Effectiveness of Socio-Economic-Demographic Factors on Utilization of Routine Health Information Among Hospital Management Teams in TierThree Hospitals in Kiambu County, Kenya
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Date
2025
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jahss
Abstract
This study investigated the effectiveness of socio-economic-demographic factors on utilization
of routine health information among HMTs in tier-three hospitals in Kiambu County. The study
design was interventional, employing a quasi-experimental research design that guided the
study in the 12 tier-three hospitals. There was an intervention cluster and a control cluster,
each with six hospitals. The study adopted a census technique, and all 240 HMT members were
included. The study used both qualitative and qualitative data collection techniques. Data was
analysed using Fisher’s exact test for the bi-variate analysis, logistics regression to ascertain
the statistical relationships, Mann-Whitney U-test to test the difference in means at baseline
and end-line, Difference in Difference technique was used to establish the average treatment
effect of the intervention. The study used thematic content analysis to analyse qualitative data.
The County Health Management Teams and the Sub County Health Management Teams
participated in the Key Informant interviews. The results indicate that there was no statistically
significant difference regarding the socio-economic-demographic factors before and after the
intervention, (Mann-Whitney U-test results, U = 28333, p = 0.7851). The study concludes that,
designing HIS should be based on the users’ desired needs and that the intervention was highly
effective in promoting the use of the RHI among HMTs. The study recommends that Kiambu
County Department of Health should provide strategies for sustaining effective utilization RHI
and should provide guidelines to ensure all HMTs are trained to enable them manage hospitals
better. The study recommends that; further research be conducted in the lower-level health
facilities to generate recommendations appropriate for the different levels of health care
systems, similar studies should be replicated in other countries to compare results and enable
the drawing of triangulated policy recommendations and a follow-up study be done to
determine whether the increase in utilization translates into improved health outcomes or
efficiencies within the health system.
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Citation
Maracha, B., Kibaara, K., & Kithuka, P. (2025). Effectiveness of socio-economic-demographic factors on utilization of routine health information among hospital management teams in tier-three hospitals in in Kiambu County, Kenya. Journal of Applied Humanities and Social Sciences