{"id":"https://openalex.org/W4411882593","doi":"https://doi.org/10.1186/s12911-025-03078-5","title":"Health information system in primary health care units of the Central Zone, Tigray, Northern Ethiopia","display_name":"Health information system in primary health care units of the Central Zone, Tigray, Northern Ethiopia","publication_year":2025,"publication_date":"2025-07-01","ids":{"openalex":"https://openalex.org/W4411882593","doi":"https://doi.org/10.1186/s12911-025-03078-5","pmid":"https://pubmed.ncbi.nlm.nih.gov/40597077"},"language":"en","primary_location":{"id":"doi:10.1186/s12911-025-03078-5","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-025-03078-5","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-025-03078-5","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-025-03078-5","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5086879712","display_name":"Letekirstos Gebreegziabher Gebretsadik","orcid":"https://orcid.org/0000-0002-0231-7576"},"institutions":[{"id":"https://openalex.org/I74813324","display_name":"Mekelle University","ror":"https://ror.org/04bpyvy69","country_code":"ET","type":"education","lineage":["https://openalex.org/I74813324"]}],"countries":["ET"],"is_corresponding":true,"raw_author_name":"Letekirstos Gebreegziabher Gebretsadik","raw_affiliation_strings":["Department of Biostatistics, School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia. letekirstosg@gmail.com"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biostatistics, School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia. letekirstosg@gmail.com","institution_ids":["https://openalex.org/I74813324"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063379955","display_name":"Abate Bekele Belachew","orcid":"https://orcid.org/0000-0003-2583-9913"},"institutions":[{"id":"https://openalex.org/I98381234","display_name":"University of Oulu","ror":"https://ror.org/03yj89h83","country_code":"FI","type":"education","lineage":["https://openalex.org/I98381234"]}],"countries":["FI"],"is_corresponding":false,"raw_author_name":"Abate Bekele Belachew","raw_affiliation_strings":["Research Unit of Population Health, Faculty of Medicine, University of Oulu, Oulu, Finland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Research Unit of Population Health, Faculty of Medicine, University of Oulu, Oulu, Finland","institution_ids":["https://openalex.org/I98381234"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024755555","display_name":"Gebregziabher Berihu Gebrekidan","orcid":null},"institutions":[{"id":"https://openalex.org/I74813324","display_name":"Mekelle University","ror":"https://ror.org/04bpyvy69","country_code":"ET","type":"education","lineage":["https://openalex.org/I74813324"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Gebregziabher Berihu Gebrekidan","raw_affiliation_strings":["Department of Health Systems, School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Systems, School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia","institution_ids":["https://openalex.org/I74813324"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5118753644","display_name":"Alemayohu Bayray","orcid":null},"institutions":[{"id":"https://openalex.org/I74813324","display_name":"Mekelle University","ror":"https://ror.org/04bpyvy69","country_code":"ET","type":"education","lineage":["https://openalex.org/I74813324"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Alemayohu Bayray","raw_affiliation_strings":["Head of Research and Community Services, College of Health Sciences, Mekelle University, Mekelle, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Head of Research and Community Services, College of Health Sciences, Mekelle University, Mekelle, Ethiopia","institution_ids":["https://openalex.org/I74813324"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011777719","display_name":"Akberet Lemlem","orcid":null},"institutions":[{"id":"https://openalex.org/I4210098092","display_name":"Ethiopian Public Health Institute","ror":"https://ror.org/00xytbp33","country_code":"ET","type":"facility","lineage":["https://openalex.org/I4210098092"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Akberet Lemlem","raw_affiliation_strings":["Ethiopian Public Health Institute, Addis Abeba, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ethiopian Public Health Institute, Addis Abeba, Ethiopia","institution_ids":["https://openalex.org/I4210098092"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5118753645","display_name":"Lewtnesh Berihun Dangew","orcid":null},"institutions":[{"id":"https://openalex.org/I74813324","display_name":"Mekelle University","ror":"https://ror.org/04bpyvy69","country_code":"ET","type":"education","lineage":["https://openalex.org/I74813324"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Lewtnesh Berihun Dangew","raw_affiliation_strings":["Department of Statistics, College of Natural and Computational Sciences, Mekelle University, Mekelle, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Statistics, College of Natural and Computational Sciences, Mekelle University, Mekelle, Ethiopia","institution_ids":["https://openalex.org/I74813324"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5085089575","display_name":"Haftom Temesgen Abebe","orcid":"https://orcid.org/0000-0001-6769-210X"},"institutions":[{"id":"https://openalex.org/I74813324","display_name":"Mekelle University","ror":"https://ror.org/04bpyvy69","country_code":"ET","type":"education","lineage":["https://openalex.org/I74813324"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Haftom Temesgen Abebe","raw_affiliation_strings":["Department of Biostatistics, School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biostatistics, School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia","institution_ids":["https://openalex.org/I74813324"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5086879712"],"corresponding_institution_ids":["https://openalex.org/I74813324"],"apc_list":{"value":2690,"currency":"USD","value_usd":2690},"apc_paid":{"value":2690,"currency":"USD","value_usd":2690},"fwci":5.0227,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":{"value":0.95456242,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":98,"max":99},"biblio":{"volume":"25","issue":"1","first_page":"233","last_page":"233"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.5845000147819519,"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":0.5845000147819519,"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/T10209","display_name":"Global Maternal and Child Health","score":0.07680000364780426,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child 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/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.04479999840259552,"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-informatics","display_name":"Health informatics","score":0.8179557919502258},{"id":"https://openalex.org/keywords/primary-health-care","display_name":"Primary health care","score":0.5532641410827637},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.4686443507671356},{"id":"https://openalex.org/keywords/primary-care","display_name":"Primary care","score":0.4521520137786865},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.44205451011657715},{"id":"https://openalex.org/keywords/geography","display_name":"Geography","score":0.3655334711074829},{"id":"https://openalex.org/keywords/family-medicine","display_name":"Family medicine","score":0.29718801379203796},{"id":"https://openalex.org/keywords/public-health","display_name":"Public health","score":0.2928328514099121},{"id":"https://openalex.org/keywords/environmental-health","display_name":"Environmental health","score":0.27236688137054443},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.27075299620628357},{"id":"https://openalex.org/keywords/population","display_name":"Population","score":0.14713534712791443},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.11411729454994202}],"concepts":[{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.8179557919502258},{"id":"https://openalex.org/C163432668","wikidata":"https://www.wikidata.org/wiki/Q623543","display_name":"Primary health care","level":3,"score":0.5532641410827637},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4686443507671356},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.4521520137786865},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.44205451011657715},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.3655334711074829},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.29718801379203796},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.2928328514099121},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.27236688137054443},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.27075299620628357},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.14713534712791443},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.11411729454994202},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000068598","descriptor_name":"Data Accuracy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000068598","descriptor_name":"Data Accuracy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000068598","descriptor_name":"Data Accuracy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000068598","descriptor_name":"Data Accuracy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005002","descriptor_name":"Ethiopia","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005002","descriptor_name":"Ethiopia","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005002","descriptor_name":"Ethiopia","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005002","descriptor_name":"Ethiopia","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D063005","descriptor_name":"Health Information Systems","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D063005","descriptor_name":"Health Information Systems","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D063005","descriptor_name":"Health Information Systems","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D063005","descriptor_name":"Health Information Systems","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D063005","descriptor_name":"Health Information Systems","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D063005","descriptor_name":"Health Information Systems","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D063005","descriptor_name":"Health Information Systems","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D063005","descriptor_name":"Health Information Systems","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1186/s12911-025-03078-5","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-025-03078-5","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-025-03078-5","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},{"id":"pmid:40597077","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40597077","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC medical informatics and decision making","raw_type":null},{"id":"pmh:oai:doaj.org/article:16f37eafd73e48eb9ab102c25c144f26","is_oa":true,"landing_page_url":"https://doaj.org/article/16f37eafd73e48eb9ab102c25c144f26","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Medical Informatics and Decision Making, Vol 25, Iss 1, Pp 1-12 (2025)","raw_type":"article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12220773","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12220773","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Med Inform Decis Mak","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1186/s12911-025-03078-5","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-025-03078-5","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-025-03078-5","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320325740","display_name":"Mekelle University","ror":"https://ror.org/04bpyvy69"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4411882593.pdf","grobid_xml":"https://content.openalex.org/works/W4411882593.grobid-xml"},"referenced_works_count":24,"referenced_works":["https://openalex.org/W1527098724","https://openalex.org/W2008887314","https://openalex.org/W2098092010","https://openalex.org/W2111860366","https://openalex.org/W2167693338","https://openalex.org/W2495737074","https://openalex.org/W2507678845","https://openalex.org/W2612265672","https://openalex.org/W2762262707","https://openalex.org/W2794091094","https://openalex.org/W3014478260","https://openalex.org/W3027131462","https://openalex.org/W3034274668","https://openalex.org/W3093697376","https://openalex.org/W3110637330","https://openalex.org/W3120558185","https://openalex.org/W3130213832","https://openalex.org/W3137619282","https://openalex.org/W3193576509","https://openalex.org/W4200112906","https://openalex.org/W4205344011","https://openalex.org/W4206588533","https://openalex.org/W4282916140","https://openalex.org/W4312186451"],"related_works":["https://openalex.org/W3134121871","https://openalex.org/W2032081050","https://openalex.org/W2769000533","https://openalex.org/W2186923872","https://openalex.org/W2503337236","https://openalex.org/W2141722690","https://openalex.org/W82267009","https://openalex.org/W1533329356","https://openalex.org/W2014066010","https://openalex.org/W4390367778"],"abstract_inverted_index":{"BACKGROUND:":[0],"Health":[1,144],"information":[2,9,13,34,74,151,205,218,380],"systems":[3,14,381],"require":[4],"the":[5,39,64,68,81,171,176,189,195,227,240,251,256,269,289,307,334,340,353,359,390],"management":[6,12,150,204,217],"of":[7,32,67,72,100,194,210,226,243,253,271,292,299,310,315,355,389],"health":[8,11,33,40,43,54,73,77,103,109,140,149,158,198,203,216,229,285,379,391],"through":[10,349],"and":[15,17,29,51,62,70,92,106,121,157,183,208,249,302,319,343,362,372,382],"research":[16],"knowledge":[18],"management.":[19],"In":[20,247],"many":[21],"low-income":[22],"countries,":[23],"including":[24,142,352],"Ethiopia,":[25],"poor":[26],"data":[27,44,132,245,254,272,300,316,321,341],"quality":[28,45,53,69,136,223,301,317,327],"limited":[30,308],"use":[31,273,322],"remain":[35],"major":[36],"challenges":[37,296],"in":[38,75,80,175,288,297,339],"system.":[41,392],"Reliable":[42],"is":[46,375],"essential":[47],"for":[48,163,188,215,274],"evidence-based":[49,384],"decision-making":[50,385],"improving":[52],"service":[55,155,311],"delivery.":[56],"This":[57,280],"study":[58,94,281],"aimed":[59],"to":[60,130,235,306,377],"assess":[61,131],"explore":[63],"contextual":[65],"factors":[66],"utilization":[71],"primary":[76,102,197,228,284],"care":[78,104,199,230,286],"units":[79,105,200,231,287],"Central":[82,290],"Zone,":[83],"Tigray,":[84],"Northern":[85],"Ethiopia.":[86],"METHODS:":[87],"A":[88,98,124],"facility-based":[89],"cross-sectional":[90],"quantitative":[91,164],"qualitative":[93,177,190],"design":[95],"was":[96,128,186,277],"used.":[97],"total":[99],"seven":[101,196],"four":[107],"district":[108],"offices":[110],"were":[111,114,161,181],"selected.":[112],"Data":[113],"collected":[115],"via":[116,134],"document":[117,126],"review,":[118],"structured":[119],"questionnaires":[120],"in-depth":[122],"interviews.":[123,178],"three-month":[125],"review":[127],"conducted":[129,187],"accuracy":[133,330],"lot":[135,222,326],"assurance":[137,224,328],"sampling.":[138],"Forty-eight":[139],"professionals,":[141],"Woreda":[143],"Office":[145],"heads,":[146,148],"facility":[147],"system":[152,206],"focal":[153],"persons,":[154],"providers":[156],"extension":[159],"workers,":[160],"interviewed":[162],"analysis.":[165],"Additionally,":[166],"23":[167],"key":[168],"informants":[169,257],"with":[170],"same":[172],"roles":[173],"participated":[174],"Descriptive":[179],"statistics":[180],"computed,":[182],"thematic":[184],"analysis":[185],"data.":[191],"RESULTS:":[192],"Four":[193],"have":[201,212],"assigned":[202],"personnel,":[207],"five":[209],"them":[211],"necessary":[213],"equipment":[214],"systems.":[219],"The":[220,324],"average":[221,325],"sampling":[225,329],"ranged":[232],"from":[233],"35":[234],"60%,":[236],"which":[237],"falls":[238],"below":[239,333],"national":[241],"threshold":[242],"90%":[244],"accuracy.":[246],"knowing":[248],"measuring":[250],"dimensions":[252,318],"quality,":[255],"described":[258],"this":[259],"as":[260,366],"a":[261],"difficult":[262],"task":[263],"despite":[264],"acknowledging":[265],"its":[266],"importance.":[267],"Similarly,":[268],"culture":[270],"decision":[275],"making":[276],"limited.":[278],"CONCLUSION:":[279],"revealed":[282],"that":[283],"Zone":[291],"Tigray":[293],"face":[294],"significant":[295],"terms":[298],"utilization,":[303],"primarily":[304],"due":[305],"capacity":[309],"providers,":[312],"unclear":[313],"understanding":[314],"weak":[320],"culture.":[323],"rates":[331],"are":[332],"acceptable":[335],"level,":[336],"indicating":[337],"issues":[338],"documentation":[342],"validation":[344],"processes.":[345],"Addressing":[346],"these":[347],"gaps":[348],"targeted":[350],"capacity-building,":[351],"integration":[354],"HMIS":[356],"curricula":[357],"at":[358,386],"university":[360],"level":[361],"system-level":[363],"improvements":[364],"such":[365],"implementing":[367],"computerized":[368],"systems,":[369],"ensuring":[370],"accountability":[371],"allocating":[373],"budgets,":[374],"needed":[376],"strengthen":[378],"enable":[383],"all":[387],"levels":[388]},"counts_by_year":[{"year":2026,"cited_by_count":3}],"updated_date":"2026-08-08T01:25:22.217667","created_date":"2025-10-10T00:00:00"}
