Midwives’ Knowledge, Attitude and Use of Health Management Information System in Obstetrics and Gyneacology Departments in Teaching Hospitals in Abia State
Abstract
Background: Effective use of Health Management Information Systems (HMIS) is an imperative in delivering midwifery services. This study assessed the knowledge, attitude, and use of HMIS among midwives in obstetrics and gynaecology departments in two teaching hospitals in Abia State.
Methods: This cross-sectional study involved the administration of structured questionnaires to 161 respondents. Knowledge and attitude towards HMIS were computed from the summated scores of a multi-dimensional structured questionnaire and categorized as good (>70%), fair (50-69.9%) and poor (<50%). Descriptive and inferential statistics were conducted using the Statistical Package for the Social Sciences, Version 25. Ordinal logistics regression was used to determine factors associated with the knowledge and attitude of midwives toward HMIS. The odds ratio, 95% confidence intervals and the p-value were reported with p-value <0.05 considered significant.
Results: More respondents were female (88.8%), had good knowledge (41.8%) and positive attitudes (46.4%) towards HMIS. Midwives aged <25 years showed significantly poorer attitudes towards HMIS compared to those ≥40 years (OR=0.44; 95%CI:0.24, 0.81), p < 0.0001). Same was observed for those with years of experience between 11 – 15 years compared to those ≥15 years (OR = 0.44; 95%CI:0.27, 0.73; p=0.001).
Conclusion: Less than half of the midwives reported good level of knowledge and positive attitude towards using HIMS. The influence of age and years of experience on midwives’ attitude should be explored in interventions to improve the use of HMIS in teaching hospitals.
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