Table 8 Effects of the NTCP on routine health information system at DHs A and B
Technical factors | District hospital A | District hospital B |
|---|---|---|
Reporting system | Printed tuberculosis tools (registers, patient treatment card, 2 quarterly reporting forms) introduced by the NTCP in 2003 | Printed tuberculosis tools (registers, patient treatment card, 2 quarterly reporting forms) introduced by the NTCP in 2003 |
Printers registers for routine HIS | Registers manually designed for routine HIS | |
Designer of reporting forms | NTCP for the tuberculosis HIS | NTCP for the tuberculosis HIS |
Ministry of health for the routine reporting form | ||
Managers of the hospital for registers | ||
Central level of the church for registers and reports | ||
Software for HIS | No | No |
Computers acquired from hospital resources | Computers acquired from hospital resources | |
Recruitment of a HIS staff | No for tuberculosis HIS | No |
Yes, in 2008, but only in charge of routine reporting and paid from hospital revenues | ||
Skills of the HIS staff in using computer | No specific training on HIS management | No specific training on HIS management |
Complexity of the reporting forms | Simple for tuberculosis tools but takes too much time | Simple for tuberculosis tools but takes too much time |
Filling routine registers is easy | Filling routine registers is easy | |
Procedures | Simple | Simple |
Organisational factors | ||
Information distribution | Reports sent to the regional NTCP coordination since 2003 (completeness: 100%) | Reports sent to the regional NTCP coordination since 2003 (completeness: 100%) |
Routine reports sent to the district till 2006, but regularly to the Church hierarchy | Routine reports sent to the district in 2010 | |
Interest devoted to reporting | Very high for the NTCP | Very high for the NTCP |
Low for routine reports | Low for routine reports | |
Supervision | Quarterly by the NTCP coordinators, all tuberculosis tools reviewed | Quarterly by the NTCP coordinators, all tuberculosis tools reviewed |
Rare for routine activities | Rare for routine activities | |
Training | No specific training on HIS | No specific training on HIS |
Finances | No additional resources for HIS | No additional resources for HIS |
Allocation of computer | Computers acquired from hospital resources | Computers acquired from hospital resources |
Allocation of reporting forms and other materials | Tuberculosis reporting tools provided by the NTCP | Tuberculosis reporting tools provided by the NTCP |
Routine registers provided by the Church | ||
Behavioural factors | ||
Level of knowledge of content of HIS forms | Very good for tuberculosis HIS, low for staff working in ward | Very good for tuberculosis HIS, low for staff working in ward |
Data quality checking skills | Good for the TDTC nurse | Good for the TDTC nurse |
Routine data rarely checked | Routine data checked by the Director | |
Competency in HIS tasks | Low | Low |
Motivation | Very high for the TDTC staff | Very high for the TDTC staff |
Low for other staff | Low for other staff | |
Problem solving tasks | Only raw data transmitted | Only raw data transmitted |
Processes | ||
Data collection | Data rigorously filled in tuberculosis registers | Data rigorously filled in tuberculosis registers |
Incomplete routine data collection | Incomplete routine data collection | |
Data processing | All quarterly tuberculosis reports done since 2003 | All quarterly tuberculosis reports done since 2003 |
Lot of missing routine reports | All routine monthly reports done since 1998 | |
Routine reports not done since 2006 | ||
Data analysis | Little analysis | Little analysis |
Data transmission | Completeness : 100% for tuberculosis reports | Completeness : 100% |
Routine information transmitted only to the faith-based hierarchy | Only the 2010 routine reports sent to the district level | |
Data display | No | No |
Data quality checking | Yes for tuberculosis reports | Yes for tuberculosis reports |
No for routine reports | Rarely for routine reports | |
Feedback to ward nurses | No | No |