{"id":"https://openalex.org/W7136160752","doi":"https://doi.org/10.53974/unza.jonas.7.2.1277","title":"The Utilisation of data and the factors impacting the performance of the Health Management Information System (HMIS). The case of 6 Synod of Livingstonia Health Facilities in Malawi.","display_name":"The Utilisation of data and the factors impacting the performance of the Health Management Information System (HMIS). The case of 6 Synod of Livingstonia Health Facilities in Malawi.","publication_year":2026,"publication_date":"2026-03-03","ids":{"openalex":"https://openalex.org/W7136160752","doi":"https://doi.org/10.53974/unza.jonas.7.2.1277"},"language":"en","primary_location":{"id":"doi:10.53974/unza.jonas.7.2.1277","doi":"https://doi.org/10.53974/unza.jonas.7.2.1277","is_oa":true,"landing_page_url":"https://doi.org/10.53974/unza.jonas.7.2.1277","pdf_url":"https://journals.unza.zm/index.php/JONAS/article/download/1277/1097","source":{"id":"https://openalex.org/S4387282953","display_name":"Journal of Natural and Applied Sciences","issn_l":"2226-6429","issn":["2226-6429"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I33278361","host_organization_name":"University of Zambia","host_organization_lineage":["https://openalex.org/I33278361"],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Natural and Applied Sciences","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://journals.unza.zm/index.php/JONAS/article/download/1277/1097","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5086409450","display_name":"Chisomo Salangwa","orcid":"https://orcid.org/0009-0002-8154-5055","observed_orcids":["https://orcid.org/0009-0002-8154-5055"]},"institutions":[{"id":"https://openalex.org/I32284924","display_name":"Copperbelt University","ror":"https://ror.org/03fgtjr33","country_code":"ZM","type":"education","lineage":["https://openalex.org/I32284924"]}],"countries":["ZM"],"is_corresponding":true,"raw_author_name":"Chisomo Salangwa","raw_affiliation_strings":["Copperbelt University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Copperbelt University","institution_ids":["https://openalex.org/I32284924"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5099113336","display_name":"Reston Munthali","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210118457","display_name":"University of Livingstonia","ror":"https://ror.org/02fqsc924","country_code":"MW","type":"education","lineage":["https://openalex.org/I4210118457"]}],"countries":["MW"],"is_corresponding":false,"raw_author_name":"Reston Munthali","raw_affiliation_strings":["University of Livingstonia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Livingstonia","institution_ids":["https://openalex.org/I4210118457"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5099113337","display_name":"Lusungu Mfune","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210118457","display_name":"University of Livingstonia","ror":"https://ror.org/02fqsc924","country_code":"MW","type":"education","lineage":["https://openalex.org/I4210118457"]}],"countries":["MW"],"is_corresponding":false,"raw_author_name":"Lusungu Mfune","raw_affiliation_strings":["University of Livingstonia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Livingstonia","institution_ids":["https://openalex.org/I4210118457"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5099113338","display_name":"Vegha Kaunga Nyirenda","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210118457","display_name":"University of Livingstonia","ror":"https://ror.org/02fqsc924","country_code":"MW","type":"education","lineage":["https://openalex.org/I4210118457"]}],"countries":["MW"],"is_corresponding":false,"raw_author_name":"Vegha Kaunga Nyirenda","raw_affiliation_strings":["University of Livingstonia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Livingstonia","institution_ids":["https://openalex.org/I4210118457"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5086409450"],"corresponding_institution_ids":["https://openalex.org/I32284924"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.5562000274658203,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.5562000274658203,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14186","display_name":"Healthcare Systems and Practices","score":0.15279999375343323,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.04520000144839287,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-management-information-systems","display_name":"health management information systems","score":0.925000011920929},{"id":"https://openalex.org/keywords/health-system-performance","display_name":"health system performance","score":0.6919999718666077},{"id":"https://openalex.org/keywords/district-health-office","display_name":"district health office","score":0.5799999833106995},{"id":"https://openalex.org/keywords/health-supervision","display_name":"health supervision","score":0.5509999990463257},{"id":"https://openalex.org/keywords/patient-workload","display_name":"patient load","score":0.5490000247955322},{"id":"https://openalex.org/keywords/health-worker-incentives","display_name":"health worker incentives","score":0.5270000100135803},{"id":"https://openalex.org/keywords/mzimba-district","display_name":"Mzimba district","score":0.6499999761581421}],"concepts":[{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5982000231742859},{"id":"https://openalex.org/C2775949068","wikidata":"https://www.wikidata.org/wiki/Q4260475","display_name":"Health facility","level":4,"score":0.5570999979972839},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4578999876976013},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.44769999384880066},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.4397999942302704},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.427700012922287},{"id":"https://openalex.org/C147268084","wikidata":"https://www.wikidata.org/wiki/Q5635796","display_name":"HRHIS","level":4,"score":0.4196999967098236},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.4156000018119812},{"id":"https://openalex.org/C171265473","wikidata":"https://www.wikidata.org/wiki/Q5691117","display_name":"Health management system","level":3,"score":0.3921000063419342},{"id":"https://openalex.org/C185618831","wikidata":"https://www.wikidata.org/wiki/Q1851928","display_name":"Health promotion","level":3,"score":0.3917999863624573},{"id":"https://openalex.org/C2775951005","wikidata":"https://www.wikidata.org/wiki/Q3473024","display_name":"Community health","level":3,"score":0.3871999979019165},{"id":"https://openalex.org/C180198813","wikidata":"https://www.wikidata.org/wiki/Q121182","display_name":"Information system","level":2,"score":0.3790000081062317},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.37119999527931213},{"id":"https://openalex.org/C137992405","wikidata":"https://www.wikidata.org/wiki/Q1137608","display_name":"Health administration","level":3,"score":0.358599990606308},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3515999913215637},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.32690000534057617},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.31690001487731934},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.30660000443458557},{"id":"https://openalex.org/C2776957806","wikidata":"https://www.wikidata.org/wiki/Q4895105","display_name":"Interim","level":2,"score":0.30660000443458557},{"id":"https://openalex.org/C2780510313","wikidata":"https://www.wikidata.org/wiki/Q178706","display_name":"Institution","level":2,"score":0.298799991607666},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.28679999709129333},{"id":"https://openalex.org/C2780016893","wikidata":"https://www.wikidata.org/wiki/Q1312371","display_name":"Health department","level":3,"score":0.27149999141693115},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.2653000056743622},{"id":"https://openalex.org/C113807197","wikidata":"https://www.wikidata.org/wiki/Q60894","display_name":"Health education","level":3,"score":0.25780001282691956},{"id":"https://openalex.org/C2986740045","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health services","level":3,"score":0.25699999928474426}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.53974/unza.jonas.7.2.1277","doi":"https://doi.org/10.53974/unza.jonas.7.2.1277","is_oa":true,"landing_page_url":"https://doi.org/10.53974/unza.jonas.7.2.1277","pdf_url":"https://journals.unza.zm/index.php/JONAS/article/download/1277/1097","source":{"id":"https://openalex.org/S4387282953","display_name":"Journal of Natural and Applied Sciences","issn_l":"2226-6429","issn":["2226-6429"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I33278361","host_organization_name":"University of Zambia","host_organization_lineage":["https://openalex.org/I33278361"],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Natural and Applied Sciences","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.53974/unza.jonas.7.2.1277","doi":"https://doi.org/10.53974/unza.jonas.7.2.1277","is_oa":true,"landing_page_url":"https://doi.org/10.53974/unza.jonas.7.2.1277","pdf_url":"https://journals.unza.zm/index.php/JONAS/article/download/1277/1097","source":{"id":"https://openalex.org/S4387282953","display_name":"Journal of Natural and Applied Sciences","issn_l":"2226-6429","issn":["2226-6429"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I33278361","host_organization_name":"University of Zambia","host_organization_lineage":["https://openalex.org/I33278361"],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Natural and Applied Sciences","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.6240000128746033}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320324288","display_name":"Copperbelt University","ror":"https://ror.org/03fgtjr33"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7136160752.pdf","grobid_xml":"https://content.openalex.org/works/W7136160752.grobid-xml"},"referenced_works_count":28,"referenced_works":["https://openalex.org/W1972500884","https://openalex.org/W2259873912","https://openalex.org/W2441173661","https://openalex.org/W2467735290","https://openalex.org/W2743227861","https://openalex.org/W2751123070","https://openalex.org/W2769601431","https://openalex.org/W2903823194","https://openalex.org/W2921657420","https://openalex.org/W2942748598","https://openalex.org/W3017305860","https://openalex.org/W3031591073","https://openalex.org/W3095825633","https://openalex.org/W3107515793","https://openalex.org/W3118934105","https://openalex.org/W3119438120","https://openalex.org/W3124111023","https://openalex.org/W3126106205","https://openalex.org/W3188505460","https://openalex.org/W3195716490","https://openalex.org/W3210303992","https://openalex.org/W3216889510","https://openalex.org/W4200267714","https://openalex.org/W4206495025","https://openalex.org/W4210332382","https://openalex.org/W4221042413","https://openalex.org/W4282916140","https://openalex.org/W4362521709"],"related_works":["https://openalex.org/W4415374819","https://openalex.org/W3124111023","https://openalex.org/W4280548288","https://openalex.org/W2792635245","https://openalex.org/W4409824016","https://openalex.org/W7100422939","https://openalex.org/W7114936228","https://openalex.org/W2313379600","https://openalex.org/W2612897981","https://openalex.org/W1972500884"],"abstract_inverted_index":{"Background:":[0],"A":[1],"collection":[2],"of":[3,16,30,46,128,136,144,160,203,240,260,284,309,318,333],"data":[4,38,173,214,285,298,323],"that":[5,249],"is":[6,20],"routinely":[7,252],"gathered":[8],"at":[9,53,82],"healthcare":[10,58,67,129,292],"facilities":[11,68,130],"to":[12,34,92,117,156,176,235,275],"satisfy":[13],"the":[14,54,83,112,134,145,161,168,171,200,204,217,226,241,258,302],"requirements":[15],"health":[17,50,193,242],"service":[18,178],"statistics":[19],"called":[21],"a":[22,89,264,316,331],"Health":[23,48,80,138,228,311],"Management":[24],"Information":[25],"System":[26],"(HMIS).":[27],"The":[28,103,304],"purpose":[29],"this":[31,224],"study":[32,64],"was":[33,39,96],"ascertain":[35],"how":[36],"HMIS":[37,153,172,313],"used":[40,167],"and":[41,56,77,85,105,109,125,188,195,266,287,296,327,330,335],"what":[42],"variables":[43],"affected":[44],"Synod":[45,135,308],"Livingstonia":[47,137,310],"Facilities":[49,312],"system's":[51],"performance":[52,180,281,314],"district":[55,86,123,147,245],"basic":[57],"institution":[59,84],"levels.":[60],"Methods:":[61],"This":[62],"cross-sectional":[63],"included":[65],"6":[66],"in":[69,216,282],"3":[70,146],"districts,":[71],"namely":[72],"Mzimba":[73,75],"South,":[74],"North":[76],"Rumphi":[78],"District.":[79],"workers":[81],"levels":[87],"completed":[88],"semi-structured":[90],"questionnaire":[91],"gather":[93],"data,":[94,154],"which":[95],"then":[97],"recorded":[98],"using":[99,111],"an":[100,277],"observational":[101],"checklist.":[102],"responses":[104],"observations":[106],"were":[107,131,174,301,315],"combined":[108],"triangulated":[110],"thematic":[113],"content":[114],"analysis":[115,295],"approach":[116],"extract":[118],"pertinent":[119],"information.":[120],"Results:":[121],"13":[122],"officials":[124],"90":[126],"employees":[127],"surveyed":[132],"under":[133],"Department":[139],"(SoLHD).":[140],"Only":[141],"1":[142],"out":[143],"respondents":[148,163,246],"(48.2%)":[149],"reported":[150,274],"regularly":[151],"reviewing":[152],"compared":[155],"over":[157,185],"two-thirds":[158],"(70%)":[159],"facility":[162],"who":[164],"said":[165],"they":[166],"data.":[169],"Primarily,":[170],"utilised":[175],"compare":[177],"coverage":[179],"(62%),":[181],"track":[182],"illness":[183],"trends":[184],"time":[186],"(40%),":[187],"provide":[189],"support":[190],"for":[191,322],"community":[192],"education":[194],"promotion":[196],"initiatives":[197],"(53%).":[198],"Before":[199],"study,":[201],"31.4%":[202],"facility's":[205],"staff":[206,280],"had":[207,231],"not":[208],"received":[209],"any":[210],"training":[211],"on":[212,257,263,279],"HMIS-related":[213],"handling":[215],"previous":[218],"24":[219],"months.":[220],"4":[221],"months":[222],"before":[223],"assessment,":[225],"District":[227],"Office":[229],"(DHO)":[230],"conducted":[232],"supervisory":[233],"visits":[234],"less":[236],"than":[237],"half":[238],"(34.6%)":[239],"facilities.":[243],"2":[244],"(68.2%)":[247],"stated":[248],"higher":[250],"authorities":[251],"provided":[253],"them":[254],"with":[255],"comments":[256],"calibre":[259],"their":[261],"reports":[262],"monthly":[265],"quarterly":[267],"basis.":[268],"Patient":[269],"load":[270],"has":[271],"frequently":[272],"been":[273],"have":[276],"impact":[278],"terms":[283],"administration":[286],"gathering.":[288],"Conclusion:":[289],"In":[290],"most":[291],"facilities,":[293],"inadequate":[294],"poor":[297],"utilisation":[299],"techniques":[300],"norm.":[303],"main":[305],"issues":[306],"impacting":[307],"lack":[317,332],"standard":[319],"operating":[320],"procedures":[321],"management,":[324],"insufficient":[325],"financial":[326],"human":[328],"resources,":[329],"incentives":[334],"oversight.":[336]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2026-03-17T00:00:00"}