Evaluation of I-Kelahiran, A Health Informatics System In Sabah State Health Department – A Structural Equation Modeling

摘要

I-Kelahiran (Inovasi-Kelahiran) is a health informatics system that manages birth and immunisationdata, developed and implemented in Sabah to address birth discrepancy, delayed reporting of highrisk pregnancy, and immunization coverage. This study aimed to evaluate the conceptual frameworkand the factors that determine the information system success of I-Kelahiran among the nurses inthe Sabah State Health Department. It was a cross-sectional web-based study, conducted in 21hospitals and 292 health clinics. A total of 1.200 nurses participated, with a mean age of 31.96 years(SD=7.76) and the majority of them were community nurses. About 93.8% of them had goodcomputer literacy. Individual Impact (p=0.011) and Organizational Impact (p=0.0019) were seen tohave significant association towards the nurse's place of work, and computer literacy had a significantassociation towards organizational impact (p=0.046). A structural equation modeling indicated thatonly perceived ease of use & importance of system are good predictors in outcome evaluation of IKelahiran while Individual Impact & Effectiveness are good domains to measure the overall outcomeof I-Kelahiran (Chi-Square/df=2.850, Comparative Fit Index [CFI]= 0.991, Tucker-Lewis Index[TLI]= 0.989, Root Mean Square Error of Approximation [RMSEA]= 0.939). Future study is neededto study the complex external factors that lead to this information success model in Malaysia.