Determinants of Data Use for Evidence Based Decision Making at Public Health Facilities in Kisumu County, Kenya

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dc.contributor.advisorIsaac Mwanzoen_US
dc.contributor.advisorGeorge Otienoen_US
dc.contributor.authorMorike, Tom
dc.date.accessioned2024-02-02T09:29:27Z
dc.date.available2024-02-02T09:29:27Z
dc.date.issued2023
dc.descriptionA Thesis Submitted in Partial Fulfilment of the Requirements for the Award of the Degree of Master of Public Health in the School of Health Sciences of Kenyatta University, November, 2023en_US
dc.description.abstractEffective management of today’s health systems depends on critical use of data and information for the effective policy-making, planning, monitoring of services and making decisions. Following the decentralization of health, the district health information systems (DHIS) was established to support the sub-counties in utilizing the generated data for the decisions made in health facility. However, data use has been limited and faced with inadequacy hence vital health decisions often relying on political opportunism, donor demand and infrequently repeated national studies which are insensitive to changes occurring over shorter timescale. The aim of this study was to establish the determinants of data use for evidence-based decision making amongst health workers at Kisumu County. A descriptive cross-sectional research study was conducted where both quantitative and qualitative techniques were used for a minimum of 205 respondents. Multistage sampling technique was used to select health facilities and to determine the sample size of respondents. A total of three public health facility were sampled proportionately. Quantitative data from structured questionnaires were entered, checked, cleaned and analysed using SPSS version 26. Descriptive statistics and chi-square test to determine significant association was done and results presented in tables, graphs and charts. The results showed 73.6% use of routine data for decision making with level of education (ꭓ2=26.616; df 3; p=0.0001), data utilization (ꭓ2 = 8.690, df = 2, p = 0.008), overall levels of competency (ꭓ2=14.340; df 3; p=0.026), access to routine data (ꭓ2=11.823; df 1; p=0.003), functional computer (ꭓ2=9.913; df 2; p=0.023) and access to internet (ꭓ2=7.046; df 2; p=0.030) were statistically significant association with routine data use for decision making. The study demonstrates partial use of routine health information for decision making with interplay of technical, organizational, and behavioural determinants. In the view of the findings, this study recommends need for County HMT in conjunction with the national level to provide training to improve health workers’ skills with specific focus on information use through on- job trainings mentorship and enhance organizational context by providing resources that supports information use with targeted regular review meetings, feedback coupled with support supervision are also recommended.en_US
dc.description.sponsorshipKenyatta Universityen_US
dc.identifier.urihttps://ir-library.ku.ac.ke/handle/123456789/27460
dc.language.isoenen_US
dc.publisherKenyatta Universityen_US
dc.subjectDeterminants of Data Useen_US
dc.subjectEvidence Baseden_US
dc.subjectDecision Makingen_US
dc.subjectPublic Health Facilitiesen_US
dc.subjectKisumu Countyen_US
dc.subjectKenyaen_US
dc.titleDeterminants of Data Use for Evidence Based Decision Making at Public Health Facilities in Kisumu County, Kenyaen_US
dc.typeThesisen_US
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