Abstract:
Abstract
Introduction: Changing information use culture is one of the transformation agenda
of the Ministry of Health of Ethiopia. This transformation agenda can’t be real unless
health providers have commitment to use locally collected data for evidence based
decision making. Performance Monitoring Team (PMT) members’ commitment level
has a very paramount influence on district health information system data (DHIS2)
utilization for decision making. Evidences are limited on performance monitoring
team members’ commitment to use DHIS2 data. Therefore, this study will fill the
evidence gaps.
Objective: To assess commitment level and associated factors to use DHIS2 data for
decision making among PMT members in Ilu Aba Bora zone, Oromia, Ethiopia 2020.
Method: Cross sectional quantitative supplemented by qualitative methods was
conducted to assess commitment level of PMT members to use DHIS2 data. A total
of 264 participants were approached. SPSS version 20 software was used for data
entry and analysis. Descriptive and analytical statistics including Bivariable and
Multivariable analyses was done. Thematic analysis was conducted for qualitative part
Result: A total of 264 participants were approached with 100% response rate. Overall
121(45.8%) of the respondents were committed to use DHIS2 data (95% CI: [40.00,
52.8]). Attitude[ AOR=2.12, 95% CI: (1.10, 4.70)], Feedback [AOR= 1.85, 95% CI:
(1.02, 3.33)], Supervision [AOR= 2.84, 95% CI: (1.50, 5.37)], Information use culture
[AOR=1.92,95% CI: (1.03, 3.59)] ,Motivation [AOR=1.80, 95% CI: (1.00, 3.25)] ,Health
need [AOR=3.96, 95% CI: (2.11, 7.41)] and Competency [AOR=2.41, 95%
CI:(1.27,4.55)] were variables associated with level of commitment to use DHIS2 data.
Conclusion: Level of commitment to use DHIS2 data in this study was
45.8%. Information use culture, Motivation, Attitude, Competency, Health need,
Supervision and Feedback were the most determinant factors. Providing regular
supportive supervision and feedback, increasing motivation and changing attitude will
help to bring cultural transformation of data use.
Key words: Commitment, District health information system, Decision making
