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Background: Routine health information systems (RHIS) are vital for the acquisition of data for health sector planning, monitoring, and evaluation, patient management, health education, resource allocation, disease prioritization, and decision-making. Routine health information use for decision-making is low in Ethiopia. Thus, the study aimed to assess level of routine health information use and its associated factors among managers working at public hospitals in North Shewa, Ethiopia.Methods: A facility-based cross-sectional study design with both quantitative and qualitative data collection methods was conducted from May to June 2020. A total of 102 randomly selected managers working in public hospitals in North Shewa were included in the quantitative study while six in-depth interviews were performed for the qualitative method. Quantitative data were collected using a structured self-administered questionnaire and interview guide by trained data collectors, cleaned, coded, and entered into Epi-info version 7.1 software and transferred into SPSS version 23 software for Window for further statistical analysis. Both bivariable and multivariable logistic regression analyses were performed. In the multiple logistic regression analysis, a less than 0.05 P-value was considered statistically significant. The odds ratio along with a 95% confidence interval (CI) were estimated to measure the strength of the association. Thematic analysis was done for key informant interview data.Result: In this study, the level of routine health information use for decision-making was 71.6% (95% CI: 61.8%, 79.4%). According to the multivariable logistic regression analysis, training on health information system (AOR = 0.28, 95% CI: 0.08-0.98) and supportive supervision (AOR = 0.27, 95% CI: 0.09-0.78) were found significantly associated with the use of routine health information for decision-making. Moreover, the lack of staff motivation and computer and data analysis skills were the major reasons for not using routine health information.Conclusions: Three-fourth of the managers working at public hospitals used routine health information for decision-making. Training on health information system and supportive supervision were factors associated with the use of routine health information. Therefore, training of managers and the provision of supportive supervision were highly recommended to improve the use of routine health information managers for decision-making at public health institutions. |
