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Evaluation and Contribution of Community-Based Health Information System in Achievement of Community Strategy in West Seme Location of Kisumu County, Kenya

Show simple item record NDENGA, Erick 2021-05-07T11:43:51Z 2021-05-07T11:43:51Z 2014
dc.description.abstract Reliable and timely health information is an essential foundation of public health action and health systems strengthening. Kenya still lacks sufficiently strong and effective health information systems to monitor progress of health indicators, especially in Primary Health Care (PHC) provision. PHC in Kenya is implemented through the Community strategy (CS), with strong dependency on Community-Based Health Information Systems (CBHIS).West Seme Location is among the first that received CS specific staff to boost community strategy implementation in May 2011. Despite such implementation, health information is infrequently available in this region, owing to chronic under-investment in systems for data collection, analysis, dissemination and use. The objective of the current study was to evaluate the implementation and contribution of the CBHIS to delivery of the Community Strategy goal in West Seme Location in Kisumu County, Kenya. It was a cross-sectional study with two categories of respondents. The first group (n=376) was randomly sampled from the residents of West Seme Location (N= 13,025) to generate information on the operation of the CBHIS using a general questionnaire (GQ). The second group consisted of nineteen (19) purposively selected key informants who had been technically involved in the implementation of the CBHIS in the location, and information was collected from them using the Key Informant Interviews (KIl). Quantitative data to establish the implementation, and the information requirement for the CBHIS users was analyzed descriptively using SPSS version 19. Univariate association was established using Chi square and Fishers test while binary regression analysis was used to associate the outcome phenomenon with other exploratory variables. Statistical significance was assessed at u<0.05 Qualitative information on the extent to which the CBHIS supports delivery of the community strategy was thematically summarized. The study established that 89.5% of the KII respondents were involved in the implementation of the CBHIS in the CS. Upto 84.2% of the key informant indicated that they had no other facilitation of CBHIS other than the tools from the central government. Besides the Ministry of Health, other beneficiaries of the CBHIS identified by the respondents were Faith-Based Organizations, Non-Governmental Organizations, schools, Community-Based Organizations (CBOs), private health facilities and researchers. The information needs varied where 68.4% cited water and sanitation, 36.8% service defaulters tracing, 10.5% report development, 21.1% Home-Based Care and Treatment, and health education, while 5.3% cited Prevention of Mother-To-Child Transmission of HN and a similar number on malaria control. Over 88% of the general questionnaires respondents indicated they were often visited by a community health worker (CHW), with Fishers exact test confirming a significant association between being visited and receiving health education messages from the CHWs (P<OOOOl) to 93.3% of the respondents. A number (43.2%) of the respondents were aware of the availability of a place where all the health information was being aggregated and displayed to the public. Even though the involvement of the respondents in the implementation of the CBHIS is high at 84.2%, it has left: many other needy users with information deficit while collecting some information not needed by the current users for implementation of the community strategy. The study recommends that the implementation of the CBHIS in the location' to be tailored to the context of West Seme Location to capture the information needs of all the users with a framework for continuous monitoring for full implementation of the community strategy. Adopting the recommendations of this study will enhance community access to health care in order to improve individual productivity and thus reduce poverty, hunger, and child and maternal deaths. en_US
dc.language.iso en_US en_US
dc.publisher Maseno University en_US
dc.subject Community-Based Health Information System in Achievement of Community Strategy en_US
dc.title Evaluation and Contribution of Community-Based Health Information System in Achievement of Community Strategy in West Seme Location of Kisumu County, Kenya en_US
dc.type Thesis en_US

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