International Journal of Community Medicine and Public Health | June 2021 | Vol 8 | Issue 6 Page 2724
International Journal of Community Medicine and Public Health
Mambo SN et al. Int J Community Med Public Health. 2021 Jun;8(6):2724-2732
http://www.ijcmph.com
pISSN 2394-6032 | eISSN 2394-6040
Original Research Article
Health systems strengthening: assessing the influence of
organizational factors of community health volunteers on
use of community based health information systems
in selected counties, Kenya
Susan N. Mambo
1
*, George W. Odhiambo-Otieno
2
,
George Ochieng’-Otieno
3
, Wanja Mwaura-Tenambergen
4
ABSTRACT
Background: WHO places health information as a key pillar of an effective health system (HS). HS strengthening
has become a key focus of many nations. A paradigm shift from being disease specific focus to holistic strengthening
of pillars of a HS. Kenya’s functionality of CbHMIS (community based health information systems)
stands at 55% down from 64% in year 2015, majorly contributed to by organization of community health volunteers
(CHVs) work. The aim was to establish influence of organizational factors of CHVs on CbHMIS use in Kenya.
Methods: A cross-sectional design which employed both quantitative and qualitative approaches was used. Kiambu,
Kajiado and Nairobi counties formed the study location. A systematic random sample of 366 respondents was drawn.
Multistage sampling was used to identify the community units (CUs). Ethical clearance was obtained from KEMU,
ethics and research committee (SERC), national commission for science, technology and innovation (NACOSTI)
gave a research permit. 3 FGDs and 6 KIIs were conducted. Quantitative data was analyzed using SPSS version 23 to
generate univariate and bivariate analysis at p<0.05 significance level. Qualitative data was analyzed using content
analysis. Results were presented in form of graphs, tables, figures and narration.
Results: Use of CbHMIS stood at 56.6%. Organizational factor explains 39.9% (R
2
=0.399) of total variations in the
use of CbHMIS. Organizational factors of the CHVs were found to positively and significantly influence use of
CbHMIS.
Conclusions: Organizational factors influences use of CbHMIS by CHV. Government/partners to build CUs capacity
on sustainable resource mobilization strategies.
Keywords: Health systems, CbHMIS, CHV, Organizational factors
1
Department of Environmental Health and Disease Control, Jomo Kenyatta University of Agriculture and Technology,
Juja, Kenya
2
Department of Health Sciences, Rongo University, Rongo, Kenya
3
Department of Health Informatics and Information Systems, Kenyatta University, Nairobi, Kenya
4
Department of Health Systems Management, Kenya Methodist University, Meru, Kenya
Received: 29 March 2021
Revised: 03 May 2021
Accepted: 04 May 2021
*Correspondence:
Dr. Susan N. Mambo,
E-mail: susan.mambo@jkuat.ac.ke
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20211975