ArticlePloS one2025
A protocol for an assessment of the health information system in Khomas region, Namibia.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionA robust and well-functioning Health Information System (HIS) is crucial for managing patient care, monitoring health system performance, and informing public health decisions. However, Namibia, like many developing countries, faces challenges in its HIS, such as limited financial and human resources, knowledge gaps, inadequate infrastructure, and behavioural barriers such as resistance to adopting new systems and a lack of supportive policies. Previous studies have not shown significant improvements since 2012. This study, conducted in Namibia's Khomas region, aims to assess human factors affecting the HIS and evaluate progress made from 2012 to 2022. It draws on recommendations from a 2012 USAID assessment to provide insights and propose strategies to enhance healthcare delivery and resource allocation. METHODS AND ANALYSIS: This study utilizes a cross-sectional design and a multi-method approach to evaluate the performance of the Health Information System (HIS). Qualitative component includes 17 in-depth interviews with key informants, a retrospective document review from the Ministry of Health and Social Services (MoHSS) headquarters in Windhoek, supplemented by a modified office/facility checklist from all 14 health facilities in the Khomas region. The quantitative component involves administering a questionnaire to 330 staff members, using an adapted version of the Performance of Routine Information System Management (PRISM)'s Organizational and Behavioural Assessment Tool (OBAT). Descriptive statistics will be applied to analyse the quantitative data, while a deductive interpretive approach will guide the qualitative data analysis. ETHICS AND DISSEMINATION: Ethical approval was obtained from the Stellenbosch University Health Research Ethics Committee (Reference No: S23/05/119) and the Namibia Ministry of Health and Social Services (Reference No: 22/3/2/1). The study will be conducted in accordance to the principles of the Declaration of Helsinki (1964). The study seeks to identify barriers and facilitators for implementing recommendations across different levels of the Health Information System (HIS), with a focus on improving HIS functionality in the Khomas region. Dissemination plans include sharing findings with the study population, presenting at both local and international conferences, and publishing peer-reviewed journals.
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