Factors influencing implementation of health management information systems in government health care facilities in Kenya: the case of Kibwezi health care facilities Makueni county
Abstract
Health Management Information system is a system designed to integrate data collection,
processing, reporting, and use for the improvement of patient health services, effectiveness and
efficiency through better management of patient data at all levels of implementation. The main
objective of the study was to assess the factors influencing implementation of health
management information systems in government health care facilities in Kenya, a case of
Kibwezi district health care facilities Makueni County. The study specifically aimed to; assess
how Planning, Stakeholders, technology, human capacity development and to find out how
finance influences the implementation of health management information systems in government
health care facilities. The study adopted a descriptive case study research design and the study
population consisted of 200 heath care workers at Kibwezi Health Care Facilities. The study
specifically targeted 30 doctors and clinical officers, 150 nurses and 20 IT staff since they are the
one involved in the implementation of health management information systems. The study
adopted a probability sample design by applying a stratified random sampling technique to select
a sample size of 100 respondents. Questionnaires were used as the major data collection
instruments. Descriptive statistics data analysis method was applied to analyze the gathered data
using a Statistical Package for Social Scientists (SPSS) that was used to compute response
frequencies, percentages and mean, standard deviation and variance results. The obtained
findings were presented using tables, pie charts and bar charts. Further, inferential statistics using
correlation analysis was used to determine,~lie/relationship between research variables. The study
found out that planning was major facttr :ehat greatly influenced eifective implementation of
health management information systems in government health care facilities. lack of
stakeholders support hindered allocation of enough financial resources for strengthening
effective implementation of HMIS. The study drew conclusions that poor and lack of
implementation of HMIS in many government health care facilities in Kenya is greatly
influenced by poor planning and strategizin~, lack of stakeholders support, lack of embracement
of ICT, lack of human capacity development in ICT and health management and inadequate
financial resources. The study recommended that; the management of government health care
facilities should undertake effective planning and strategizing by drafting and implementing
effective strategic plans; the top management in the government health care facilitates should
employ effective leadership styles and demonstrate a high level of engagement in the HMIS
implementation process; heath care facilities should implement effective ICT infrastructure to
support automation of heath recording function; government health care facilities should recruit
competent workforce and implement continuous human resource capacity development
programs such as training workshops, seminars and career development opportunities. Finally
the government through the ministry of health should allocate adequate funds for financing
HMIS implementation process
Citation
Master Of Arts In Project Planning And ManagementPublisher
University of Nairobi School of Education, CEES
Collections
- Faculty of Education (FEd) [5964]