Assessing Challenges Facing Health Information Management Systems (HIMS) In The Performance of Monitoring and Evaluation (M&E) In Public Teaching and Referral Hospitals in Nairobi County, Kenya

• Author(s): Joseph Kimanzi Kavuwa ; Dr. Hellen Kamwele Wafula
• Paper ID: 1709643
• Page: 499-509
• Published Date: 14-07-2025
• Published In: Iconic Research And Engineering Journals
• Publisher: IRE Journals
• e-ISSN: 2456-8880
• Volume/Issue: Volume 9 Issue 1 July-2025

Abstract

Monitoring and Evaluation (M&E) in health care delivery cannot be done effectively without the help of the Health Information Management Systems (HIMS). Nevertheless, they face a lot of challenges ranging between poor infrastructure, lack of training and reluctance to change, which enhances their performance in the public teaching and referral hospitals within Nairobi County, Kenya. This paper examines these challenges by carrying out a cross sectional descriptive research study, which targeted 336 health care workers but 273 (or 81.25 percent) responded to the questionnaire. The details were gathered by means of the use of the structured questionnaires and three focus groups and analyzed with SPSS. The reliability calculated using Cronbach alpha was 0.78 with a statistical significant level of 0.00. The Pearson correlation coefficients were strong and had the same direction i.e. positive close to 0.85, 0.83, 0.84, and 0.87 respectively between human resource (r = 0.85), technological (r = 0.83), institutional (r = 0.84), and the factors related to strategy (r = 0.87) in researching the factors that influence the performance of M&E. The research points out that technological problems in the form of regular system crashes and bad interaction between systems create a major setback in M&E efficiency. The problem is enhanced by human resource issues such as poor staff training and poor staff turnover. Weak leadership and confusion in policies are other institutional barriers, which decrease effectiveness of HIMS. A conceptual framework and Technology Acceptance Model (TAM) informed the study, placing great emphasis on the user perceptions of the system adoption. The hospitals participating in this studied were Mathari National Teaching Referral Hospital, Mbagathi County Hospital, and Pumwani Maternity Hospital. The research suggests specific measures to challenge these adversities, such as enhanced leadership, well-built training, technological advancement, and transparent operation policies. By alleviating these mutually reinforcing obstacles, one will be able to fully realise the potential of HIMS to improve health outcomes and facilitate meeting Sustainable Development Goal.

Citations

IRE Journals:
Joseph Kimanzi Kavuwa , Dr. Hellen Kamwele Wafula "Assessing Challenges Facing Health Information Management Systems (HIMS) In The Performance of Monitoring and Evaluation (M&E) In Public Teaching and Referral Hospitals in Nairobi County, Kenya" Iconic Research And Engineering Journals Volume 9 Issue 1 2025 Page 499-509

IEEE:
Joseph Kimanzi Kavuwa , Dr. Hellen Kamwele Wafula "Assessing Challenges Facing Health Information Management Systems (HIMS) In The Performance of Monitoring and Evaluation (M&E) In Public Teaching and Referral Hospitals in Nairobi County, Kenya" Iconic Research And Engineering Journals, 9(1)