Abstract:
This study assessed the performance of Routine Health Information System
(RHIS) as well as identified the technical, organisational, and behavioural
factors affecting maternal and child health (MCH) data quality (DQ) and
information use (IU) in the Cape Coast Metropolis (CCM). Descriptive
quantitative cross-sectional case study design was used. The survey involved
thirteen purposively sample healthcare facilities (HCFs), and 278 healthcare
professionals (HCPs). Eight MCH indicators were assessed for data accuracy,
completeness, timeliness, and consistency. Data was collected using two pre existing instruments. Pearson correlation coefficient, percentages, and
verification factors (VFs) were estimated. The VFs for data accuracy between
registers and forms, registers and District Health Information System (DHIS2)
database, and forms and DHIS2 were, 102.1%, 102.4%, and 100.1%
respectively. Data were 95.4% complete in DHIS2, 87.2% submitted on time,
and 93% consistent over time. RHIS processes were 63.7% functional, and
27.9% of the management functions were met. Indices measuring technical
and behavioural factors were weak. Self-efficacy was moderately positively
associated with: perceived promotion of culture of information (COI),
( ) ; activities for COI, ( ) ; and
supportive management, ( ) . The level of MCH DQ
were within the threshold recommended by WHO, but the level of IU was
weak. MCH processes, and organisational factors fared averagely. Managers
of HCFs should strengthen MCH performance by building the capacities of
HCPs involved in MCH activities.
