Ezekiel Kiptarbei Kisorio, George Otieno, Kenneth Rucha


The purpose of health information system is to provide timely, reliable and accessible quality health information for evidence based decision making to promote the health of the nation. Following the new constitution of 2010, health function was devolved to county level where most decisions pertaining to health are carried out by health managers. Studies have shown utilization of health information to make decisions to be very low. The objective of this study therefore, was to examine health system issues that influence utilization of health information for decision making health facilities in Nandi County. The study adopted a descriptive research design in which desired data was collected from healthcare providers based on cross section. The sample frame was all health staff who generate health data and the managers of health services at various levels with experience of six months and above. The sample population was 179 health workers at various levels of management in the service delivery. The study sample size of 163 was selected through stratified, simple random and systematic methods.  The data collection methods were questionnaires, interview schedules and focused group discussion guides. The data collection was done using research assistants who were trained by the researcher. Data analysis was done using the relevant software packages including SPSS (ver 23) as main software and Microsoft Excel among others. The response rate was 92%. The study results revealed that 44.4% indicated that they always use the data in the day-to-day running of the health facility programs, 66.7% discussed and recorded the minutes on management of routine data like quality, reporting or timeliness, 63.3% indicated that they have received continuous professional training on data  utilization and data management, planning and computer software. Major difficulty experienced in the use of computers was inadequate computers (40%), other problems evident are lack of access to computers (26.7%) and inadequate training in the use of computers (53.5%). The study concludes that there was routine health information for decision making with majority using it in planning, monitoring and evaluation and supply and drug management. The study recommends that the Ministry of Health should apply appropriate and effective strategies that will promote the consistent health information use for decision making at all levels of management. 

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Abajabel S, Jira C, Beyene W (2011). Utilization of health information system at district level in Jima Zone, Oromia regional state, South West Ethiopia. Ethiopian journal of health sciences, 21(1), 65–76.

Ajami, S. & Arab-Chadegani, R. (2011). Barriers to implement Electronic Health Records (EHRs). Materia socio-medical, 25, 213-215.

Amugune B. K. (2014). Sample size determination and sampling techniques-Mental Health workshop at Maanzoni. International Journal of Research in Business and Social Science, 8(6), 229–239.

Atsede, M., Disselegun, T., Zegeye, S. A. & Maleku, K. (2017). Routine health information system utilization and factors thereof among health workers at government health institutions in East Gojjan Zone North West Ethiopia. BMC Med Inform Decision Making, 17, 116.

Karijo, K. (2013). Determinants of utilization of routine data for Decision making in health facilities in Kitui County, Kenya. Retrieved from

Karuri, J., Waiganjo P., Orwa, D. & Manya, A. (2011). DHIS as a tool to improve health data demand and use in Kenya-Journal of health informatics in developing countries. Journal of Health Informatics in Developing Countries, 8(1), 32-43.

Kawale, P. (2011). Determinants of use of health information in Nathanje Health Area of Lilongwe district-Malawi. Retrieved from

MOH Kenya (2001). Health Management Information System: Report for the 1996 to 1999 period. Nairobi: Ministry of Health- Republic of Kenya.

MOH Kenya (2009). Strategic plan for Health Management Information System 2009-2014. Nairobi: Ministry of Medical services & Ministry of Public Health and Sanitation.

Njeri, N. (2015). Factors affecting utilization of information for projects in Nairobi. Strategic Journal of Business and Change Management, 2(57), 286-315.

Nutley, T. & Reynolds, W. H. (2013). Improving the use of health data for health system strengthening. Global health action, 6, 20-31.

Nzomo M. G. (2017). Use of routine health information for decision making among health workers at Coast General hospital-Mombasa County. Retrieved from

Qureshi, S., Breuste, J.H. & Jim, C.Y. (2013). Differential community and the perception of urban green spaces and their contents in the megacity of Karachi, Pakistan. Urban Ecosystems, 16(4), 853–70.

Raeisi, A. R., Saghaeiannejad, S., Karimi, S., Ehteshami, A., & Kasaei, M. (2013). District health information system assessment: a case study in iran. Journal of the Society for Medical Informatics of Bosnia & Herzegovina, 21(1), 30–35.

The Kenya Vision 2030: The Abridged Version.

The Nandi County Integrated Development Plan (2013-2017).

WHO (2008). Health information Toolkit on monitoring health systems strengthening. Retrieved from

Yaseen, H. & Zaghloul, A. (2010). Business process improvement methods in healthcare: a comparative study. International Journal of Health Care Quality Assurance, 32(5), 887-908.


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