Community health information system utility: A case of Bungoma County Kenya

Abstract

A wealth of data is available within the healthcare systems at community level. However, lack of effective use of information shared during community dialogue posed a great challenge despite efforts by governments’ in recognising community care services as a critical service delivery. This article documents extent community units’ use health information processes to improve community health information, technical, behavioural and organisational factors influencing community information utility for improved health outcomes. The study was descriptive cross-sectional design quantitative in nature. The study employed a combination of stratified clusters proportionate to population size and applied simple random sampling technic. The sample size was 54 community units. Both closed and open-ended interview questionnaire was administered to Community Health extension workers and 3 in-depth focus group discussions. Data analysis generated univariate frequencies using tables and charts. The expected outcome was utility of health information. Regression analysis using ANOVAa showed that results were moderately correlated with utility of community information with correlation Coefficientsa 0.017 at β 0.538b. Pearson Chi-Square Tests with linear association of 0.910 had a likelihood ratio of Fisher’s Exact Test of 0.658 thus, result moderately significant.Knowledge above average, information was regularly shared during community dialogues; while design, technical tools and empowerment of communities were weak and inadequate. Finally the system was well structured, not resourced and uncoordinated. Recommended that both National and County governments to emphasize on regular feedback, provide technical capacities; finally consideration of budget allocations, empowerment and institutionalisation to promote information utility.