Assessment of the Implementation Level of National Health Information System Policy on Data Quality and Information use in Ondo State, Nigeria

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DOI: 10.21522/TIJMD.2013.08.03.Art006

Authors : Dorcas O. Johnson, Amitabye Luximon-Ramma, Agboola F. Adebayo, Ibukun-ola E. Johnson, Kayode O. Adepoju

Abstract:

To better understand the practical challenges of health data utilization in resource-limited settings, this study explored key factors affecting the use of the National Health Management Information System (NHMIS) in Ondo State. One of the foundational components of any health system, the Health Management Information System (HMIS), brings together data collection, processing, reporting, and usage. Although low- and middle-income countries (LMICs) have adopted health information systems as part of broader health reforms, they often encounter difficulties in generating high-quality data. A critical issue raised by district-level informants was the limited human capacity to apply analytical tools and methods necessary for converting data into actionable insights, largely due to insufficient training. To investigate this further, twelve (12) key informants were purposively selected based on their central roles in NHMIS data management within Ondo State. This study revealed that there is a Staff Shortage and Work Overload, Limited Training and Capacity Building, Inadequate Motivation and Incentives, Infrastructure and Tool Gaps, Irregular Supervision and Feedback, and Digital Literacy and Use of Technology. A lack of systematic investment in training, supervision, digital tools, and motivation schemes can even render the most well-designed health information systems ineffective in achieving their intended impact. As such, stakeholders must prioritise expanding the HMIS workforce, standardizing training, equipping facilities with necessary tools, strengthening supervision, and integrating a digital health system.

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