Vel Of Utlization And Associated Factors Of Electronic Community Health Information Systems Among Health Extention Workers In East Shewa Zone, Oromia, Ethiopia, 2025

Abstract

Background: The electronic community health information system is a mobile platform for Health Extension Workers in Ethiopia, consisting of a mobile app and a web-based performance monitoring dashboard. It was introduced to improve data collection and service provision. However, the level of its utilization remains unknown, particularly among Health Extension Workers in the East Shewa Zone. Objective: The aim of the study was to assess the level of utilization and associated factors of electronic community health information systems among health extension workers in East Shewa Zone, Oromia, Ethiopia, 2025. Methods: A facility-based cross-sectional study was conducted from June 30 to August 30, 2025. The study covered all 11 woredas, with 243 HEWs chosen proportionally using simple random sampling. Quantitative data were collected from HEWs using structured questionnaires via Kobo Collect, and qualitative data were gathered through 11 in-depth interviews with supervisors and managers. Data were analyzed using SPSS version 26. Descriptive and inferential statistics were performed. Variables with p < 0.25 in bivariate analysis were included in multivariable logistic regression. Adjusted odds ratios (AOR) with 95% confidence intervals (CI) were computed, and p < 0.05 was considered statistically significant. Results: Of the 243 HEWs who participated (95% response rate), 70.8% (95% CI: 64.2 75.8%) reported frequent and always use of eCHIS. About 17% reported rare or occasional use, and 7% had never used the system. Factors significantly associated with higher utilization included residing in urban areas while working in rural posts (AOR = 0.19, 95% CI: 0.07–0.51), receiving adequate supervisory support (AOR = 4.88, 95% CI: 1.83–12.98), and positive perceptions of eCHIS usefulness (AOR = 4.167, 95% CI: 3.642-22.721) and improved output (AOR =28.059, 95% CI:5.578-141.144) were significantly associated with higher utilization. Conclusion: The level of eCHIS utilization among HEWs is high in east shewa. Factor associated with eCHIS utilization were residence, getting enough support, perception of eCHIS has improved work output, eCHIS usefulness for their work and continue to use eCHIS