An assessment of the effects of behavioural factors (competence, confidence, and motivation) and technical abilities of health professionals on the performance of health information systems: A case study in Kenya.


  • Angela C Rotich
  • Kanida Narattharaksa -
  • Adjunct Associate Professor


Human behavioral factors, Technical abilities, the Performance of health information systems, District health information systems


 The primary objective of a health information system is to scale up the effectiveness of services by
ascertaining that health managers and service providers use health data to make informed decisions.
Human behaviour largely affects the produced by the Routine Health Information Systems (RHIS).
This research aimed to assess howhuman behavioural factors:competence, confidence, motivation, and
the technical abilities: knowledge of routine health information systems rationale, data quality checking skills,
and problem-solving skills of District Health Information System (DHIS) staff affected the health system
The cross-sectional design was used to collect data from Bomet county, Kenya. Descriptive statistic was
used to analyze the data using percentages, frequencies, mean and median. The Chi-square test was used to
test the population variance. T-test and F-test were used to explore the differences in mean for the different
variables. Cross tabulation was used to examinethe performance of participants on the competency test.
Confirmatory factor analysis was used to reduce the number of variables. Thelinear regression analysis
showed that years of service could predict the ability of staff to provide feedback, competence to execute tasks,
confidence to perform the duties.

Out of 223 questionnaires distributed, 209 were correctly completed and returned, giving the research a 94%
response rate. Most participants were nurses (40%). Majority of the participants were between 30-40 years
(48.5%). Diploma holders constituted 75.12%. Untrained staffon RHIS constituted 89.95%. The overall level
of knowledge of the study participants was analyzed using the sum score of each outcome based on Bloom's
cut-off point.Trained staff were more competent than untrained staff (p = .000). Respondentsrated themselves
at above 70% inthe performance of RHIS tasks. There was astrong correlation between competence and
confidence (correlation coefficient = 0.893, p < 0.001). Trained staff were more knowledge able than untrained
staff (p = .000), and they also had better data quality checking skills (p = .001). 20-30 years old staff were more
competent in problem-solving processes than those above 41 yearsof age.
The county government should encourage the training of trainers to speed up staff trainingon effective
collection of data and use of data to make informed decisions. Staff involvement through regular meetings
should occur to ensure information sharing and resolution of any out standing operational challenges.


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Author Biographies

Angela C Rotich

Angela is a Kenyan student of the College of Health Systems Management, Naresuan University. She used to be a compliance monitoring office, Postal Corporation of Keny before y pursuing a Master of Science in Health Systems Management: Naresuan University, Phitsanulok, Thailand

Efficiency, Competence, Hard work, Respect, Honesty, and Accountability

Adjunct Associate Professor

David mainly works at the Faculty of Medicine and Health, University of New England, Australia, and had extensive senior management experience in the public health sector that includes being a former CEO of a large Area Health Service, General Manager of a District Health Service, and CEO of a 300 bed acute regional referral hospital and was formerly health management course coordinator in the School of Health UNE.

David is Chair, New England Medicare Local, Editor Asia Pacific Journal of Health Management, President, Society of Health Administration Programs in Health Education and Senior Advisor to the Faculty of the Centre of Expertise on Hospital and Health Services Management at Naresuan University in Thailand and ASEAN Institute of Health Development, Mahidol University, Thailand.


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How to Cite

Rotich, A. C., Narattharaksa, K., & Briggs, D. S. . (2022). An assessment of the effects of behavioural factors (competence, confidence, and motivation) and technical abilities of health professionals on the performance of health information systems: A case study in Kenya. NU Journal of Nursing and Health Sciences, 16(2), 42–54. Retrieved from