Browsing by Author "Yusuph, Fatuma"

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    Routine health data use for decision making and its associated factors among primary healthcare managers in Dodoma region
    (The University of Dodoma, 2023) Yusuph, Fatuma
    Background: Data demand and use culture have a tremendous impact on the proper allocation of scarce resources and evidence-based decision making. However, primary healthcare managers in the majority of Sub-Saharan African countries continue to struggle with using routine health data for decision-making. Purpose/objective: This study aimed to assess routine health data use for decision making and its associated factors among primary healthcare managers in Dodoma region. Methods: Cross-sectional study design involved 188 primary healthcare managers from Dodoma City council, Kondoa Town council and Bahi Distric council was conducted. A self-administered questionnaire adapted from the Performance of Routine Information System Management (PRISM) tools was used to collect the data. Data was analysed by using SPSS program. Principal Component Analysis was used to find the level of routine health data use, Chi-square and binary logistic regression analysis were used to determine factors associated with routine health data use for decision making among primary healthcare managers. The study was conducted from May to June, 2022. Results: The level of adequate routine health data use for decision making among healthcare managers was 63.30%. Factors associated with adequate routine health data use for decision making among healthcare managers were; respondents characteristics: level of health facility (A0R=2.680, C1= [1.926, 6.147], p=0.0062), and district surveyed (AOR=4.426, CI= [1.137, 17.237] p=0.0320). Individual factors: comparing data with strategic objectives (AOR=4.905, CI= [1.352-17.796], p=0.0156), decision based on health needs (AOR=9.440, CI= [1.290-69.076], p=0.0271). Technical factors: ability to plot information by month (AOR=9.532, CI= [1.839, 49.398], p=0.0072). Conclusion and Recommendation: The level of routine health data use for decision making was found to be modest. The level of data demand and use culture may increase more quickly if capacity building is strengthened and issues that de-motivate primary health care managers from using data are addressed. This will help address the underlying causes of health problems.