Abstract:
This study assessed the performance of Routine Health Information System
(RT-IIS) 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
quantitati ve cross-sectional case study design was used. The survey involved
thirteen purposively sample health care facilities (HCFs), and 278 healthcare
professionals (l-JCPs). Eight MCH indicators were assessed for data accuracy,
completeness, timeliness, and consistency. Data was collected using two preex
isting instruments. Pea rson correlation coefficient, percentages, and
verification factors (V Fs) were estimated. The VFs for data accuracy between
registers and forms. registers and District Health Information System (DHlS2)
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. RBIS processes were 63.7% functional, and
27.9% of the management fu nctions ·were met. Indices measuring technical
and behavioural factors were weak. Self-efficacy was moderately positively
associated ,vith: perceived promotion of culture of information (COl),
r(265) = .36,p < .0001 ; activities for COT, 1'(265) = .33,p < .0001 ; and
supporti ve management, 1'(265) = .29, p < .0 001. The level of MCH DQ
were within the threshold recommended by WHO, but the level of IU was
weak. MCB processes, and organisational factors fared averagely. Managers
of HCFs should strengthen MCH performance by building the capacities of
)-)CPs involved in MCH activities.
