2023-09-28 14:46:10 +00:00
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abstract: 'Background Health data is one of the most valuable assets in health
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service delivery yet one of the most underutilized in especially
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low-income countries. Health data is postulated to improve health
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service delivery through availing avenues for optimal patient
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management, facility management, and public health surveillance and
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management. Advancements in information technology (IT) will further
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increase the value of data, but will also call for capacity readiness
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especially in rural health facilities. We aimed to understand the
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current knowledge, attitudes and practices of health workers towards
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health data management and utilization. Methods We conducted key
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informant interviews (KII) for health workers and data staff, and focus
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group discussions (FGD) for the village health teams (VHTs). We used
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both purposive and convenience sampling to recruit key informants, and
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convenience sampling to recruit village health teams. Interviews and
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discussions were audiotaped and transcribed verbatim. We manually
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generated the codes and we used thematic analysis to identify the
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themes. We also developed a reflexivity journal. Results We conducted a
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total of 6 key informant interviews and 3 focus group discussions of 29
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participants. Our analysis identified 7 themes: One theme underscored
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the health workers'' enthusiasm towards an optimal health data management
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setting. The rest of the six themes resonated around working remedies to
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the systemic challenges that grapple health data management and
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utilization at facilities in rural areas. These include: Building human
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resource capacity; Equipping the facilities; Improved coordination with
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partners; Improved data quality assurance; Promotion of a pull supply
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system and Reducing information relay time. Conclusion Our findings
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reveal a plethora of systematic challenges that have persistently
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undercut optimal routine health data management and utilization in rural
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areas and suggest possible working remedies. Health care workers express
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enthusiasm towards an optimal health management system but this isn''t
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matched by their technical capacity, facility readiness, systems and
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policy willingness. There is an urgent need to build rural lower
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facilities'' capacity in health data management and utilization which
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will also lay a foundation for exploitation of information technology in
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health.'
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affiliation: 'Miiro, C (Corresponding Author), Makerere Univ, Dept Pharm, 7072, Kampala,
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Uganda.
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Miiro, Chraish; Musudo, Enoch, Makerere Univ, Dept Pharm, 7072, Kampala, Uganda.
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Ndawula, Josephine Caren; Bebembeire, Olivia; Sanya, Douglas, Makerere Univ, Sch
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Med, 7072, Kampala, Uganda.
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Nabuuma, Olivia Peace; Mpaata, Charles Norman; Nabukenya, Shamim; Akaka, Alex, Makerere
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Univ, Sch Hlth Sci, 7072, Kampala, Uganda.'
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article-number: '187'
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author: Miiro, Chraish and Ndawula, Josephine Caren and Musudo, Enoch and Nabuuma,
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Olivia Peace and Mpaata, Charles Norman and Nabukenya, Shamim and Akaka, Alex and
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Bebembeire, Olivia and Sanya, Douglas
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author-email: miirochraish21@gmail.com
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author_list:
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- family: Miiro
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given: Chraish
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- family: Ndawula
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given: Josephine Caren
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- family: Musudo
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given: Enoch
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- family: Nabuuma
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given: Olivia Peace
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- family: Mpaata
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given: Charles Norman
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- family: Nabukenya
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given: Shamim
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- family: Akaka
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given: Alex
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- family: Bebembeire
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given: Olivia
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- family: Sanya
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given: Douglas
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da: '2023-09-28'
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doi: 10.1186/s12939-022-01814-1
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eissn: 1475-9276
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files: []
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journal: INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
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keywords: Health data; Healthcare professionals; Qualitative research
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keywords-plus: INFORMATION; TECHNOLOGY; EFFICIENCY; RECORDS
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language: English
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month: DEC 28
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number: '1'
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number-of-cited-references: '46'
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papis_id: a23a0cfcce18a57bdd5d552aae578674
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ref: Miiro2022achievingoptimal
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times-cited: '0'
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title: 'Achieving optimal heath data impact in rural African healthcare settings:
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measures to barriers in Bukomansimbi District, Central Uganda'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000905614700001
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usage-count-last-180-days: '1'
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usage-count-since-2013: '2'
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volume: '21'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2022'
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