Digital Informatics and Data Management in Health Centres in Mubi, Adamawa State, Nigeria

Abstract

The integration of digital health informatics and effective data management systems has become essential for improving healthcare delivery; decision-making; and patient outcomes; in resource-limited settings. This study examines the adoption; use; and challenges of digital informatics and data management practices in selected health centres in Mubi; Nigeria. The paper explores how electronic health records; digital data collection tools are used to manage patient information and administrative functions. Using a descriptive research approach; data were collected through structured-questionnaires; interviews; and on-site observations with healthcare workers. The findings showed low digital infrastructure and limited use of electronic systems. Only 28 centres (40.6%) used electronic health record systems; while 41 (59.4%) do not. Internet connectivity was largely poor; with 47.8% reporting unreliable access; and only 26.1% of centres had dedicated IT staff. Record keeping was mainly paper-based or partially digital; and only 14.5% operated fully digital systems. Data backup practices were weak; as 34.8% of centres did not back up data and 37.7% had no backup method. Data security was also inadequate; 55.1% of staff had not received training on data privacy and confidentiality; while stronger safeguards such as encryption (14.5%) and role-based access control (17.4%) were limited. Although; 75.4% had not experienced data breaches; 24.6% reported breaches over time. The major challenges identified were poor infrastructure; lack of funding; and limited staff training. Despite these problems; most respondents considered digital informatics important. The study concludes that improving infrastructure; capacity building; and technical support is essential for stronger digital health management in Mubi.