A Health Management Information System (HMIS) is defined as the effective and efficient collection, analysis, dissemination and use of the information relating to characteristics of people and communities, their external milieu. HISs are often implemented to enhance the quality and patient-centeredness of care, as well as to improve the efficiency and safety of the services. Despite vast amounts of resources and time invested in the development and use of health information systems (HIS), health information in Samburu is barely used by health workers for service delivery planning and decision-making. The main objective of the study was therefore to establish how institutional planning affect
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