Assessment on Utilization of Health Management Information System at Public Health Centers Addis Ababa City Administrative, Ethiopia
Internet of Things and Cloud Computing
Volume 5, Issue 1, February 2017, Pages: 7-18
Received: Dec. 16, 2016; Accepted: Mar. 1, 2017; Published: Mar. 18, 2017
Views 912      Downloads 70
Tsedale Adane, Yekatit Hospital Medical Colleges, Addis Ababa, Ethiopia
Trhas Tadesse, Yekatit Hospital Medical Colleges, Addis Ababa, Ethiopia
Getabalew Endazenaw, Yekatit Hospital Medical Colleges, Addis Ababa, Ethiopia
Article Tools
Follow on us
Health Management Information System (HMIS) has sub system under HIS is specially designed to assist the management and planning of health programmes opposed to delivery of care that provides decentralized decision making and planning. However, decentralized informational management is at infancy stage in Ethiopia. Hence, to ensure the effective and efficient utilization of a system, periodic assessment becomes imperative at this juncture. The study aims in assessing utilization of HMIS at Public Health Centers in Addis Ababa. Institution based cross sectional quantitative and qualitative study was conducted from July to September 2011. The sample size was calculated using single population proportion formula and a total of 416 health professionals were included. Frequencies, proportion and summary statistics were used to describe the study population in relation to relevant variables. Bivariate and multivariate analyses were also be carried out to see the effect of each independent variable on the dependent variable. 416 respondents respond to the questionnaire with 98% response rate. The current utilization rate of HMIS at health centers were about 41.7%. The total outcomes of the generated routine data were compiled using tally sheet, registers, and reports, and in combination of these formats. The combined utilization of the mentioned formats constituted 199 (48.8%). The odds ratio result indicated that the provisions of technical supports, presence of computers, generated data at department level and practice of conversion of data into information enhanced the utilization of HMIS (AOR=1.69, 95%CI:1.09-2.63), (AOR=2.08, 95%CI:1.29-3.35) (AOR=2.78, 95%CI:1.65 -4.68), and (AOR=3.44, 95%CI:(1.82-6.51) respectively.
Utilization, HMIS, Public Health Facility
To cite this article
Tsedale Adane, Trhas Tadesse, Getabalew Endazenaw, Assessment on Utilization of Health Management Information System at Public Health Centers Addis Ababa City Administrative, Ethiopia, Internet of Things and Cloud Computing. Vol. 5, No. 1, 2017, pp. 7-18. doi: 10.11648/j.iotcc.20170501.12
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Angelo S Nyamtema. Bridging the gaps in the Health Management Information System in the context of a changinghealth sector. Medical Informatics and Decision Making. 2010.
Theo Lippeveld, Rainer Sauerborn, Claude Bodart. Design and implementation of health information systems. World Health Organization Geneva. 2000; 11–45.
World Health Organzation. Health Information System Development and Strengthening Gaidanceon need assessment for national health information system development. 2000 January; 6–11.
HMIS Business Process Re-engineering Assessment Report HMIS Core Process. HMIS Reform Team. 2006 Sep.
FMOH, Assessment of the Ethiopian National Health Information System. Addis Ababa. 2007.
Anagaw Shegaw. Special Issues on IT and Health Care in Developing Countries, Department of Informatics., University of Oslo, Norway. 2010; Vol. 4 No. 11-17.
Honest C. Kimaroa and José L, Nhampossab. The challenges of sustainability of health information systems in developing countries: comparative. case studies of Mozambique and Tanzania. 2007.
Ayano M. Assessment of Health Managment Information System at Public Hospital in Addis Ababa. A. A. U Thesis research. 2009.
Health Care Review. Vol. 25 (2): 74-78.
Potomac. Issues and Innovation in Routine Health Information in Developing Countries. Keynote address at the Workshop. 2000 March; 14–6.
Stefano Calciolari. Information integration in health care organizations the case of a European health system. 2010 Sep.
Rod Ward et al. The Attitudes of health care staff to information technology: a comprehensive review of the research literature Health Information and Libraries. 2008; Vol. 25: 81-97.
Joost Hoppenbrouwer & Christine Wamunyima Kanyengo. Current access to health information in Zambia. Health information and Libraries. 2007; Vol. 24: 246 256.
Arthur Heywood, University of Western Cape/HISP Jon Rohde, MSH/EQUITY Project. Using Information for Action. University of Western Cape School of Public Health.
Planning and Programming Department, Ministry of Health of Ethiopia. Health Metrics Network Ethiopia Health Information System: Review and Assessment Version 4.00. 2007 May.
Alganesh. Assessment of Health Managment Information System in Addis Ababa Health Bureau. 2005 Jun.
Sameh El-Saharty, Sosena Kebede, Petros Olango, Banafsheh Siadat. Ethiopia Improving Health Service Delivery. 2009 Aug.
Federal Ministry of Health. Health Management Information System (HMIS) /Monitoring and Evaluation (M&E) Information Use Guidelines and Display Tools HMIS / M&E Technical Standards: Area 4 HMIS Reform Team. 2008 Jan.
HMIS Reform Team. Federal Ministry of Health HMIS / M&E Information Use Guidelines and Display Tools. 2007 May.
Hedberg Calle,. Health Information System Progress with Caveats, an integration HMIS / M&E Redesign: Technical Standards. 2003.
WHO. Priority Intervention for Strengthening National Health Information System. 2004.
Lungo Juma Hemed. Data Flows in Health Information Systems, University of Oslo, Department of Informatics, Norway. 2003 May.
Andargie G. Assessment of Utilization of Health Information System at District Level with Particular Emphasis to HIV/AIDS Program in North Gondar Zone Amhara National Regional State. A. A. U. 2006 Jun.
Federal Ministry of Health. Health Sector Strategic Pl (HSDP-III) 2005/6-2009/10 Planning and Programming Department. 2005.
Federal Ministry of Health. Health Management Information System (HMIS) /Monitoring and Evaluation (M&E) Strategic Plan for Ethiopian Health Sector. 2008 Jan.
Addis Ababa City Adminstrativ Health Breua. Standard Operating Procedures for Decentralizing ART Initiation and follow up care to Public Health Centers and Private Facilites. 2006 Oct.
UNFPA. Summary and Statistical Report of the 2007 Population and Housing Census A. A. 2008 Dec.
Worku A. Empowerment of Youth club: Experience, Opportunities & Challenges. The case of “Sele Tselote Egi” Youth Reproductive Health/HIV/AIDS club in Oromia and “Kal” RH/HIV/AIDS club in Addis Ababa Region-Ethiopia. Addis Ababa University School of Graduate Program. 2006 Jul.
World Health Organzation. Regional office for the western pacific developing health management information apractical guide for developing countres. 2004.
Aquil, A etal. Guanajuato SINAIS Assesment. USAD 2010.
B. Campbell, S. Adjei, A. H. eywood: From data to decision making in health, the evaluation of a health management information system; Royal tropical Institute, Amesterdam the Netherlands, 1996.
Maria G. N. Musoke etal; information and its value to health workers in rura Uganda: a qualitative perspective. Black well science Ltd, health bibaries review,. 2000; 17, pp 194-202.
Scott Moreland, Sutapa Agrawal; Data Utilization in the Health Sector of India: United States Agency for International Development (USAID) 2009.
Chae, Y. M. et al. Implementing Health Management Information Systems: Measuring success in Korea’s health centers. Health Management and Planning International Journal 1994; Vol. 9: 341-348.
Chaulagai, C. N. et al. Design and implementation of a health management information system in Malawi: issues, innovations and results. School of Hygiene and Tropical Medicine, London, Oxford University 2005.
Weeks, R. Mark et al. improving the monitoring of immunization services in kyrgyzastan Health Policy and Planning. 2000; 15 (3): 279-286.
Gladwin, J. et al. Strengthening health information management in an East African country using external training materials. HealthInformatics Journal. 2000; 6: 9-14.
Gladwin J et al. Rejection of an innovation health information management training materials in east Africa, Health Policy and Planning 2002; 17 (4): 354-361.
Aqil, Anwer, Lipeveld, Theo and Dairiku Hozumi. PRISM framework: a paradigm shift for designing, strengthening and evaluating routine health information systems. 2009.
Gladwin J. et al. Implementing a new health management information system in Uganda Health Policy and Planning. 2003; Vol. 18 (2): 214-224.
Mutemwa, R. I. HMIS and decision making in Zambia: re-thinking information solutions for district health management in decentralized health systems. Oxford University press in association with London School of Hygiene and Tropical Medicine. 2005; 10. 1093.
Science Publishing Group
NEW YORK, NY 10018
Tel: (001)347-688-8931