Effects of a health information system data quality intervention on concordance in Mozambique: time-series analyses from 2009-2012.
Effects of a health information system data quality intervention on concordance in Mozambique: time-series analyses from 2009-2012.
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DOI：
10.1186/s12963-015-0043-3
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发表时间：
2015
影响因子：
3.3
通讯作者：
Sherr K
中科院分区：
文献类型：
--
作者：
Wagenaar BH;Gimbel S;Hoek R;Pfeiffer J;Michel C;Manuel JL;Cuembelo F;Quembo T;Afonso P;Porthé V;Gloyd S;Sherr K
我们评估了一项为期三年、由卫生部主导的国家级卫生信息系统（HIS）数据质量干预的效果，并确定了相关的卫生设施因素。在莫桑比克索法拉省的26个卫生设施中，通过四个指标（门诊咨询、机构分娩、首次产前保健访问和第三剂白喉、百日咳和破伤风疫苗接种）和五个级别的卫生系统数据汇总（每日设施纸质登记、每月设施纸质报告、每月地区纸质报告、每月卫生系统纸质报告和每月卫生系统纸质报告），评估了金标准数据质量审计与常规卫生系统数据之间的月度汇总。通过2010-2013年7月至8月进行的回顾性年度审计，每月电子地区报告和每月电子省级报告。我们使用混合效应线性模型来量化数据质量随时间的变化和相关的卫生系统决定因素。中位一致性从基线期（2009-2010）的56.3%增加到2012-2013年的87.5%。2010-2011年干预期间，一致性每月提高1.0%（置信区间[CI]: 0.60, 1.5）， 2011-2012年每月提高1.6% （CI: 0.89, 2.2）。2009-2010年（基线期）或2012-2013年未观察到显著改善。技术人员越多（α β: 0.71; CI: 0.14, 1.3）、首次产前检查次数越多（α β: 3.3; CI: 0.43, 6.2）、诊所床位越少（α β: -0.94; CI: - 1.7, - 0.20）的设施改善越明显。与无缺货的医院相比，有5种基本药物缺货的医院数据一致性降低51.7% （CI: - 64.8 -38.6）。数据质量干预与莫桑比克农村和城市公共部门卫生设施卫生信息系统数据一致性的显著改善有关。在卫生人力资源较多的设施中，一致性较高，并且与诊所一级基本药物缺货较少有关。应增加对数据审计和反馈活动的投资，同时有针对性地努力改善低收入和中等收入国家的卫生信息系统数据。
We assessed the effects of a three-year national-level, ministry-led health information system (HIS) data quality intervention and identified associated health facility factors. Monthly summary HIS data concordance between a gold standard data quality audit and routine HIS data was assessed in 26 health facilities in Sofala Province, Mozambique across four indicators (outpatient consults, institutional births, first antenatal care visits, and third dose of diphtheria, pertussis, and tetanus vaccination) and five levels of health system data aggregation (daily facility paper registers, monthly paper facility reports, monthly paper district reports, monthly electronic district reports, and monthly electronic provincial reports) through retrospective yearly audits conducted July-August 2010–2013. We used mixed-effects linear models to quantify changes in data quality over time and associated health system determinants. Median concordance increased from 56.3% during the baseline period (2009–2010) to 87.5% during 2012–2013. Concordance improved by 1.0% (confidence interval [CI]: 0.60, 1.5) per month during the intervention period of 2010–2011 and 1.6% (CI: 0.89, 2.2) per month from 2011–2012. No significant improvements were observed from 2009–2010 (during baseline period) or 2012–2013. Facilities with more technical staff (aβ: 0.71; CI: 0.14, 1.3), more first antenatal care visits (aβ: 3.3; CI: 0.43, 6.2), and fewer clinic beds (aβ: -0.94; CI: −1.7, −0.20) showed more improvements. Compared to facilities with no stock-outs, facilities with five essential drugs stocked out had 51.7% (CI: −64.8 -38.6) lower data concordance. A data quality intervention was associated with significant improvements in health information system data concordance across public-sector health facilities in rural and urban Mozambique. Concordance was higher at those facilities with more human resources for health and was associated with fewer clinic-level stock-outs of essential medicines. Increased investments should be made in data audit and feedback activities alongside targeted efforts to improve HIS data in low- and middle-income countries.
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影响因子：
2.8
作者：
Sherr K;Cuembelo F;Michel C;Gimbel S;Micek M;Kariaganis M;Pio A;Manuel JL;Pfeiffer J;Gloyd S
通讯作者：
Gloyd S
DOI：
10.2471/blt.11.99580
发表时间：
2012-05-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Braa, Jørn;Heywood, Arthur;Sahay, Sundeep
通讯作者：
Sahay, Sundeep
影响因子：
3.7
作者：
Mate, Kedar S.;Bennett, Brandon;Rollins, Nigel
通讯作者：
Rollins, Nigel
影响因子：
1.4
作者：
Admon AJ;Bazile J;Makungwa H;Chingoli MA;Hirschhorn LR;Peckarsky M;Rigodon J;Herce M;Chingoli F;Malani PN;Hedt-Gauthier BL
通讯作者：
Hedt-Gauthier BL
影响因子：
3.3
作者：
Bosch-Capblanch, Xavier;Ronveaux, Olivier;Bchir, Abdallah
通讯作者：
Bchir, Abdallah