PMID- 38362473
OWN - NLM
STAT- MEDLINE
DCOM- 20240219
LR  - 20240219
IS  - 2413-7170 (Electronic)
IS  - 1029-1857 (Print)
IS  - 1029-1857 (Linking)
VI  - 33
IP  - Spec Iss 1
DP  - 2023 Apr
TI  - The Effect of Community Health Information System on Health Care Services 
      Utilization in Rural Ethiopia.
PG  - 15-24
LID - 10.4314/ejhs.v33i1.3S [doi]
AB  - BACKGROUND: In Ethiopia, the community health information system (CHIS) is 
      implemented at the health post (hp) level with the aim of improving service 
      delivery and use. We conducted a national level assessment of CHIS utilization 
      and explored the associations of CHIS utilization with use of antenatal care 
      (ANC), postnatal care (PNC), institutional delivery and child immunization in 
      rural Ethiopia. METHODS: We conducted a cross-sectional study measuring 
      community-based health service use and HP based CHIS assessment from March to May 
      2019. Data were collected from 343 HPs and 2,864 women who delivered in the last 
      five years, and multistage sampling was used to select the study subjects. We 
      used descriptive statistics for CHIS implementation and service utilization and 
      multilevel logistic regression to investigate the association of CHIS 
      implementation with maternal and child health care services use. RESULTS: Fifty 
      five percent of the HPs were implementing CHIS. These HPs were using a 
      paper-based household data collection tool called family folder (FF). Of the HPs, 
      one third implemented lot quality assurance sampling (LQAS) based data quality 
      check and 60.4% documented and followed execution of decisions. Overall, among 
      the eligible women, 40% used ANC, close to 50% of currently married women used 
      ANC services; 28% of women that fall in the high wealth index category used PNC 
      within 48 hours after delivery; and 86.1% of women who had at least a high school 
      education delivered at a health facility. Implementation of CHIS and family 
      folder utilization and conducting LQAS based data quality check in the HPs were 
      significantly associated with increased odds of ANC, delivery, and vaccination 
      services use. CONCLUSION: We found that better implementation of CHIS was 
      associated with better maternal and child health service use which implies that 
      increasing utilization of CHIS at HPs will improve mother and child health 
      service use.
CI  - (c) 2023 Setegn Tigabu, et al.
FAU - Tigabu, Setegn
AU  - Tigabu S
AD  - MERQ Consultancy PLC, Addis Ababa, Ethiopia.
FAU - Medhin, Girmay
AU  - Medhin G
AD  - MERQ Consultancy PLC, Addis Ababa, Ethiopia.
AD  - Addis Ababa University, Aklilu Lemma Institute of Pathobiology.
FAU - Jebena, Mulusew G
AU  - Jebena MG
AD  - MERQ Consultancy PLC, Addis Ababa, Ethiopia.
AD  - Jimma University, Department of Epidemiology, Faculty of Public Health.
FAU - Dadi, Tegene Legese
AU  - Dadi TL
AD  - MERQ Consultancy PLC, Addis Ababa, Ethiopia.
AD  - Hawassa University College of Medicine and Health Science, School of Public 
      Health1.
FAU - Tadesse, Daniel
AU  - Tadesse D
AD  - MERQ Consultancy PLC, Addis Ababa, Ethiopia.
FAU - Demissie, Mekdes
AU  - Demissie M
AD  - College of Health and Medical Sciences, Haramaya University, Ethiopia.
AD  - Centre for Innovative Drug Development and Therapeutic Studies for Africa 
      (CDT-Africa), College of Health Science, Addis Ababa University.
FAU - Fentaye, Fasil Walelign
AU  - Fentaye FW
AD  - MERQ Consultancy PLC, Addis Ababa, Ethiopia.
AD  - Wollo University, School of Public Health.
FAU - Tazu, Zelalem
AU  - Tazu Z
AD  - Addis Ababa University, Department of Statistics.
FAU - Mulu, Shegaw
AU  - Mulu S
AD  - Federal Minister of Health, Ethiopia.
FAU - Alemayehu, Yibeltal Kiflie
AU  - Alemayehu YK
AD  - MERQ Consultancy PLC, Addis Ababa, Ethiopia.
AD  - Department of Health Policy and Management, Jimma University, Ethiopia.
AD  - Department of Global Community Health and Behavioral Sciences, School of Public 
      Health and Tropical Medicine, Tulane University, New Orleans, USA.
FAU - Teklu, Alula M
AU  - Teklu AM
AD  - MERQ Consultancy PLC, Addis Ababa, Ethiopia.
LA  - eng
PT  - Journal Article
PL  - Ethiopia
TA  - Ethiop J Health Sci
JT  - Ethiopian journal of health sciences
JID - 101224773
SB  - IM
MH  - Child
MH  - Female
MH  - Pregnancy
MH  - Humans
MH  - Ethiopia
MH  - Cross-Sectional Studies
MH  - Lot Quality Assurance Sampling
MH  - Facilities and Services Utilization
MH  - *Health Information Systems
MH  - Patient Acceptance of Health Care
MH  - Prenatal Care
MH  - Rural Population
MH  - *Maternal Health Services
MH  - Delivery, Obstetric
PMC - PMC10866292
OTO - NOTNLM
OT  - Community health information system
OT  - Ethiopia
OT  - health posts
OT  - maternal and child health services
OT  - service utilization
EDAT- 2024/02/16 06:42
MHDA- 2024/02/19 06:42
PMCR- 2023/04/01
CRDT- 2024/02/16 03:58
PHST- 2022/08/28 00:00 [received]
PHST- 2023/01/24 00:00 [accepted]
PHST- 2024/02/19 06:42 [medline]
PHST- 2024/02/16 06:42 [pubmed]
PHST- 2024/02/16 03:58 [entrez]
PHST- 2023/04/01 00:00 [pmc-release]
AID - jEJHS.v33.i1.pg15S [pii]
AID - 10.4314/ejhs.v33i1.3S [doi]
PST - ppublish
SO  - Ethiop J Health Sci. 2023 Apr;33(Spec Iss 1):15-24. doi: 10.4314/ejhs.v33i1.3S.