Assessing immunization data quality from routine reports in Mozambique.
Assessing immunization data quality from routine reports in Mozambique.
复制标题
评估莫桑比克常规报告中的免疫数据质量。
DOI：
10.1186/1471-2458-5-108
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发表时间：
2005-10-11
影响因子：
4.5
通讯作者：
Bjune, G
中科院分区：
文献类型：
--
作者：
Mavimbe, JC;Braa, J;Bjune, G
全球免疫覆盖率在过去几年中有所增加，但用于衡量随时间变化的官方报告的有效性受到质疑。面对这一问题，捐助者支持的倡议，如全球疫苗和免疫联盟，一直在努力评估所使用数据的质量，因为准确的免疫信息对于扩大免疫规划管理人员跟踪和改进规划绩效至关重要。本文讨论了莫桑比克在记录保存、报告和支持机制方面的做法，以确保数据质量。2003年1月至3月期间，在莫桑比克尼亚萨省的一个地区（夸姆巴）进行了一项进程评价研究。本研究采用半结构化访谈、参与式观察和对数据收集材料的回顾。在比较设施报告和计数表时，发现所有疫苗类型存在差异。这同样适用于比较设施报告和地区报告。该研究还表明，在监督访问期间的常规做法是对门诊服务的数据质量进行评估，但与统计表和设施报告之间的数据一致性无关。对于扩大免疫规划，监督人员更注重检查设施报告中的数据与同一时期收到的疫苗数量之间的一致性。会议以批评为基础，例如，为什么卫生工作者没有达到目标。没有处理数据质量方面的问题，也没有讨论验证规则。在本文中，我们认为数据的质量，以及信息系统的质量，必须从更广泛的角度来看待，不仅要关注技术细节（数据收集工具和报告系统），还要关注支持机制。数据质量体系不佳的影响将反映在面临需求增加、资源停滞或减少的卫生服务效率上。
Worldwide immunization coverage shows an increase in the past years but the validity of the official reports for measuring change over time has been questioned. Facing this problem, donor supported initiatives like the Global Alliance for Vaccine and Immunizations, have been putting a lot of effort into assessing the quality of data used, since accurate immunization information is essential for the Expanded Program on Immunization managers to track and improve program performance. The present article, discusses the practices on record keeping, reporting and the support mechanism to ensure data quality in Mozambique. A process evaluation study was carried out in Mozambique in one district (Cuamba) in Niassa Province, between January and March 2003. The study was based on semi-structured interviews, participant observation and review of the data collection materials. Differences were found for all vaccine types when comparing facility reports with the tally sheets. The same applies when comparing facility reports with district reports. The study also showed that a routine practice during supervision visits was data quality assessment for the outpatient services but none related to data consistency between the tally sheets and the facility report. For the Expanded Program on Immunization, supervisors concentrated more on the consistency checks between data in the facility reports and the number of vaccines received during the same period. Meetings were based on criticism, for example, why health workers did not reach the target. Nothing in terms of data quality was addressed nor validation rules. In this paper we have argued that the quality of data, and consequently of the information system, must be seen in a broader perspective not focusing only on technicalities (data collection tools and the reporting system) but also on support mechanisms. Implications of a poor data quality system will be reflected in the efficiency of health services facing increased demands, with stagnant or decreasing resources.
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影响因子：
5.5
作者：
Atti, MLC;Rota, MC;Meduri, F
通讯作者：
Meduri, F
DOI：
10.1177/140349488501300403
发表时间：
1985-01-01
期刊：
SCANDINAVIAN JOURNAL OF SOCIAL MEDICINE
影响因子：
--
作者：
FREUND, PJ;KALUMBA, K
通讯作者：
KALUMBA, K
影响因子：
5.4
作者：
SANDIFORD, P;ANNETT, H;CIBULSKIS, R
通讯作者：
CIBULSKIS, R
影响因子：
6.4
作者：
Cliff, J;Simango, A;Biellik, R
通讯作者：
Biellik, R
影响因子：
3.2
作者：
Onta, SR;Sabroe, S;Hansen, EH
通讯作者：
Hansen, EH