Behavioral Determinants of Routine Health Information System Data Use in Senegal: A Qualitative Inquiry Based on the Integrated Behavioral Model

Abstract

Although behavioral factors are thought to be important barriers to routine data use, they remain understudied particularly in low-income country settings. We show that the integrated behavior model can be a valuable theoretical framework for targeted communication strategies and capacity-building interventions aimed at promoting a culture of data use.

Factors Influencing Utilization of Routine Health Information For Decision Making Among Health Workers: A Case Study of Health Facilities in Moyo District, Uganda

“…It could also be attributed to the fact that the co-workers and managers acknowledge my effort in collection of information (Mean=3.771), that collecting information that adds no value irritates them mean=3.752) and that there is a commitment among the staff on to improving the health of the community in question (Mean=3.738). The findings corelate with Muhoza, et al (2022) who while studying behavioral determinants of routine health information system data use in Senegal, established that perceptions of lack of control over the data production, data sharing, and data dissemination processes affected their ability and comfort to use RHIS data consistently. The findings corelate with Farrelly, Lester and Thornicroft (2016) noted that routine information users are more likely to demand encouragement, trust, and ability to perform their tasks which directly influence the performance of the system and processes and also an individual's perception of the usefulness or results of the task.…”

An assessment of the Health Information System in Khomas region, Namibia

“…The PRISM’s OBAT questionnaire and Office/Facility checklist will be adapted and customized for the Namibian context, as it will be sufficient to address the behavioural and organizational factors promoting the use of health information 8 . An adopted interview schedule from a study conducted in Senegal 25 will be used to conduct interviews with key informants. This interview schedule has two parts, one for the national level mid-level analyst and M&E personnel, and the second for high level decision-makers 25 .…”

“…An adopted interview schedule from a study conducted in Senegal 25 will be used to conduct interviews with key informants. This interview schedule has two parts, one for the national level mid-level analyst and M&E personnel, and the second for high level decision-makers 25 . Key informants will include high level decision makers, as well as mid-level analysts.…”

“…Namibia, an upper-middle-income country whose national HIS is led by the Ministry of Health and Social Services (MoHSS), faces challenges similar to other developing countries 9,10 . These challenges include insufficient HIS staff, absence of HIS policies, poorly defined staff roles especially for the health care workers taking on multiple roles including data capturing or management, as well as the absence or insufficient equipment 2,5,8,[10][11][12][13][14][15]25 . The most noted challenges in Namibia, however, were around the human-related component of the HIS such as insufficient HIS experts and staff to develop the HIS, lack of clearly defined roles and structures, insufficient staff training and untrained staff in scenarios with high staff turnover 3,[10][11]13,15 , in addition to staff resisting change 15 .…”