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Decentralizing evidence-based decision-making in resource limited setting: A case of SNNP region, Ethiopia

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  • Misganu Endriyas
  • Abraham Alano
  • Emebet Mekonnen
  • Aknaw Kawza
  • Fisha Lemango

Abstract

Background: Access to and the use of accurate, valid, reliable, timely, relevant, legible and complete information is vital for safe and reliable healthcare. Though the study area has been implementing standardized Health Management Information System (HMIS), there was a need for information on how well structures were utilizing information and this study was designed to assess HMIS data utilization. Methods: Facility based retrospective study was conducted in Southern Nations Nationalities and People’s Region (SNNPR) in April, 2017. We included data from 163 sample facilities. Data use was evaluated by reviewing eight items from performance monitoring system that included activities from problem identification to monitoring of proposed action plans. Each item reviewed was recoded to yes or no and summed to judge overall performance. Results: About half (52%) of woredas, 26.2% health centers (HCs), 25% hospitals and 6.2% health posts (HPs) reviewed their performance monthly but only 20% woredas, 6.2% HCs, 1.5% HPs and no hospital prepared action plans after reviewing performance. Summary of 8 items assessed showed that majority of facilities (87.5% hospitals, 81.5% HPs and 70.8% HCs) were poor in data utilization. Conclusions: Only about half of woredas and below one-fifth of health facilities were utilizing HMIS data and a lot to move to catch-up country’s information revolution plan. Lower health care systems should be supported in evidence-based decision-making and progress should be monitored routinely quantitatively and/or qualitatively.

Suggested Citation

  • Misganu Endriyas & Abraham Alano & Emebet Mekonnen & Aknaw Kawza & Fisha Lemango, 2020. "Decentralizing evidence-based decision-making in resource limited setting: A case of SNNP region, Ethiopia," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-11, July.
    • Handle: RePEc:plo:pone00:0236637
    DOI: 10.1371/journal.pone.0236637
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    References listed on IDEAS

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    1. Manish Kumar & David Gotz & Tara Nutley & Jason B. Smith, 2018. "Research gaps in routine health information system design barriers to data quality and use in low‐ and middle‐income countries: A literature review," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(1), pages 1-9, January.
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    Cited by:

    1. Alberto Bezama & Nora Mittelstädt & Daniela Thrän & Fritz Balkau, 2021. "Trends and Challenges in Regional Life Cycle Management: A Bibliometric Analysis," Sustainability, MDPI, vol. 13(18), pages 1-19, September.

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