Evaluation of Relationship of Sources of Health Information System (HIS) and HIS Feedback in Selected Public Health Facilities in Nairobi City County, Kenya

Main Article Content

G. G. Mairanga
D. Muthee
G. Otieno


Aim: This study sought to assess the extent to which sources of Health Information System (HIS) is associated with HIS feedback in the public health facilities in Nairobi City County.

Methodology: This study adopted the descriptive survey research design. Independent variable was sources of data and information in HIS while dependent variable was the HIS feedback. Public health facilities in Nairobi City County were chosen as the area of study. The research targeted public health record personnel in the public health facilities and the officials of the National HIS Coordinating Committee. To obtain suitable sample, the study used stratified, random and purposive sampling techniques. The sample size of 130 respondents was chosen in the public health facilities. The research instruments used included questionnaires and interview schedule guides. Collected data were coded and then entered into a secure database for analysis by use of Statistical Packages for Social Sciences (SPSS) version 23. Both descriptive as well as inferential statistics were used for analysis. Qualitative data were analyzed with an aim of establishing the themes. Significance was assessed at p = 0.05.

Results: The sources of data had a negative association with HIS feedback with a correlation coefficient of -0.753. The relationship between sources of data and HIS feedback was significant (p = 0.0476).

Conclusion: Based on the findings, it was concluded that many sources of data negatively influences HIS feedback. Thus, with more sources of data, there is less HIS feedback. 

Health information system, universal health coverage, public health facilities.

Article Details

How to Cite
Mairanga, G. G., Muthee, D., & Otieno, G. (2020). Evaluation of Relationship of Sources of Health Information System (HIS) and HIS Feedback in Selected Public Health Facilities in Nairobi City County, Kenya. Asian Journal of Research in Nursing and Health, 3(1), 20-32. Retrieved from https://journalajrnh.com/index.php/AJRNH/article/view/30103
Original Research Article


Nyella E, Mndeme M. Power tensions in health information system integration in developing countries: The need for distributed control, electronic. Journal on Information Systems in Developing Countries. 2010;43(4):1-19.

MOH. Enhancing Health Information System for Evidence based Decision Making in the Health Sector, Policy Brief January 2019, Nairobi: MOH; 2019.

MOH. Health Information System Policy, Nairobi: MOH; 2009.

Kuhuba E, Gathara D, Mwinga S, et. al. Assessing the ability of health information systems in hospitals to support evidence-informed decisions in Kenya, Global Health Action. 2014;7:24859.

Hahn D, Wanjala P, Marx M. Where is information quality lost at clinical level? A mixed-method study on information systems and data quality in three urban Kenyan ANC clinics. Glob Health Action. 2013;6:21424.

Karuri J, Waiganjo P, Orwa D, Manya A. DHIS2: The tool to improve health data demand and use in Kenya. Journal of Health Informatics in Developing Countries. 2014;8(1).

World Health Organisation. Framework and standard for country health information system. 2nd Ed. Geneva: WHO; 2008.

USAID. How can routine health information systems improve health systems functioning in low-resource settings?: Assessing the Evidence Base. USAID, Measure Evaluation: USA; 2012.

Bassi J, Lau F. Measuring value for money: A scoping review on economic evaluation of health information systems. J Am Med Inform Assoc. 2013;20:792801.

World Health Organization. Health Management Information Systems: A Practical Guide for Developing Countries. Geneva: World Health Organization; 2004.

Robert NL. Management Fundamentals. (USA). South-Western Cengage Learning. International Student Edn; 2009.

Health Metrics Network. Framework and standards for country health information systems, Second Edition. Geneva: World Health Organization; 2008.

Gething C. Development of a primary health care information system in Ghana: Lessons learned. Methods Inf Med. 2007; 36(2):63–68.

Lippeveld T, Sauerborn R, Bodart C. eds. Design and Implementation of Health Information Systems. Geneva: World Health Organization; 2009.

Kothari CR. Research Methodology- methods and techniques. New Delhi: New Age; 2004.

Kerlinger FR. Foundations of Behavioural Research. Harcourt: Fort Worth, TX; 2000.