Sangano Justin2025-09-122025-09-122018-02-25https://dspace.ughe.org/handle/123456789/995Background: Resources available for healthcare worldwide are scarce, especially in developing countries. To make appropriate and informed decisions to allocate the limited resources, proper use of data is both necessary and critical. In Rwanda HMIS data are collected by health facilities each month. The accuracy of HMIS reports may not be precise and thus can potentially negatively affect the management in decision making. This study aimed to measure the accuracy of HMIS data in health facilities in Kigali city. Methods: The study took place in three district hospitals and six randomly selected health centers in Kigali. Twenty-four HMIS indicators were chosen based on top five diseases with the highest burden in Rwanda. Verified data were collected by the project team and were used to compare against the reported data to calculate the accuracy. Results: The overall accuracy in nine health facilities was 85%. Accuracy in district hospitals (89%) was higher compared to health centers (84%). Among the 24 HMIS indicators, four achieved 100% accuracy. Eight achieved an accuracy rate of 90-99%; five had accuracy of 80-89 %; five had accuracy of 70-79%; two had accuracy below 60% Conclusion: The results of our study showed the health data quality in health facilities of Kigali city was generally better than some countries, but it was still low compared to the recommended WHO standard. The data quality audit visits conducted twice per year by the Ministry of health in Rwanda may be attributed to the improved data quality.enData AccuracyHealth FacilitiesHealth systemPublic healthPrivate clinicsHealthcareRwandatext::thesis