<p>Majority of the participants were females (62.3%), single (47.7%), and had a mean age of 33.6 years (SD=7.6), 35.3% had worked in their respective organizations for at least 3 years. Two out of five organizations used health informatics at community level. Factors associated with adoption of health informatics included age (AOR 6.23; 95% CI 1.92-20.29), interoperability (AOR 0.47; 95% CI 0.27-0.83), routine training (AOR 50.34; 95% CI 3.84-659.2), training frequency (AOR 2.03; 95% CI 1.07-3.85) and collegial support (AOR 0.62; 95% CI 0.05-0.77). Key challenges reported included system slowness, double entry burden, human resource gap, limited technology infrastructure, and slow technical response.</p>