Determinants of translating routine health information system data into action in Mozambique

A qualitative study

Dados Bibliográficos

ID21878463
AutoresNami Kawakyu (0000-0002-6591-2057, University of Washington), Celso Inguane (0000-0002-4669-5800, University of Washington), Quinhas Fernandes (0000-0002-1539-0967, University of Washington), Artur Gremu (Instituto Nacional de Saúde), Florencia Floriano (Comité para Saúde de Moçambique, Beira, Mozambique), Nelia Manaca (Comité para Saúde de Moçambique, Beira, Mozambique), Isaias Ramiro (0009-0002-9568-6633, Comité para Saúde de Moçambique, Beira, Mozambique), Priscilla Felimone (Catholic University of Mozambique), Jeremias Armindo Azevedo Alfandega (Instituto Nacional de Saúde), Xavier Alcides Isidor (Instituto Nacional de Saúde), Santana Mário Missage (Instituto Nacional de Saúde), Bradley H Wagenaar (0000-0002-3351-7175, University of Washington), Kenneth Sherr (0000-0002-2963-0829, University of Washington), Steven Gimbel (0000-0003-3330-1208, University of Washington), Sarah Gimbel (University of Washington)
Ano2024
Volume9
Fascículo8
Páginase014970
Data de publicação2024-08-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoBMJ Global Health (JOURNAL)
Identificadores do periódicoISSN: 2059-7908 • E-ISSN: 2059-7908
EditoraBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2024-014970
PMID39153750
OpenAlexW4401656380
IdiomaEN
Citações recebidas2
Referências citadas36

INTRODUCTION: Routine health information systems (RHISs) are an essential source of data to inform decisions and actions around health facility performance, but RHIS data use is often limited in low and middle-income country contexts. Determinants that influence RHIS data-informed decisions and actions are not well understood, and few studies have explored the relationship between RHIS data-informed decisions and actions. METHODS: This qualitative thematic analysis study explored the determinants and characteristics of successful RHIS data-informed actions at the health facility level in Mozambique and which determinants were influenced by the Integrated District Evidence to Action (IDEAs) strategy. Two rounds of qualitative data were collected in 2019 and 2020 through 27 in-depth interviews and 7 focus group discussions with provincial, district and health facility-level managers and frontline health workers who participated in the IDEAs enhanced audit and feedback strategy. The Performance of Routine Information System Management-Act framework guided the development of the data collection tools and thematic analysis. RESULTS: Key behavioural determinants of translating RHIS data into action included health worker understanding and awareness of health facility performance indicators coupled with health worker sense of ownership and responsibility to improve health facility performance. Supervision, on-the-job support and availability of financial and human resources were highlighted as essential organisational determinants in the development and implementation of action plans. The forum to regularly meet as a group to review, discuss and monitor health facility performance was emphasised as a critical determinant by study participants. CONCLUSION: Future data-to-action interventions and research should consider contextually feasible ways to support health facility and district managers to hold regular meetings to review, discuss and monitor health facility performance as a way to promote translation of RHIS data to action

Audit · Business · Environmental health · Health facility · Knowledge management · Political science · Population · Psychological intervention · Public health · Public relations · Qualitative property · Qualitative research · Sociology · Thematic analysis · Computer Science · Electronic Health Records Systems · Global Maternal and Child Health · Medicine · Mobile Health and mHealth Applications · Nursing · Psychology · Accounting · Health Informatics