry Gyaase, Stephaney Oppong, Felix Boakye Afenyadu, Godwin Asante, Kwaku Poku BMC Health Serv Res Research Article BACKGROUND: There is growing interest in the use of reliable evidence for health decision-making among low-and middle-income countries. Ghana has deployed DHIMS2 to replace the previously existing manual data harmonization processes. METHODS: This cross-sectional study was conducted in 12 districts comprising 12 district directorates, 10 district hospitals, 29 sub-district health centers, and 38 community health facilities in the Brong-Ahafo Region. Data collection tools were developed based on the Measure Evaluate assessment tools designed for evaluating the performance of routine information systems management tools. Utilization was assessed based on documented evidence and data was analyzed using STATA version 14. RESULTS: Although 93% of the health facilities studied submitted data unto the DHIMS2 platform, evidence suggested low use of this data in decision-making, particularly at the community level facilities where only 26% of the facilities used data from DHIMS2 to inform annual action plans and even less than 20% examined findings and issued directives for action. At the district level, 58% issued directives based on DHIMS2 information, 50% used DHIMS2 information for Advocacy purposes and 58% gave feedback reports based on DHIMS2 data for action. Functional computers were lacking across all facilities. CONCLUSIONS: Activities relating to the use of DHIMS2 information skew towards data quality checking with less focus on examining findings, making comparisons, and taking action-based decisions from findings and comparisons. Improving factors like internet access, availability of functional ICTs, frequency of supervisory visits, staff training and the provision of training manuals may facilitate the use of DHIMS2 in decision-making at all levels of the district health system. BioMed Central 2020-06-06 /pmc/articles/PMC7275484/ /pubmed/32505209 http://dx.doi.org/10.1186/s12913-020-05349-5 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Odei-Lartey, Eliezer Ofori
Prah, Rebecca Kyerewaa Dwommoh
Anane, Edward Apraku
Danwonno, Harry
Gyaase, Stephaney
Oppong, Felix Boakye
Afenyadu, Godwin
Asante, Kwaku Poku
Utilization of the national cluster of district health information system for health service decision-making at the district, sub-district and community levels in selected districts of the Brong Ahafo region in Ghana
title Utilization of the national cluster of district health information system for health service decision-making at the district, sub-district and community levels in selected districts of the Brong Ahafo region in Ghana
title_full Utilization of the national cluster of district health information system for health service decision-making at the district, sub-district and community levels in selected districts of the Brong Ahafo region in Ghana
title_fullStr Utilization of the national cluster of district health information system for health service decision-making at the district, sub-district and community levels in selected districts of the Brong Ahafo region in Ghana
title_full_unstemmed Utilization of the national cluster of district health information system for health service decision-making at the district, sub-district and community levels in selected districts of the Brong Ahafo region in Ghana
title_short Utilization of the national cluster of district health information system for health service decision-making at the district, sub-district and community levels in selected districts of the Brong Ahafo region in Ghana
title_sort utilization of the national cluster of district health information system for health service decision-making at the district, sub-district and community levels in selected districts of the brong ahafo region in ghana
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275484/
https://www.ncbi.nlm.nih.gov/pubmed/32505209
http://dx.doi.org/10.1186/s12913-020-05349-5
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