Evaluation of result based financing program at primary healthcare facilities ; Data quality improvement in health management information system: A case of Mafia District council
Date
2019
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Mzumbe University
Abstract
The study evaluated result based financing program at primary healthcare facilities, Specifically, it intended to examine the RBF HMIS training on data quality improvement in HMIS at Primary healthcare facilities, examine the extent by which RBF data sharing meeting on data quality improvement in HMIS at Primary healthcare facilities, and evaluate the RBF supportive supervision on data quality improvement in HMIS at Primary healthcare facilities in Mafia DC A descriptive cross-sectional evaluation design was employed and a mixed method was used where simple random sampling techniques were used to select health care workers from RBF facilities. The self-administered questionnaire was employed and purposively technique was used to select key informants from RBF facilities to participate in an in-depth interview. Quality of health management information systems for managing patients and managerial issues was poor 38.4% in 2017 due to poor knowledge of health workers towards data collects, processing, analyzing and use for further improvement of health services provision. Obviously, this has a profound effect on service quality, customers’ satisfaction, health facilities’ performance and profitability, increasing morbidity, disability, and death, which also affects stability and economic activities of a country. The findings revealed that the majority of respondents attended training on HMIS data, it’s about 89.9% of them. When supportive supervision on HMIS data towards the quality of HMIS data was assessed, many showed to have contributed to data quality on HMIS data. Moreover, the researcher found data sharing meeting for health staff attended at least in on time which was noted to have great contribution to the improvement of the quality of HMIS data in their facility. The study noted that RBF program has increased health providers’ capacity to collects, analyze and use data in promote quality of health services provision. The health workers acquired knowledge and skills on collecting, analyzing, presenting, and using data. However, health care workers claimed that sometimes due to excessive workload they did not have enough time for data collecting and submitted timely to CHMT. The study concluded that RBF program has increased the improvement of data quality in health management information systems. The RBF program increased knowledge of healthcare workers in perspective of data collections, analysis and use at Primary healthcare facilities in Mafia DC. The study recommended that more initiatives should be carried out by the government and other stakeholders to advocate on improvement of data quality in HMIS to other districts and regions that are not implementing RBF program. This willpower progressively changes the outlook of health staff towards data collection, analysis, and use in decision making.
Key words: Evaluation; Result-Based Financing; Data Quality Improvement.
Description
A dissertation submitted in partial fulfillment of the requirements for the Degree
of Master of Science in Health Monitoring and Evaluation( Msc. HM&E) of Mzumbe
University.
Keywords
Healthcare facilities, Data quality improvement, Information system, Health management, Financing program
Citation
APA