Human Resource Information System implementation readiness in the Ethiopian health sector: a cross-sectional study

Abstract Background Health workforce information systems in low-income countries tend to be defective with poor relationship to information sources. Human Resource Information System (HRIS) is currently in a pilot implementation phase in the Federal Ministry of Health and Regional Health Bureaus of...

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Main Authors: Eyilachew Dilu, Measho Gebreslassie, Mihiretu Kebede
Format: Article
Language:English
Published: BMC 2017-12-01
Series:Human Resources for Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12960-017-0259-3
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author Eyilachew Dilu
Measho Gebreslassie
Mihiretu Kebede
author_facet Eyilachew Dilu
Measho Gebreslassie
Mihiretu Kebede
author_sort Eyilachew Dilu
collection DOAJ
description Abstract Background Health workforce information systems in low-income countries tend to be defective with poor relationship to information sources. Human Resource Information System (HRIS) is currently in a pilot implementation phase in the Federal Ministry of Health and Regional Health Bureaus of Ethiopia. Before scaling up the implementation, it is important to understand the implementation readiness of hospitals and health departments. The aims of this study were to assess the readiness for HRIS implementation, identify associated factors, and explore the implementation challenges in public hospitals and health departments of the Amhara National Regional State, Ethiopia. Methods An institution-based cross-sectional study supplemented with a qualitative study was conducted from the 15th of February to the 30th of March 2016 in 19 public hospitals and health departments of the Amhara National Regional State, Ethiopia. A self-administered questionnaire was used to collect the data. The questionnaire includes items on socio-demographic characteristics and questions measuring technical, personal, and organizational factors adapted from the 32-item questionnaire of the Management Science for Health (MSH) HRIS readiness assessment tool. The data were entered and analyzed with statistical software. Descriptive statistics and bivariate and multivariable logistic regression analyses were performed. Odds ratios with 95% confidence interval were computed to identify the factors statistically associated with readiness of HRIS implementation. In-depth interviews and observation checklists were used to collect qualitative data. Thematic content analysis was used to analyze the qualitative data. Result A total of 246 human resource (HR) employees and 16 key informants have been included in the study. The HR employee’s level of readiness for HRIS implementation in this study was 35.8%. Employee’s Internet access (AOR = 2.59, 95%CI = 1.19, 5.62), availability of separate HR section (AOR = 8.08, 95%CI = 3.69, 17.70), basic computer skills (AOR = 6.74, 95%CI = 2.75, 16.56), and fear of unemployment (AOR = 2.83, 95%CI = 1.27, 6.32) were associated with readiness of HRIS implementation. Poor logistic supply, lack of competency, poor commitment, and shortage of finance were the challenges of HRIS implementation. Conclusion In this study, readiness of HRIS implementation was low. Strategies targeting to improve skills, awareness, and attitude of HR employees would facilitate the implementation process.
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spelling doaj.art-ca56e1e1750047cbafdb7fd9fcccae762022-12-21T20:12:55ZengBMCHuman Resources for Health1478-44912017-12-0115111010.1186/s12960-017-0259-3Human Resource Information System implementation readiness in the Ethiopian health sector: a cross-sectional studyEyilachew Dilu0Measho Gebreslassie1Mihiretu Kebede2Department of Health Service Management, College of Medicine and Health Sciences, University of GondarDepartment of Health Service Management, College of Medicine and Health Sciences, University of GondarDepartment of Health Informatics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarAbstract Background Health workforce information systems in low-income countries tend to be defective with poor relationship to information sources. Human Resource Information System (HRIS) is currently in a pilot implementation phase in the Federal Ministry of Health and Regional Health Bureaus of Ethiopia. Before scaling up the implementation, it is important to understand the implementation readiness of hospitals and health departments. The aims of this study were to assess the readiness for HRIS implementation, identify associated factors, and explore the implementation challenges in public hospitals and health departments of the Amhara National Regional State, Ethiopia. Methods An institution-based cross-sectional study supplemented with a qualitative study was conducted from the 15th of February to the 30th of March 2016 in 19 public hospitals and health departments of the Amhara National Regional State, Ethiopia. A self-administered questionnaire was used to collect the data. The questionnaire includes items on socio-demographic characteristics and questions measuring technical, personal, and organizational factors adapted from the 32-item questionnaire of the Management Science for Health (MSH) HRIS readiness assessment tool. The data were entered and analyzed with statistical software. Descriptive statistics and bivariate and multivariable logistic regression analyses were performed. Odds ratios with 95% confidence interval were computed to identify the factors statistically associated with readiness of HRIS implementation. In-depth interviews and observation checklists were used to collect qualitative data. Thematic content analysis was used to analyze the qualitative data. Result A total of 246 human resource (HR) employees and 16 key informants have been included in the study. The HR employee’s level of readiness for HRIS implementation in this study was 35.8%. Employee’s Internet access (AOR = 2.59, 95%CI = 1.19, 5.62), availability of separate HR section (AOR = 8.08, 95%CI = 3.69, 17.70), basic computer skills (AOR = 6.74, 95%CI = 2.75, 16.56), and fear of unemployment (AOR = 2.83, 95%CI = 1.27, 6.32) were associated with readiness of HRIS implementation. Poor logistic supply, lack of competency, poor commitment, and shortage of finance were the challenges of HRIS implementation. Conclusion In this study, readiness of HRIS implementation was low. Strategies targeting to improve skills, awareness, and attitude of HR employees would facilitate the implementation process.http://link.springer.com/article/10.1186/s12960-017-0259-3HRISE-HRMElectronic Human Resource ManagementReadinessHuman Resource Information SystemEthiopia
spellingShingle Eyilachew Dilu
Measho Gebreslassie
Mihiretu Kebede
Human Resource Information System implementation readiness in the Ethiopian health sector: a cross-sectional study
Human Resources for Health
HRIS
E-HRM
Electronic Human Resource Management
Readiness
Human Resource Information System
Ethiopia
title Human Resource Information System implementation readiness in the Ethiopian health sector: a cross-sectional study
title_full Human Resource Information System implementation readiness in the Ethiopian health sector: a cross-sectional study
title_fullStr Human Resource Information System implementation readiness in the Ethiopian health sector: a cross-sectional study
title_full_unstemmed Human Resource Information System implementation readiness in the Ethiopian health sector: a cross-sectional study
title_short Human Resource Information System implementation readiness in the Ethiopian health sector: a cross-sectional study
title_sort human resource information system implementation readiness in the ethiopian health sector a cross sectional study
topic HRIS
E-HRM
Electronic Human Resource Management
Readiness
Human Resource Information System
Ethiopia
url http://link.springer.com/article/10.1186/s12960-017-0259-3
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