Browsing by Author "Shellina Rwabyoma Abaho"

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    Factors Associated With Underreporting in the Compassion Connect Health Management Information System Among Frontline Church Partners of Compassion International Uganda in the Central Region
    (Uganda Christian University, 2024-10-04) Shellina Rwabyoma Abaho
    Introduction: Health information reporting is fundamental in various organizations to ensure the smooth running of programs. Compassion International, a charity organization, employs a Health Management Information System to evaluate information such as medical incidence reporting and medical funds reimbursement requests. However, there has been a mismatch in reporting for the last eight years since the HMIS integration. The study aimed to explore the factors associated with underreporting medical incidents in Compassion Connect HMIS. Methods: A mixed methods study design with quantitative descriptive and qualitative methodologies was used to collect data among Central Region FCPS and key staff at Compassion’s National and Global levels. Key informant interviews were done with four key informants: two health specialists, one global health specialist, and one global health advisory team senior manager. The interviews were analyzed thematically using Atlas ti. Software. Descriptive statistics were used on categorical variables, while non-parametric tests were used to evaluate the Likert scale responses among 70 study participants. Likert Scale analysis and decisions of association were made based on the weighted mean of 2.78. Results: Considering a sample of 70 respondents, 46 were male (65.7%) while 24 (34.3%) were female. 58 (82.9%) participants were CDO-health professionals, while 9 (12.9%) were project directors and 3 (4.2%) occupied other roles. Most study participants 38 (54.3%) spent 1-5 years working at the FCP. 36 (51.4%) of the study participants never had a medical background, and over half of the study participants, 57 (51.4%), were ignorant about the FCP organizational policies, culture, and practices. HMIS complexity, Frontline Church Partner Procedures, National Procedures, Communication and feedback, and individual attitude were significantly associated with under-reporting with a mean value of 2.81, 3.84, 2.93, 3.26, and 3.23, respectively. Also, standardized indicators and training about Compassion Connect were significantly associated with underreporting. Conclusion: Developing the HMIS to capture the different information within Compassion International is vital in promoting evidence-based decision-making. Also, addressing the different factors leading to underreporting is vital in improving the data quality within the system, leading to better decision-making practices in the organization. Key Words: Health Management Information System, Compassion Connect, Data Quality, Underreporting.