Using Quality Improvement Process to Enhance Health Staff Confidence and Competence in Health Information System Tasks in the Ejisu Juaben Municipal Health Directorate, Ghana

  • Richard Okyere Boadu Department of Health Information Management School of Allied Health Sciences, College of Health and Allied Health Sciences, University of Cape Coast, Cape Coast, Ghana
  • Peter Agyei-Baffour School of Public Health, Kwame Nkrumah University of Science and Technology. Kumasi, Ghana
  • Anthony Kwaku Edusei School of Public Health, Kwame Nkrumah University of Science and Technology. Kumasi, Ghana
Keywords: Confidence and competency; Quality Improvement Process; Health Information System


Routine Health Information is faced with huge challenges which reduce its decision making and planning yields. The objective of the study was 1) to undertake competency gap analysis of health staff’s performance in routine health information tasks, 2) implement quality improvement process training module, 3) to measure the improvement in the competency level of health staff in performing RHIS tasks after application of Quality Improvement Process principles. A quasi-experimental, uncontrolled before and after study was conducted in 18 health facilities in the Ejisu Juaben Municipal Health Directorate, Ghana. The study involved assessment of competency level and training of 141 staff using Data Quality Improvement Process (DQIP) training module over a twelve-month period. RHIS task competence was measured by a pencil and paper test that measured the ability of respondents to perform calculations, and to interpret and use RHIS results, based on the same indicators as used dimension of confidence level. The study found huge competency gaps among staff amidst high confidence in undertaking RHIS tasks while their performance of these tasks scored objectively, yielded low average scores of improvements in competency gaps; data analysis (-36.9%: +3.6%), data interpretation (-42.2%: +9.8%) and use of data (-44.6%: +2.6%) in the baseline and endline evaluations respectively. The study concludes that Quality Improvement Process (QIP) centred training drives the effectiveness of staff competency in performing RHIS tasks, but not necessarily their confidence level.


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How to Cite
Boadu, R., Agyei-Baffour, P., & Edusei, A. (2019). Using Quality Improvement Process to Enhance Health Staff Confidence and Competence in Health Information System Tasks in the Ejisu Juaben Municipal Health Directorate, Ghana. Journal of Information Sciences and Computing Technologies, 8(1), 781-793. Retrieved from