Department of Biostatistics

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    ROUTINE HEALTH INFORMATION UTILIZATION AND ASSOCIATED FACTORS AMONG HEALTHCARE PROFESSIONALS IN MEKELLE AND ENDERTA, TIGRAY, ETHIOPIA, 2024: A MULTILEVEL ANALYSIS
    (Mekelle University, 2024-10-20) Hailemariam Atsbeha
    Background: A routine health information system comprises data collected at regular intervals. Utilization of timely, accurate, and relevant health information facilitates decision-making for effective interventions, services, and policies and it can prevent and reduce major healthcare problems in the healthcare system. Though health information is a building block for the health system, there is limited evidence about the culture of using routine health information for decision-making in Ethiopia, particularly in Tigray. Thus, this study aimed to assess the utilization of routine health information and its associated multilevel factors among healthcare professionals in Tigray, Mekelle zone, and Enderta District public health facilities and tried to make possible recommendations based on the findings. So, understanding the level of RHI utilization will be important for healthcare providers, policymakers, and program managers to improve the overall effectiveness and efficiency of the healthcare system in the region. Objective: -The general objective of the study was to assess routine health information utilization and associated factors for routine health information in Tigray region; Mekelle Zone and Enderta District public health facilities. Method: - A facility-based cross-sectional study was conducted from Feb 2024 to March 2024 in 23 public health facilities of Mekelle zone and Enderta District, Tigray Ethiopia. A simple random sampling method was used to recruit 422 participants. Data were entered and analyzed using STATA 17 software. Percentage and frequency were used to summarize categorical variables. Bivariate analysis and multivariable analysis were done to identify significant factors. Variable with a p-value <0.05 was used to identify variables significantly associated with the utilization of Routine Health Information. Results: The study found that 59.7% of the healthcare professionals had a good level of RHI utilization. The multilevel analysis revealed that data recording habit (AOR = 7.1, 95% CI: 3.1, 16), computer skills (AOR = 4.4, 95% CI: 2.2,9.1), data analysis skills (AOR = 10.1, 95% CI: 5.5, 20.), availability of standard guidelines (AOR = 7.1, 95% CI:2.4, 20), regular feedback (AOR =2.9, 95% CI: 1.04, 8.2) and the presence of a functional performance monitoring team (AOR = 7.8, 95% CI:2.6, 22), were significantly positively associated with routine health information utilization. Conclusion: - This study concluded that nearly 60% of the healthcare professionals in Mekelle zone and Enderta woreda public health facilities had good routine health information utilization. Basic computer skills, data analysis skills, data recording habit, availability of standard guidelines, regular feedback, and the presence of a functional performance monitoring team were factors significantly associated with routine health information utilization. This study recommends enhancing healthcare professionals’ computer skills, and data analysis skills, establishing a performance monitoring team, availing standard guidelines, and providing regular feedback.