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Abstract
ROLE OF TECHNICAL, BEHAVIORAL, AND ORGANIZATIONAL FACTORS IN PERFORMANCE OF THE DISTRICT HEALTH INFORMATION SYSTEM IN DISTRICT NOWSHERA, PAKISTAN
*Prof. Dr. Rab Nawaz, Prof. Dr. Shahzad Ali Khan, Prof. Dr. Shafiq ur Rahman, Dr. Shah Nawaz Dr. Tayyaba and Dr. Fatima Nasir
ABSTRACT
Objective: To assess the role of technical, behavior, and organizational factors in performance of the District Health Information System in the district Nowshera, Pakistan. Methodology: The study was conducted at district Nowshera, Khyber Pakhtun, Pakistan between the years 2015 and 2016. The questionnaire called Organizational and Behavior Assessment Tool (OBAT) has been modified and applied to gather data from the health care providers who were involved in the District Health Information System in District Nowshera. The SPSS version 25 was used to enter and analyze the data. Results were presented in tabular form. Results: The score on punctuality of staff was 1.7 while on the record keeping by staff it was 2.37. When asked if staff can develop appropriate criteria for selecting interventions for a given problem, develop appropriate outcomes for a particular intervention, evaluate whether the targets or outcomes have been achieved, the scores were 2.33, 2.07, and 1.93 respectively. The mean scores for self-efficacy items, "I can explain findings & their implications" and "I can use data for making various types of decisions and providing feedback" were 1.67 each. Conclusion: The main issues were lack of enthusiasm about the job, inability to understand the significance of the HIS, lack of proper skills to decrypt data or findings, and uncooperative attitude of the authorities. It should be noted that adequate leadership, appreciative attitude,regular training and practice can help make DHIS a more efficient system.
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