Browsing by Author "Ndabarora, Eleazar."

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Developing an intervention model for data quality management and health information use at community and district levels in Rwanda
(2014) Ndabarora, Eleazar.; Uys, Leana Ria.
The purpose of this study was to develop an intervention model for health data quality management (DQM) and health information use at community and district levels in Rwanda and similar settings, based on a situation analysis of current practices and performance in Rwanda and existing evidence found in similar settings. This thesis is by publication and comprises three research papers based on the findings of three evaluation studies conducted, and reports on the study four which describes the model developed. Methods The study was initiated based on a systematic review of health DQM and best practices at community and district levels in low-and middle-income countries (LMIC). A retrospective design was used to evaluate the quality of clinical and community health data, and a survey of health information users was conducted. The mixed methods approach was adopted to collect quantitative and qualitative data, and the teamwork in “Group Model Building” (GMB) process through a workshop was used to develop the model.Findings Poor health DQM and health information use at community and District levels in Rwanda and other LMIC was found, particularly at the sources of data. Best practices were also found, but several issues hindering the quality of health data and utilization namely poor management of District Health Information System, lack of institutional support to all stakeholders involved in DQM, and lack of information culture. Variables that influenced the quality of health data and use included the training of the staff and community health workers (CHWs), regular formative supervision and monitoring and evaluation, involvement of all stakeholders, Data Quality Audit (DQA), feedback initiatives, understanding and perception of data usefulness, use of electronic and computerized systems, and proper leadership and coordination. Those variables were included in the model developed. Conclusion Based on the identified barriers to high quality data systems, an intervention model for health DQM and health information use at community and District levels in Rwanda was developed as the main achievement of this study.
Exploration of factors that influence the utilisation of HIV/AIDS prevention mehtods among University of KwaZulu-Natal students residing in a selected campus.
(2009) Ndabarora, Eleazar.
In this study, the researcher is interested in the utilization of HIV/AIDS prevention methods among university students. The purpose of this study was to explore factors that influence the utilization of existing HIV/AIDS prevention methods amongst students at the University of KwaZulu-Natal residing in a selected campus. Four residences within the selected campus were randomly selected and participants were conveniently selected from each of sampled residences. There was a total of 335 respondents and 261 (78%) completed the manual questionnaires while 74 (22%) completed online questionnaires. The study used quantitative approach and was descriptive-exploratory in nature. Data was analyzed using the Statistical Package for Social Sciences (SPSS) version 15. The majority of respondents were young people with the mean age of 22.9 years. The sample comprised 278 (78%) undergraduate and 57 (17%) post graduate students. Study findings showed that the factors which influenced the utilization of HIV/AIDS prevention methods varied and that they were mainly influenced by the awareness of the existing university-based HIV/AIDS prevention strategies. It also emerged that the mostly utilized HIV prevention methods were VCT services and free condoms. Perceived susceptibility and the perceived threat of HIV/AIDS score was also found to be correlated with HIV Risk Index score. Furthermore, there was Correlation between perceived susceptibility and perceived threat of HIV/AIDS and self-efficacy on condoms and their utilization. However, there seemed to be no relationship between utilization of HIV/AIDS prevention methods and these variables. In conclusion, the findings of this study suggest that most of Health Beliefs Model (HBM) variables were not predictors of the utilization of HIV/AIDS prevention methods among students. Intervention aiming to improve the utilization of HIV/AIDS prevention methods among students at the UKZN should focus on removing identified barriers, promoting HIV/AIDS prevention services and providing correct knowledge on HIV for behavioral change.