| dc.description.abstract | The general objective of this study is to establish the determinants of effective implementation of Health
Management Information System, a case of Wajir County, Kenya. The study was pegged to the following four
specific objectives; health information management practices, technology, human resource and stakeholders.
The study employed a descriptive survey research design to gain knowledge and understanding of the design
and implementation of health information systems using Wajir County as a case study. The target population
of this study was Health Information Officers, Sub County Health Management Team and hospital departmental
Managers of the six sub counties of Wajir county. This study used an interview guide and a questionnaire to
collect primary data. Data analysis used SPSS to generate quantitative reports through tabulations, percentages,
and measures of central tendency. Based on the study observations the study concludes that health information
management practices influence the implementation of Health Management Information System to very great
extent. Although there was Internet connection in Wajir County, the Internet connection was not reliable. The
study noted that the common internet connections utilised in the Wajir County was 2G of 3G with very few
facilities utilizing 3G network connections. The findings also reveal top management of health facilities played
a key role in the implementation of Health Management Information System. However, majority of the
respondents indicated that the monitoring and evaluation function was weak in many of the facilities in Wajir
County. The study recommends that the government should provide adequate infrastructure in the form of
computers, internet connection and office space if necessary with the help of funds available with each
institution. Take measures to involve the private sector through regular consultations and bringing in requisite
legislations so that a comprehensive picture of the health status in the country could be obtained. Ensure the
resources to strengthen data utilization are developed and distributed to every facility in the County for example
manuals, standard operating procedures, research results and equipment like computers. The county should also
improve the skills and competency of the staff with regard to data interpretation, use of information and
evidence-based decision making through regular training programmes. Training related to HMIS activities
should be conducted regularly in a planned manner with adequate and timely release of funds. There should be
clear guidelines for the type of reporting and management of different data elements. Management of Wajir
County Government should strengthen the Monitoring and evaluation function in health facilities with a view
of enhancing efficiency and effectiveness in these facilities. | en_US |
