{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T12:26:14Z","timestamp":1787401574832,"version":"build-2736575974"},"reference-count":29,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIM J"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The effectiveness of routine health information systems (RHIS) depends significantly on the self-efficacy and actual competence of healthcare professionals in managing health information. Despite investments in health information infrastructure, gaps between perceived abilities and actual skills continue to undermine system performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study assessed self-efficacy levels and competence gaps among healthcare professionals in RHIS tasks within Cape Coast Metropolis, Ghana.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>A mixed-methods cross-sectional study was conducted among 265 healthcare professionals across 13 health facilities in the Metropolis. Self-efficacy was measured using a validated 7-item scale with responses ranging from 0 to 100. Actual competence was assessed through standardised paper-and-pencil tests across five RHIS task domains: data quality checking (verifying accuracy, completeness, and timeliness), statistical calculations (computing rates and percentages), data plotting and visualisation, interpretation of findings, and information utilisation for decision-making. Knowledge of RHIS rationale and problem-solving skills were also evaluated. Descriptive statistics, correlation analysis, and gap analysis were performed on the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean self-efficacy score was 36.8% (95% confidence interval (CI)\u2009\u00b1\u20092.22), with perceived confidence in calculating RHIS tasks showing the highest level (39.8%) and using data to make decisions showing the lowest (33.8%). Actual competence averaged 19.9% (95% CI\u2009\u00b1\u200910.6), with calculation skills achieving the highest performance (28.1%) and plotting skills the lowest (11.9%). Significant gaps existed between self-efficacy and actual competence across all domains, with the largest gap in plotting (26%) and smallest in calculations (11.7%). Only 25% demonstrated adequate knowledge of data collection rationale, and fewer than 4% demonstrated adequate problem-solving skills.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Substantial gaps exist between healthcare professionals\u2019 perceived self-efficacy and actual competence in health information management tasks in Cape Coast Metropolis. Persistent overconfidence, weak problem-solving skills, and limited understanding of data collection rationale collectively undermine RHIS performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for health information management practice:<\/jats:title>\n                    <jats:p>Targeted, practical capacity-building programmes addressing both technical skills and self-assessment accuracy are urgently needed in Cape Coast Metropolis and comparable low- and middle-income countries settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/18333583261451699","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T10:11:26Z","timestamp":1787134286000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Self-efficacy and competence gaps in health information management: A mixed-methods assessment among healthcare professionals"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8932-2465","authenticated-orcid":false,"given":"Obed Uwumbornyi","family":"Lasim","sequence":"first","affiliation":[{"name":"University of Cape Coast, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1738-963X","authenticated-orcid":false,"given":"Victor Luckyboy","family":"Dzramado","sequence":"additional","affiliation":[{"name":"University of Cape Coast, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James Kojo","family":"Prah","sequence":"additional","affiliation":[{"name":"University of Cape Coast, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Tijani","sequence":"additional","affiliation":[{"name":"University of Cape Coast, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Desmond","family":"Andoh","sequence":"additional","affiliation":[{"name":"University of Cape Coast, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cephas","family":"Hallo","sequence":"additional","affiliation":[{"name":"University of Cape Coast, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard Okyere","family":"Boadu","sequence":"additional","affiliation":[{"name":"University of Cape Coast, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward Wilson","family":"Ansah","sequence":"additional","affiliation":[{"name":"University of Cape Coast, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Addise WT Argaw MD Kefale B (2023) Routine health information system utilization and its associated factors among healthcare professionals in Debre Berhan Town Ethiopia. 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