Impact of health management information systems on service delivery among healthcare workers at Iten County Referral Hospital

Authors

  • Stanley K. Kilimo School of Pharmacy, Kabarak University, Kabarak, Nakuru, Kenya
  • Michael N. Walekhwa School of Medicine and Health Sciences, Kabarak University, Kabarak, Nakuru, Kenya
  • Filex O. Otieno School of Pharmacy, 2School of Medicine and Health Sciences, Kabarak University, Kabarak, Nakuru, Kenya

DOI:

https://doi.org/10.18203/2320-6012.ijrms20222264

Keywords:

Health information management system, Health information technology, Information systems

Abstract

Background: Decision-making process and effective planning within the health sector relies majorly on availability of reliable, accurate and prompt information. Most referral healthcare facilities in Kenya utilize health management information systems (HMIS) yet delivery of effective services remains relatively challenging. Against this backdrop, we assessed the impact of use of HMIS on service delivery among healthcare workers at Iten County Referral Hospital (ICRH).

Methods: This study used a cross-sectional study design target population was all healthcare workers at ICRH. Closed and open-ended questionnaires were used to obtain data. Purposive and stratified sampling techniques were used to select study site and participants respectively. The sample size was 185 healthcare workers but 142 participants filled out the questionnaire.

Results: Most respondents were nurses (37.4%). Least cohort were pharmacists (1.40%). About 62.7% were diploma-holders, 26.8% had a bachelor’s degree. Further, 66.9% of participants had <10 years working experience, 22.5% had 11-20 years while; 10.6% had 21-30 years. Participants (26.1-47.2%) agreed that using HMIS is efficient and effective for managing hospital data. Majority were undecided whether HMIS can be used for managing financial imperatives and providing epidemiological data. Participants (77.5%) rated HMIS as being user-friendly. Remarkably, 22.5% rated the HMIS as suitable for use as a centralized planning system for the hospital. Data also showed that HMIS is yet to be fully integrated into the hospital system.

Conclusions: The use of HMIS has positively impacted service-delivery at ICRH. We therefore recommend that healthcare facilities integrate the use of HMIS in management of hospital data.

 

References

Stausberg J, Koch D, Ingenerf J, Betzler M. Comparing paper-based with electronic patient records: Lessons learned during a study on diagnosis and procedure codes. J Am Med Informatics Assoc. 2003;10(5):470-7.

Benedictis A, Lettieri E, Gastaldi L, Masella C, Urgu A, Tartaglini D. Electronic medical records implementation in hospital: An empirical investigation of individual and organizational determinants. Plos One. 2020;15(6):e0234108.

Menachemi N, Collum TH. Benefits and drawbacks of electronic health record systems. Risk Manag Healthc Policy. 2011;4:47-55.

Ministry of Health. Kenya Health Policy 2014–2030. 2014. Available at: https://publications.universal health2030.org/uploads/kenya_health_policy_2014_to_2030.pdf. Accessed on 12 April 2022.

Muinga N, Magare S, Monda J, English M, Fraser H, Powell J, Paton C. Digital health Systems in Kenyan Public Hospitals: a mixed-methods survey. BMC Med Inform Decis Mak. 2020;20(1):2.

Oleribe OO, Momoh J, Uzochukwu BS, Mbofana F, Adebiyi A, Barbera T, Williams R, Taylor-Robinson SD. Identifying Key Challenges Facing Healthcare Systems In Africa And Potential Solutions. Int J Gen Med. 2019;12:395-403.

Ogwel B, Odhiambo‐Otieno G, Otieno G, Abila J, Omore R. Leveraging cloud computing for improved health service delivery: Findings from public health facilities in Kisumu County, western Kenya‐2019. Learning Health Systems. 2021;6(1).

Setia M. Methodology series module 3: Cross-sectional studies. Indian J Dermatol. 2016;61(3):261.

Kimberlin CL, Winterstein AG. Validity and reliability of measurement instruments used in research. Am J Health-System Pharm. 2008;65(23):2276-84.

Zikmund W, Carr B, Griffin M, Babin B, Carr J. Business Research Method. Australia: South-Western. 2013.

Woods AD. WHO: State of the world's nursing 2020. Lippincott Nursing Center | Professional Development for Nurses. Available at: https://www. nursingcenter.com/ncblog/april-2020/who-state-of-the-worlds-nursing-2020. Accessed on 12 April 2022.

Mwaniki JR. Influence of Health Information Sytem on Service Delivery in Public Health Facilities in Kenya: A Case of Imenti North Sub-County, Meru County, 2017. Available at: http://erepository. uonbi.ac.ke. Accessed on 12 April 2022.

Kimama FM. Challenges facing the implementation of hospital management information systems in hospitals in Nairobi, 2021. Available at: http://erepository.uonbi.ac.ke/bitstream/handle/11295. Accessed on 12 April 2022.

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Published

2022-08-29

How to Cite

Kilimo, S. K., Walekhwa, M. N., & Otieno, F. O. (2022). Impact of health management information systems on service delivery among healthcare workers at Iten County Referral Hospital. International Journal of Research in Medical Sciences, 10(9), 1889–1895. https://doi.org/10.18203/2320-6012.ijrms20222264

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Section

Original Research Articles