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Knowledge, Attitude and Practice of Health Information Management Among Health Managers in Government Health Facilities in Ghana: A Cross-Sectional Study

Received: 2 May 2022    Accepted: 16 May 2022    Published: 26 May 2022
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Abstract

A proper health information management system goes a long way to effectively influence data-driven decision making to improve health delivery. Despite dedicating enormous resources to adequately manage health information in the health systems, health facility managers who are the main custodians of this information at the facility levels pay little or no attention to the management of this information. This study therefore aimed at assessing the knowledge, attitude and practice of health information management among health facility managers in government health facilities. An institutional-based descriptive cross-sectional study was conducted from 1st February to 10th March 2022 in 68 purposively selected government health facilities in the Ashanti Region of Ghana. A pretested researcher-administered structured questionnaire was used to elicit quantitative data from health facility managers. Epi Info version 7 and STATA version 13 were used for data entry, cleaning and analysis respectively. Univariate descriptive statistics were computed. Fisher’s exact Binary logistic regression analysis was done to identify factors influencing knowledge, attitude and practice levels. An odd ratio at a 95% confidence level was used to describe the strength of the association. The overall adequate knowledge score was 34.3% with a mean score of 9.09±0.97. Good attitude and practice scores were 41.8% and 47.8% with mean scores of 3.01±1.04 and 6.22±2.60 respectively. Adequate knowledge among respondents who were 30 years and above was 10 times more compared to respondents whose ages were below the 30 years (95%CI (10.00,4.53.45), p = 0.016). Respondents who had worked for 5 years or more were more likely to have adequate knowledge of health information management compared to the respondents who have worked for less than 5 years (COR = 4.96 [95%CI (1.20,29.83)], p = 0.022). Sex, educational level, and respondents’ specialty were not statistically significant with the health information management knowledge level. All socio-demographics used in the multivariate analysis were not statistically significant with attitude and practice level of health information management among respondents. Knowledge, attitude and practice level of health information management were found to be very poor among health facility managers. Capacity building tailored towards health facility managers would help ensure effective supervision and monitoring of routine health information management. Future research would be needed to explore the reason behind the poor level of health managers’ knowledge, attitude and practice of health information management.

Published in Journal of Health and Environmental Research (Volume 8, Issue 2)
DOI 10.11648/j.jher.20220802.16
Page(s) 108-115
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Health Information Management, Asokore Mampong, Offinso North, Knowledge, Attitude, Practice, DHIMS2

References
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[3] World Health Organization. Framework and Standards for Country Health Information Systems. 2nd Ed. Geneva: World Health Organization Press; 2012. 1–63 p.
[4] Nutley T, Gnassou L, Traore M, Bosso AE, Mullen S. Moving data offthe shelf and into action: An intervention to improve data: informed decision making in Cô te d’Ivoire. Glob Health Action. 2014; 7 (1): 1–11.
[5] Heywood A, Boone D. Guidelines for Data Management Standards in Routine Health Information Systems [Internet]. Washington DC; 2015. Available from: https://pdf.usaid.gov/pdf_docs/PA00KB8N.pdf
[6] Measure Evaluation. Using DHIS 2 to Strengthen Health Systems [Internet]. Measure Evaluation. 2017 [cited 2022 Mar 5]. p. 1–2. Available from: https://www.measureevaluation.org/resources/publications/fs-17-212.html
[7] Ghana Health Service DHIMS2. Data Completeness of selected maternal and child health and clinical datasets in DHIMS [Internet]. Ghana Health Service. 2021 [cited 2022 Mar 22]. p. 2. Available from: https://chimgh.org/dhims/dhis-web-pivot
[8] Ngusie HS, Shiferaw AM, Bogale AD, Ahmed MH. Health data management practice and associated factors among health professionals working at public health facilities in resource limited settings. Adv Med Educ Pract. 2021; 12 (1): 855–62.
[9] Yitayew S, Asemahagn MA, Zeleke AA. Primary Healthcare Data Management Practice and Associated Factors: The Case of Health Extension Workers in Northwest Ethiopia. Open Med Inform J. 2019; 2–7.
[10] Afolaranmi TO, Hassan ZI, Dawar BL, Wilson BD, Zakari AI, Bello KK, et al. Knowledge of electronic medical records system among frontline health care workers in Jos University teaching hospital, Plateau State Nigeria. Int J Res Med Sci. 2020; 8 (11): 3837–43.
[11] Ndibuagu EO, Nwobi EA, Onoka CA, Arinze-Onyia SU, Obionu CN. Knowledge, Attitudes and Practices of Enugu State District Health System by Public Primary Health Care Workers. Int Res J Med Sci [Internet]. 2015; 3 (4): 1–10. Available from: www.isca.me
[12] Shagake SS, Mengistu MY, Zeleke, Alamirrew A. Data Management Knowledge, Practice and Associated Factors of Ethiopian Health Extension Workers in Gamo Gofa Zone, Southern Ethiopia: A Cross- Informatics Data Management Knowledge, Practice and Associated Factors of Ethiopian Health Extension Worker. Int J Res Med Sci. 2014; 5 (1): 1–6.
[13] Thadeus WK, Mushi LD. Health care professional knowledge and attitude towards the use of digital technologies in provision of maternal health services at Tumbi regional referral hospital in Tanzania. J Med Res Innov. 2020; 5 (1): e000233.
[14] Olagbuji YW, Adejugbagbe AM. Improving the Quality of Health Management Information System: Determinants of Effective Data Management among Data Management Officers in a South West State in Nigeria. Arch Curr Res Int. 2018; 12 (3): 1–11.
[15] Aslinda N, Amin M, Farik S, Yatin M, Jali J, Sahid Z, et al. Role of Medical Records Management Practice in Improving Decision Making in University Hospital. Int J Acad Res Bus Soc Sci. 2020; 1 (11): 1160–7.
[16] Ouedraogo M, Kurji J, Abebe L, Labonte R. A quality assessment of Health Management Information System (HMIS) data for maternal and child health in Jimma Zone, Ethiopia. PLoS One. 2019; 1–12.
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Cite This Article
  • APA Style

    Richmond Bediako Nsiah, Solomon Anum-Doku, Wisdom Takramah, Dominic Nyarko, Regina Amoa-TuTu, et al. (2022). Knowledge, Attitude and Practice of Health Information Management Among Health Managers in Government Health Facilities in Ghana: A Cross-Sectional Study. Journal of Health and Environmental Research, 8(2), 108-115. https://doi.org/10.11648/j.jher.20220802.16

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    ACS Style

    Richmond Bediako Nsiah; Solomon Anum-Doku; Wisdom Takramah; Dominic Nyarko; Regina Amoa-TuTu, et al. Knowledge, Attitude and Practice of Health Information Management Among Health Managers in Government Health Facilities in Ghana: A Cross-Sectional Study. J. Health Environ. Res. 2022, 8(2), 108-115. doi: 10.11648/j.jher.20220802.16

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    AMA Style

    Richmond Bediako Nsiah, Solomon Anum-Doku, Wisdom Takramah, Dominic Nyarko, Regina Amoa-TuTu, et al. Knowledge, Attitude and Practice of Health Information Management Among Health Managers in Government Health Facilities in Ghana: A Cross-Sectional Study. J Health Environ Res. 2022;8(2):108-115. doi: 10.11648/j.jher.20220802.16

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  • @article{10.11648/j.jher.20220802.16,
      author = {Richmond Bediako Nsiah and Solomon Anum-Doku and Wisdom Takramah and Dominic Nyarko and Regina Amoa-TuTu and George Hector Amonoo and Lynna Naa Adede Obeng and Gifty Sefaah Owusu and Charles Sarkodie and Gilbert Dagoe},
      title = {Knowledge, Attitude and Practice of Health Information Management Among Health Managers in Government Health Facilities in Ghana: A Cross-Sectional Study},
      journal = {Journal of Health and Environmental Research},
      volume = {8},
      number = {2},
      pages = {108-115},
      doi = {10.11648/j.jher.20220802.16},
      url = {https://doi.org/10.11648/j.jher.20220802.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jher.20220802.16},
      abstract = {A proper health information management system goes a long way to effectively influence data-driven decision making to improve health delivery. Despite dedicating enormous resources to adequately manage health information in the health systems, health facility managers who are the main custodians of this information at the facility levels pay little or no attention to the management of this information. This study therefore aimed at assessing the knowledge, attitude and practice of health information management among health facility managers in government health facilities. An institutional-based descriptive cross-sectional study was conducted from 1st February to 10th March 2022 in 68 purposively selected government health facilities in the Ashanti Region of Ghana. A pretested researcher-administered structured questionnaire was used to elicit quantitative data from health facility managers. Epi Info version 7 and STATA version 13 were used for data entry, cleaning and analysis respectively. Univariate descriptive statistics were computed. Fisher’s exact Binary logistic regression analysis was done to identify factors influencing knowledge, attitude and practice levels. An odd ratio at a 95% confidence level was used to describe the strength of the association. The overall adequate knowledge score was 34.3% with a mean score of 9.09±0.97. Good attitude and practice scores were 41.8% and 47.8% with mean scores of 3.01±1.04 and 6.22±2.60 respectively. Adequate knowledge among respondents who were 30 years and above was 10 times more compared to respondents whose ages were below the 30 years (95%CI (10.00,4.53.45), p = 0.016). Respondents who had worked for 5 years or more were more likely to have adequate knowledge of health information management compared to the respondents who have worked for less than 5 years (COR = 4.96 [95%CI (1.20,29.83)], p = 0.022). Sex, educational level, and respondents’ specialty were not statistically significant with the health information management knowledge level. All socio-demographics used in the multivariate analysis were not statistically significant with attitude and practice level of health information management among respondents. Knowledge, attitude and practice level of health information management were found to be very poor among health facility managers. Capacity building tailored towards health facility managers would help ensure effective supervision and monitoring of routine health information management. Future research would be needed to explore the reason behind the poor level of health managers’ knowledge, attitude and practice of health information management.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Knowledge, Attitude and Practice of Health Information Management Among Health Managers in Government Health Facilities in Ghana: A Cross-Sectional Study
    AU  - Richmond Bediako Nsiah
    AU  - Solomon Anum-Doku
    AU  - Wisdom Takramah
    AU  - Dominic Nyarko
    AU  - Regina Amoa-TuTu
    AU  - George Hector Amonoo
    AU  - Lynna Naa Adede Obeng
    AU  - Gifty Sefaah Owusu
    AU  - Charles Sarkodie
    AU  - Gilbert Dagoe
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    N1  - https://doi.org/10.11648/j.jher.20220802.16
    DO  - 10.11648/j.jher.20220802.16
    T2  - Journal of Health and Environmental Research
    JF  - Journal of Health and Environmental Research
    JO  - Journal of Health and Environmental Research
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    EP  - 115
    PB  - Science Publishing Group
    SN  - 2472-3592
    UR  - https://doi.org/10.11648/j.jher.20220802.16
    AB  - A proper health information management system goes a long way to effectively influence data-driven decision making to improve health delivery. Despite dedicating enormous resources to adequately manage health information in the health systems, health facility managers who are the main custodians of this information at the facility levels pay little or no attention to the management of this information. This study therefore aimed at assessing the knowledge, attitude and practice of health information management among health facility managers in government health facilities. An institutional-based descriptive cross-sectional study was conducted from 1st February to 10th March 2022 in 68 purposively selected government health facilities in the Ashanti Region of Ghana. A pretested researcher-administered structured questionnaire was used to elicit quantitative data from health facility managers. Epi Info version 7 and STATA version 13 were used for data entry, cleaning and analysis respectively. Univariate descriptive statistics were computed. Fisher’s exact Binary logistic regression analysis was done to identify factors influencing knowledge, attitude and practice levels. An odd ratio at a 95% confidence level was used to describe the strength of the association. The overall adequate knowledge score was 34.3% with a mean score of 9.09±0.97. Good attitude and practice scores were 41.8% and 47.8% with mean scores of 3.01±1.04 and 6.22±2.60 respectively. Adequate knowledge among respondents who were 30 years and above was 10 times more compared to respondents whose ages were below the 30 years (95%CI (10.00,4.53.45), p = 0.016). Respondents who had worked for 5 years or more were more likely to have adequate knowledge of health information management compared to the respondents who have worked for less than 5 years (COR = 4.96 [95%CI (1.20,29.83)], p = 0.022). Sex, educational level, and respondents’ specialty were not statistically significant with the health information management knowledge level. All socio-demographics used in the multivariate analysis were not statistically significant with attitude and practice level of health information management among respondents. Knowledge, attitude and practice level of health information management were found to be very poor among health facility managers. Capacity building tailored towards health facility managers would help ensure effective supervision and monitoring of routine health information management. Future research would be needed to explore the reason behind the poor level of health managers’ knowledge, attitude and practice of health information management.
    VL  - 8
    IS  - 2
    ER  - 

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Author Information
  • Public Health Department, Ghana Health Service, Kumasi, Ghana

  • Public Health Department, Ghana Health Service, Kumasi, Ghana

  • School of Public Health, The University of Health and Allied Sciences, Ho, Ghana

  • Public Health Department, Ghana Health Service, Kumasi, Ghana

  • Clinical Department, Ghana Health Service, Kumasi, Ghana

  • Public Health Department, Ghana Health Service, Cape Coast, Ghana

  • Clinical Department, Ghana Health Service, Kumasi, Ghana

  • Public Health Department, Ghana Health Service, Kumasi, Ghana

  • Public Health Department, Ghana Health Service, Kumasi, Ghana

  • Public Health Department, Ghana Health Service, Kumasi, Ghana

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