Electronic community health information system practice and associated factors among health extension workers in South Wollo Zone, North East Ethiopia: Mixed study

• eCHIS is a digitized form of CHIS content into a mobile platform by creating logically interrelated programmatic content modules for the use of HEWs around the country. • Compared to paper-based CHISs, electronic CHISs typically provide superior data integrity, accuracy, and decision-making at the community level. • We assessed the health extension workers' potential organizational factors such as; availability of electric power, power reservations, presence of internet connection, and availability of functional tablets which can positively or negatively affect their rooting work • 83% of KIIs suggested that it was very difficult to monitor and evaluate the eCHIS performances of HEWs with different constraints of infrastructure like poor electricity, network, and even lack of road access. Despite several hindering factors, such as limited internet access, unstable power supply, insufficient smart phone, lack of trainings regarding e-CHIS, affecting its implementation, electronic community health information system is a digitized type of community health information system content on a mobile platform that creates a logically interconnected programmatic content module for usage by health extension workers to register and provide health quality health services across the Nation. This study assessed electronic community health information system practice and its associated factors among health extension workers of south Wollo zone, Amhara, Ethiopia, 2024. A facility-based cross-sectional study was conducted from 22 January 2024 to 01 April 2024. Study participants were selected by using simple random sampling for the quantitative study, and purposive sampling was employed for qualitative study. Data were collected using an interviewer-administered questionnaire. Data was entered into Epi Data version 4.6.1 and exported to SPSS version 26 for analysis. Descriptive statistics were summarized using figures and tables. Both bi-variable and multivariable logistic regression analyses were carried out. The level of significance was determined based on the AOR with its 95% CI and P-value at <0.05. Thematic analysis was to analyze the data for qualitative. In this study, 46% of health extension workers showed Good practice of eCHIS. Respondents’ Knowledge, presence of electricity at the health facility, Availability of tablets for eCHIS, and work experience of participants were statistically significant associations with the practice of eCHIS. In this study, the practice of eCHIS was 46%. Variables such as availability of tablets, work experience, knowledge, and facility electricity supply were factors associated with electronic-health-information-system. Improving the knowledge of the participants would improve the e-CHIS practice.