Evidence map›Paper›PMID 41029811›Full record

ArticleArchives of public health = Archives belges de sante publique2025

Behavioral factors affecting data quality and information utilization in health facilities in ethiopia, 2023: an exploratory qualitative study.

Getasew Amare, Meaza Gezu Shentema, Firanbon Teshome, Yordanose Tadesse, Daniel Birhane Enyew, Desalegn Tsegaw, Tajebew Zayede, Berhanu Fikadie Endehabtu, Amare Minyihun, Biniyam Tilahun and 27 more

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Article in Archives of public health = Archives belges de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

37 authors.

Getasew AmareDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, P.O.BOX: 196, Ethiopia. getasewa23@gmail.com.
Meaza Gezu ShentemaDepartment of Preventive Medicine, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.
Firanbon TeshomeDepartment of Health, Behaviour and Society, Faculty of Public Health, Jimma University, Jimma, Ethiopia.
Yordanose TadesseDepartment of Preventive Medicine, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.
Daniel Birhane EnyewDepartment of Epidemiology and Biostatistics, School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Desalegn TsegawSchool of Public Health, College of Medicine and Health Science, Hawassa University, Hawassa, Ethiopia.
Tajebew ZayedeDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, P.O.BOX: 196, Ethiopia.
Berhanu Fikadie EndehabtuCenter for Digital Health and Implementation Science (CDHI), University of Gondar, Gondar, Ethiopia.
Amare MinyihunDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, P.O.BOX: 196, Ethiopia.
Biniyam TilahunCenter for Digital Health and Implementation Science (CDHI), University of Gondar, Gondar, Ethiopia.
Muluemebet Abera WordofaCapacity Building and Mentorship Program (CBMP), Jimma University, Jimma, Ethiopia.
Nigusu GetachewCapacity Building and Mentorship Program (CBMP), Jimma University, Jimma, Ethiopia.
Dawit Wolde DakaCapacity Building and Mentorship Program (CBMP), Jimma University, Jimma, Ethiopia.
Ketema LemaCapacity Building and Mentorship Program (CBMP), Jimma University, Jimma, Ethiopia.
Mengistu YilmaCapacity Building and Mentorship Program (CBMP), Addis Ababa University, Addis Ababa, Ethiopia.
Awugichew KiflieCapacity Building and Mentorship Program (CBMP), Addis Ababa University, Addis Ababa, Ethiopia.
Girma TayeCapacity Building and Mentorship Program (CBMP), Addis Ababa University, Addis Ababa, Ethiopia.
Tilahun ShiferawDepartment of Epidemiology and Biostatistics, School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Addisu BirhanuDepartment of Epidemiology and Biostatistics, School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Mentesenot SeidDepartment of Epidemiology and Biostatistics, School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Zewdu AlemuDepartment of Epidemiology and Biostatistics, School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Keneni Gutema NegeriSchool of Public Health, College of Medicine and Health Science, Hawassa University, Hawassa, Ethiopia.
Alemu Tamiso DebisoSchool of Public Health, College of Medicine and Health Science, Hawassa University, Hawassa, Ethiopia.
Sisay Yitayih KassieCapacity Building and Mentorship Program (CBMP), Hawassa University, Hawassa, Ethiopia.
Netsanet AberaSchool of Public Health, College of Medicine and Health Science, Hawassa University, Hawassa, Ethiopia.
Gizachew Robe WareHealth Policy, Plan, Budget and M and E, Oromia Health Bureau, Oromia, Ethiopia.
Henok FisehaAddis Ababa City Administration Health Bureau, Addis Ababa, Ethiopia.
Mulugojam AsmarePlanning, Monitoring & Evaluation Directorate, Amhara Regional Health Bureau, Bahir Dar, Ethiopia.
Mohammed HarirSomali Regional Health Bureau, Jigjiga, Ethiopia.
Manja YualaSidama National Regional Health Bureau, Hawassa, Ethiopia.
Yakob WondaradStrategic Affairs Lead, Executive Office, Ministry of Health, Addis Ababa, Ethiopia.
Tamirat AwelStrategic Affairs Lead, Executive Office, Ministry of Health, Addis Ababa, Ethiopia.
Mesoud MohammedStrategic Affairs Lead, Executive Office, Ministry of Health, Addis Ababa, Ethiopia.
Ariam HailemariamThinkPlace Kenya Ethiopia Studio, Addis Ababa, Ethiopia.
Nebiyu YetsedawThinkPlace Kenya Ethiopia Studio, Addis Ababa, Ethiopia.
Akinyi OderaThinkPlace Kenya Ethiopia Studio, Addis Ababa, Ethiopia.
Melaku MuletaThinkPlace Kenya Ethiopia Studio, Addis Ababa, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA well-functioning Health Information System (HIS) is essential for evidence-based decision-making and improved health outcomes. In Ethiopia, the government's Information Revolution (IR) initiative, supported by programs like the Capacity Building and Mentorship Program (CBMP), aims to strengthen HIS performance by enhancing data quality and use. Despite progress, the behavioural factors influencing data quality and use remain underexplored. This study aimed to investigate behavioural barriers and enablers affecting data quality and information use in health facilities across Ethiopia.

methodsAn exploratory qualitative study was conducted in CBMP-supported health centers across four regions (Sidama, Amhara, Oromia, and Somali) and one city administration (Addis Ababa). Key informants included health service providers, Health Management Information System (HMIS) focal persons, facility heads, and case team leaders. Using semi-structured guides, data were collected through 43 key informant interviews and 15 focus group discussions (FGDs). Thematic analysis was conducted using Atlas.ti version 7.5 16.

resultsThe study identified seven key behavioural themes influencing data quality and use: perceived data value, self-efficacy, motivation and commitment, competing priorities, teamwork, protocol adherence, and leadership/governance. While some providers appreciated the value of data in improving service delivery, others deprioritised it due to clinical demands. Self-efficacy was often limited by insufficient training and technical skill gaps. Motivation was negatively impacted by poor recognition and weak support systems. Clinical workloads and cognitive burden further reduced attention to data tasks. Although team collaboration existed, peer learning was limited and sometimes resisted. Adherence to data protocols such as the ESV-ICD-11 and PMT logbooks was inconsistent. Leadership support, role clarity, and accountability mechanisms were found to be weak, affecting overall HIS performance.

conclusionsBehavioural factors, including inconsistent data valuation, low motivation, poor self-efficacy, limited peer collaboration, and weak leadership, are significant barriers to effective HIS practices in Ethiopia. Addressing these challenges will require integrated solutions: digital learning tools like Telegram-based bots to build skills, PMT optimisation strategies, and stronger leadership and accountability frameworks. These combined interventions can improve data quality, support evidence-informed decisions, and strengthen Ethiopia's primary healthcare system.

Indexed as

Behavioural factorsData quality and useEthiopiaHealth centersHealth information system

Identifiers

PMID41029811
PMCPMC12482135

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.