Implementation of Human Development Model Impact on Data Quality and Information Use in Addis Ababa, Ethiopia
Background: Designing of human development model is a crucial role towards addressing data quality and information use at service delivery point and administrative level. A human development model is implemented through capacity building approach of competence-based training, mentorship, supportive supervision, experience sharing, and quality improvement initiative. This study aimed to synthesize the level and significance of a change in Routine health information systems (RHIS) structure, input data quality and information use because of human development model implementation.
Methods: A quasi-experimental study design was employed to assess the impact of the human development model on RHIS structure and implementation, data quality, and administrative data use in Addis Ababa city administration. A total of 31 health centers, three sub-cities, and three hospitals and 954 health workers from respective health facilities and administrative levels were included in this study. Standard Performance of Routine Information System Management data quality and information use assessment tool was used to evaluate the contribution of the model. The data analysis covers the period between 2018 and 2020, 2018 was the base year and 2020 is the end period. The difference in difference data analysis technique was used to capture any change between the two periods and to investigate significant differences in HIS structure and implementation, data quality, and information use at administrative and service delivery points.
Result: A total of 954 health workers were trained. The mean difference between pre- and post-training evaluation results was 9.3 with 95% (CI of 3.8-14.6, p-value, <0.001). Substantial changes were documented in the last mentorship session in data quality and information use. Data quality and information use was 96.4 with (95% CI, 94.4-98.4, SD, 5.6) and 80.6 with (95 % CI,76.8-84.4, SD,10.5) respectively at service delivery point. The mean difference before and after implementation of the human development model for data quality and data use was 40.7 with (95% CI, 36.6-44.8, p-value, <0.0001) and 19.7 with (95% CI, 15.6-23.8, p-value, <0.0001), at health facilities level, respectively. The mean score of data quality and information use after implementation of the human development model was 93.0%nd 85.0% at the sub-cities level, respectively.
Conclusion: The implementation of the human development model was very timely approach to ensure data quality and information use at all levels. Use of competence-based training, practical application with proper follow-up of application of knowledge and skills gained to real-life activities also contributed to the improvement of data quality and information use. [Ethiop. J. Health Dev. 2021; 35(SI-1):50-58]
Keywords: Human development model, Data quality, information use, capacity-building, mentorship