Identifying factors influencing implementation of coding and indexing in secondary facilities: case study of general hospital Daura, Katsina state

Abstract

Coding and indexing are essential components of health information management, ensuring the accurate classification, storage, and retrieval of patient data. However, secondary healthcare facilities often face implementation gaps that compromise data integrity. This study examined the factors influencing the implementation of coding and indexing at General Hospital Daura, Katsina State. Using a descriptive survey research design, data were collected via structured questionnaires administered to health information management personnel and administrative staff. The data were analyzed using descriptive statistics, including frequencies and percentages. The findings revealed that while staff possess moderate foundational knowledge, effective implementation is significantly hindered by a lack of continuous professional training, a severe shortage of physical coding materials (ICD-10 manuals), and limited technological infrastructure. Furthermore, weak administrative commitment and inadequate supervision were identified as key systemic barriers. These factors contribute to delays in record retrieval and inaccurate health statistics. The study concludes that improving coding practices requires a multi-faceted approach involving resource provision and management support. It is recommended that the hospital management invests in digital health record systems, provides updated coding manuals, and establishes mandatory periodic training workshops for personnel to ensure adherence to international classification standards and enhance overall healthcare delivery.