Factors Affecting Impementation of Government of Tanzania Hospital Management Information System

Abstract

ABSTRACT TheHospital Management Information System (HMIS)is very ly:rieficial forifir: ;ird efficient service delivery in healthcare facilities, and constant assessment of lit/11'; adopted by any healthcare facility ensures the successful implemPnlation the%/- o a/A rer 79t,r,rti Since the launch of GoT-HoMIS in Butiama district council health facilitie5, n has been conducted on the same despite its low implementation with only 5 olit of 3ri health facilities are using it. Therefore, this study aimed to assess factors affecting implementationf o GOT-HoMIS. The study employed mixed approach and convergent parallel design. A total of 120 respondents took pad in the study; 72 healthcare workers, 35 patients and 13 Health Council management Team. The respondents were sampled using simple random: convenient and purposive techniques. Questionnaires, interview anddocumentary refs,/ were used to collect data. The supervisor and experts evaluated the content and face validity of the instruments. Reliability of the instruments for collecting quantitative data was tested and it correlated at Cronbach's coefficient alpha r =0.956 and since it was greater than 0.75, the it was reliable. This was reaffirmed by the reliability of the study which was 0.975. However, the trustworthiness of instrument for collecting qualitative data was done by ensuring its credibility, transferability, dependability and conformability to ensure that instruments were fairly reliable for the study. The Quantitative data was analyzed using descriptive statistics in the Statistical Package for Social Science (SPSS) version 20.0 and the results werepresented in tables of frequencies and percentages while Ougtarive data was analyzed using thematic coding. The finding was that; stakeholders' awareness on the system's availability, its use, benefits and how to use it affect system implementatfon. Moreover, ICT infrastructure in terms of supply of electricity, network coverage, intemet cedthesystemimple linkage and ICT facilities were factors that also influenmentation. It was established that to enhance the system implementation, awareness should be created amongst the stakeholders, the barriers to the implementation of the system should be eliminated, the system should be secured and stable, and it needs maintenance and repair for efficiency and effectiveness, The study recommended that adequate funds should be allocated to the health facilities,review of the iaetntation andawawnesson the system shouldbemadetothe public and stakeholders,