Evaluation of information systems and services in Mengo Hospital, Uganda

Abstract

The rapid advancement of health information technologies has significantly transformed healthcare operations globally. This study evaluates the adoption and utilization of Health Information Systems (HIS) at Mengo Hospital, Uganda, to assess their effectiveness in improving healthcare delivery. A mixed-methods approach was adopted, integrating both quantitative and qualitative research methods. Data collection involved structured questionnaires administered to 67 system users, semi-structured interviews with 10 IT staff, and document reviews. The findings reveal that Mengo Hospital has integrated various information systems, including the Outpatient Service System, Laboratory Management System (LMS), Clinic Master, and Counselling Information System. These systems support patient records, appointment scheduling, laboratory procedures, and billing. However, some departments, such as pharmacy and radiology, have underutilized systems, indicating gaps in integration and user adoption. The study found that HIS adoption was moderate, with 54% of respondents actively using the systems, though usability challenges persist. Qualitative findings highlighted the need for system updates and user-friendly interfaces. Staff training on HIS utilization was also found to be inadequate, contributing to underutilization, especially among non-technical personnel. The study recommended comprehensive staff training programs, system integration across departments, and policy reforms to enhance system maintenance, periodic updates, and patient data security. These improvements will optimize HIS adoption, leading to better healthcare outcomes and overall system sustainability.