Nairobi is one of the most populous cities in Africa. With approximately 4 million people, the city requires efficient health management information system. The government and private institutions have over the years invested huge sums of money into the health sector for the purchase of Information technology equipment’s in order to facilitate and improve service delivery. However, it’s emerging that these efforts have not borne fruits.

The study aimed at assessing the factors that affect the utilization of health information technology projects in Nairobi while focusing on the following objectives, the role of project identification on the utilization of health information systems (HIS), the role of project planning on the utilization of HIS, the role of project implementation on the utilization of HIS and the role of project monitoring and control on the utilization of HIS. 

The researcher adopted the descriptive study design. A sample of 29 facilities from a target population of 97 health facilities owned by the government, private institutions and those owned by faith based organizations were selected using stratified random sampling and simple random sampling.  The researcher adopted a questionnaire for data collection. Quantitative data was analyzed using content analysis, whereas qualitative data was coded and analyzed using Statistical Package for Social Science (SPSS) version 22.0 for windows.

From the findings, some of the factors that influence the utilization of health information systems include age, lack of user involvement, lack of adequate knowledge on the use of the health information system, understaffing, change implementation, lack of refresher training, duration taken to repair the system in case it breaks down and motivation.

There is a need to involve users in the development of the system, ensure health facilities are equipped with the right number of staff, ensure the changes noted during testing the system are implemented adequately, ensure staff are trained are trained regularly,  ensure the system is repaired immediately it breaks down and lastly, ensure that staff are well motivated.

Key Words: Health, Information Technology

Full Text:



Aiken, L.H., Clarke, S.P., Sloane, D.M., et al. (2002) Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction. JAMA, 288, 1987-1993.

Armstrong, M. 2003. A Handbook of Human Resource Management Practice. London: Kogan Page

Baldwin, D.C., Daugherty, S.R., et al. (2003). “A national survey of residents’ self-reported work hours: Thinking beyond specialty.” Academic Medicine. 78(11): 1154-1163

Bajpai Naval (2011), Business Research Methods, Dorling Kindersley (India) Pvt Ltd, Pearson Education, South Asia.

Beck, D. R. "Implementing Top Management Plans Through Project Management," in

Project Management Handbook, ed. Cleland, D. I. and King, W. R. (Van Nostrand

Reinhold. New York, 1983), pp. 166-184.

Bingi, P., Sharma, M.K. and Godla, J. (1999), ``Critical issues affecting an ERP implementation’’, Information Systems Management, pp. 7-14.

Bougie Rodger and Sekaran Uma (2010), Research Methods: A skill Building Approach, John Wiley & Sons 2010.

Christensen Larry, Johnson Burke (2012), Educational Research: Quantitative, Qualitative and Mixed Approaches, SAGE Publication, United States of America.

Charles P. Friedman, Jeremy Wyatt (1997), EVALUATION METHODS IN MEDICAL INFORMATICS. Newyork, Springer London.

David A Powner, Linda D.Kooontz (2005) Health Information Technology: HHS is Taking Steps to Develop a National Strategy, Diane Publishing.

Davis, F. D., Bargozzi, R.P., & Warshaw, P.R. (1989). User acceptance of computer technology: a comparison of two theoretical models. Management Science, 35, 982-1003.

Elske et al (2003) Evaluation of health information systems-problems and challenges. International Journal of Medical Informatics, volume 71, issues2-3, pages 125-135. Retrieved from http://www.sciencedirect.com/science/article/pii/S138650560300131X on 2nd October 2013.

Franco L.M., Bennett S., Kanfer R. (2002): Health Sector Reforms and Public Sector Health Worker Motivation: A Conceptual Frame Work. Social Science and Medicine 2002, 54: 1255 -66.

Gay, L. R; (1992). Educational Research, Competences for Analysis and Application, Ohio: Charles E. Merill Publishing.

Harrison, L. 1994. Motivation in the Project Setting. In D. Lock (ed.) Gower Handbook Of Project Management: 531-549. England: Gower Publishing

Health Metrics Network. 2009. Guidance for the Health Information System Strategic Planning Process: Steps, Tools and Templates for HIS Systems Design and Strategic Planning. Geneva.

Heeks, R. (2006). Health Information Systems: benefits failure, success and improvisation, International Journal of Medical Informatics, 75(2), 125-137.

Heeks, R.B, Mundy, D. & Salazar, A. (1999). Factors affecting utilization of information system succeed or fail, working paper series No: 9, University of Manchester, Manchester.

Holland, P., Light, B. and Gibson, N. (1999), ``A critical success factors model for enterprise resource planning implementation’’, Proceedings of the 7th European Conference on Information Systems, Vol 1, pp. 273-97.

Hwang, M. I., & Thorn, R. G. (1999). The effect of user engagement on system success: a meta-analytical integration of research findings. Information & Management, 35(4), 229-236.

Institute of Medicine. Committee on Quality of Health Care in America (IOM): Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001.

Joy p.k (1994) Total project management, The Indian context, Bombay, publisher.

Kenya National eHealth Strategy: 2011-2017. Ministry of Medical Services and Ministry of Public Health and Sanitation. http://svn.who-mahler.net/hci-

content/ethiopia/lib/exe/fetch.php?media=workshops:ethiopia:kenya_final_national_ehealth_s trategy_2011-2017_.pdf

Kothari C. (2004) Research Methodology: Methods and Techniques, New Age International.

Kohari C.R (2004): Research Methodology: Methods and Techniques (Second Revised Edition). New Age International Publishers, New Delhi.

KIT (2001). A study of motivation of health staff in northern Viet Nam Amsterdam: Royal Tropical Institute.

Kumar R. (2010), Research Methodology: a step by step guide for beginners, SAGE Publications Ltd,1 Oliver’s Yard,55 City Road, London ECIY ISP.

Lau F et al. (2006).A review of the predictors, linkages, and biases in IT innovation adoption research, Journal of Information Technology, 21 1–23.

Leon Alexi (1999). Enterprise Resource Planning. Tata McGraw-Hill Publishing Company Limited, 7 West Patel Nagar, New Delhi.

Locke,E.A 1968. Toward a Theory of Task Motivation and Incentives. Organizational Behavior and Human Performance, 3: 157-89.

Lorenzi NM, Riley RT, Blyth AJ, Southon G, Dixon BJ. (1997).Antecedents of the people and organizational aspects of medical informatics: review of the literature. J Am Med Inform Assoc; 4:79-93.

Lippeveld, T. Gul, Z, Limprecht, N. (2001). Assessment Study on Health Information Systems in Pakistan: Pakistan Child Survival Project, Ministry of Health, National Basic Health, Services Cell, Islamabad

Lucas H. C. Jr. "The Implementation of an Operations Research Model in the Brokerage Industry," in The Implementation of Management Science, ed. Doktor, R., Schultz, R, L. and Slevin, D. P. (North-Holland. New York, 1979), pp. 139-154.

Manley. J. H. "Implementation Attitudes: A Model and a Measurement Methodology."

in Implementing Operating Research and Management Science, ed. Schultz. R. L. and Slevin, D. P. (Elsevier. New York, 1975), pp. 183-202.

McClure David P., (2007) e-Health and America’s Broadband Networks An Examination of How Broadband Services Enhance Health Care In America, A publication of US Internet Industry Association, August 14, 2007

McClelland, C.1961.The Achieving Society. Princeton, NJ: D Vannostrand Co

McManus J. and Wood-Harper T. (2003). Information Systems Project Management: Methods, Tools and Techniques. Harlow, England: Pearson Education Limited.

Miles, M. B., & Huberman, A.M. (1994): “Qualitative Data Analysis: An Expanded Sourcebook” (2nd edition). Beverley Hills, Sage.

Miller, J.B (1976): Toward a New Psychology of Women, Beacon Press, Boston.

Multi-donor Support Unit (MSU) (2001).An overview of the health sector: The way forward. In: Health sector in Pakistan: Ministry of Health, Government of Pakistan: 34-6.

Mutizwa-Mangiza, D. (1998). Impact of Health Reform on Health Worker Motivation. Abt Associates, Inc. Bethesda.

Ministry of Medical Services and Ministry of Public Health and Sanitation: Nairobi.

Ministry of Health Kenya (2005) The 2005 Kenya Health Workers Survey.

Miner, J.B. 1980. Theories of Organizational Behavior. San Diego: The Dryden Press

Minton, H. L, and Schneider, F.W (1980) Differential Psychology, Waveland Press, Prospect Heights.

Moazzam, A, Horikoshi, Y. (2002).Situation analysis of health management information system in Pakistan. Pakistan J. Med. Res; 41:64-9.

McClelland, D. C. (1976). The Inner experience, New York, Prentice-Hall

Nzuve, A.N. (1999): Elements of Organizational Behaviour, Nairobi University Press, Nairobi.

Nursing and Midwifery Council of Nigeria, Statistics of Nurses, 2012.

Oyeleye, O., Hanson, P., O’Connor, N. and Dunn. D. (2013) Relationship of Work Incivility, Stress, and Burnout on Nurses’ Turnover Intentions and Psychological Empowerment. Journal of Nursing Administration, 43, 536-542.

Pathak P.R (2008), Methodology of Educational Research, Atlantic Publishers & Distributors Ltd, New Delhi.

Rajaraman V. (2006). Introduction to Information Technology. Asoke K. Ghosh, Prentice-Hall of India Private Limited.

Roberts, H.J. and Barrar, P.R.N. (1992), ``MRPII implementation: key factors for success’’, Computer Integrated Manufacturing Systems, Vol. 5 No. 1, pp. 31-8.

Schmid, B., & Adams, J. (2008). Motivation in project management: The project manager's perspective. Project Management Journal, 39(2), 60-71.

Schultz, R. L. and Slevin, D. P. "Implementation and Management Innovation," in

Implementing Operations Research and Management Science, ed. Schultz, R. L. and

Slevin, D. P. (Elsevier. New York, 1975), pp. 3-22.

Stansfield S. (2005). “Structuring information and incentives to improve health”. Bulletin of the World Health Organization, 83(8):562.

Stilwell, B. (2001): Health Worker Motivation in Zimbabwe; Geneva: World Health Organization.

Sergon, Kibet. 2009. Presentation to the DPHK: Highlights on Health Information System (HIS).

Talisuna, A. O. (2000). HMIS: Is it tailored to monitoring the Health Sector Strategic Plan, Uganda Health Bulletin, 7(2), 1-2

Vahey, D.C., Aiken, L.H., Sloane, D.M., et al. (2004) Nurse Burnout and Patient Satisfaction. Medical Care, 42.

Valdes I, Kibbe DC, Tolleson G, Kunik ME, Petersen LA. Barriers to proliferation of electronic medical records. Inform Prim Care. 2004; 12:3-9. [PMID: 15140347]

Venkatesh, V. Morris, M.G and Ackerman P.L “A Longitudinal Field Investigation of Gender Diffrences in Individual Technology Adoption Decision Making Processes,” Organizational Behavior and Human Decision Processes (83:1), 2000, pp.33-60.

Wanjala, Pepela & E.A. Ogara. 2010. Presentation: Health Information System and Use of ICT in the Health Sector.

Westland Jason (2006): Project Management Life Cycle; A step by step methodology for initiating, planning, executing and closing a project successfully. Great Britain by Cambridge University Press.

Wee, S. (2000), ``Juggling toward ERP success: keep key success factors high’’, ERP News, February, available http://www.erpnews.com/erpnews/erp904/02get.html.

Wilson, C. (2006) Why Stay in Nursing? Nursing Management, 12, 31.

WHO (1993). Training manual on management of human resources for health, Section 1, part A, Geneva.

WHO (2011).Analyzing disrupted health systems in countries in crisis training course.

WHO Regional Office for the Western Pacific (WHO-WPRO).(2003).Practical principles on building and improving health management information systems.

Willcocks L, Lester S.Evaluating the feasibility of information technology Research discussion paper DDP93/1. Oxford: Oxford Institute of Information Management,1993. (Confirm the second names of the authors)



f. Health Sector Strategic Plan for Health Information System 2009-2014. Nairobi.

a. Health Information System Policy 2009-2014. Ministry of Health: Nairobi.

e. Health Management Information System (HMIS): Review of Software’s in the Health Sector.


  • There are currently no refbacks.