对有效使用DHIS2数据的障碍和促进因素,以改善乌干达的计划规划和监测:一个连续的混合方法研究
Suzanne N Kiwanuka1, Steven N Kabwama2,3, Noel Namuhani1
1Department of Health Policy Planning and Management, Makerere University School of Public Health, New Mulago Hill Road, Mulago, Kampala 10218, Uganda.
Oxford open digital health
|February 6, 2026
概括
乌干达 乌干达 乌干达 乌干达 乌干达
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生管理 公共卫生管理
- 医疗保健中的信息系统
背景情况:
- 乌干达在2012年采用了区卫生信息软件2 (DHIS2) 用于公共卫生监测.
- 十多年后,影响DHIS2采用和利用的因素仍未得到充分研究.
研究的目的:
- 调查乌干达DHIS2采用和使用的促进者和障碍.
- 了解DHIS2对公共卫生计划监测和决策的影响.
主要方法:
- 混合方法研究设计.
- 乌干达地区的分类为高,中,低DHIS2绩效级别.
- 与全国和地区卫生工作人员和医疗设施经理进行了深入的采访.
主要成果:
- DHIS2采用得分差异很大,从高绩效地区的97%到低绩效地区的60.3%.
- 关键的推动因素包括强大的数字基础设施,熟练的人力资源,合作伙伴支持和财务激励.
- 障碍包括基础设施问题,系统错误,有限的访问权限,服务器问题和人力资源限制.
结论:
- 对DHIS2运营的有限投资阻碍了对决策的有效数据利用.
- 加强国内对设备升级,可靠网络和人员培训的所有权对于优化DHIS2影响至关重要.
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