The Practice of Health Commodity Management Information System in Public Hospitals of Addis Ababa

Abstract

management information system (HCMIS) in Addis Ababa public Hospitals. Facility based cross-sectional descriptive study design is adopted through mixed approach of both Quantitative and Qualitative methods. This research was conducted in ten HCMIS implementing public hospitals. In-depth interviews were made with ten pharmacy heads and four medical directors. Self-administered questionnaire was distributed to thirty six DSM members. The HCMIS, Manual Bin cards, Vouchers and RRF are reviewed. Quantitative data was entered and analyzed using SPSS version 20 and in-depth interview were summarized and analyzed based on their thematic areas. The findings show that the implementation level of HCMIS is poor. The report (RRF) generated from the system is only one hospital that fulfilled the expected six RRF in one fiscal year. This study discovered that 2 of the hospitals used the system sometimes before and sometimes after the actual transaction and rest of 80% hospitals used the HCMIS only to update after the manual transaction so none of the hospital uses the HCMIS before the actual transaction. The finding of this study shows that only 22.2% take the training of HCMIS whereas the rest 77.8% cannot operate the system because of lack of training. The comparison result for the physical count and the HCMIS count for the selected tracer drugs, in 40% of the hospitals none of the five tracer drugs have similarities. The most difficult challenge this Facility face in maintaining HCMIS are staff turnover and knowledge gap. As the qualitative and quantitative data findings indicate that the system is very useful and ideal despite this fact the evaluation shows the implementation status of HCMIS is poor so that I recommended that; HCMIS should be fully implemented in all health facilities in Ethiopia.