Factors Associated with Low Level of Health Information Utilization in Resources Limited Setting, Eastern Ethiopia

Abstract

Health information system (HIS) is a system that integrates data collection, processing, reporting and use of the information necessary for improving health service effectiveness and efficiency through better management at all levels of health services. Despite the credible use of HIS for evidence based decision making, countries with the highest burden of ill health and the most in-needs for accurate and timely data have the weakest HIS in the vast majority of world’s poorest countries. The main of this study was to assess the level of information utilization and identify factors affecting information use in, Ethiopian, health facilities. A cross sectional study was conducted by using structured questioners in Dire Dawa administration health facilities. All unit/department heads from all government health facilities were selected. The data was analyzed using STATA version 11. Frequency and percentages was computed to present the descriptive findings. Association between variables was computed using binary logistic regression. Over all utilization of health information was found to be 53.1%. Friendly format for reporting and managers provide regular feed back to their staff were found to be significantly associated with health information utilization, and their strength were (AOR=2.796,95% CI[1.478,5.288]) and (AOR=2.195,95%CI[1.213,3.974]) respectively. Overall HIS utilization was found to be below the national expectation level. Low utilization of HIS was found in health posts than health centers and hospitals. There was also shortage of assigned HIS personnel, separate HIS office and assigned budget for HIS in majority of units/departments.

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