Toward utilization of data for program management and evaluation: quality assessment of five years of health management information system data in Rwanda
Toward utilization of data for program management and evaluation: quality assessment of five years of health management information system data in Rwanda
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DOI：
10.3402/gha.v7.25829
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发表时间：
2014-01-01
影响因子：
2.6
通讯作者：
Hedt-Gauthier, Bethany
中科院分区：
文献类型：
--
作者：
Nisingizwe, Marie Paul;Iyer, Hari S.;Hedt-Gauthier, Bethany
背景资料：健康数据可以用于有效的服务提供，决策制定和评估现有计划，以保持高质量的医疗保健。研究表明，撒哈拉以南非洲国家卫生管理信息系统的数据质量存在差异，这威胁到这些数据作为改善卫生系统工具的效用。本研究的目的是评估卢旺达的HMIS数据的质量超过5 yearperiod.Methods：世界卫生组织（WHO）的数据质量报告卡框架被用来评估从2008年至2012年捕获的HMIS数据的质量，是一个普查的所有495个公共资助的卫生设施在卢旺达。评估的因素包括根据世卫组织建议和卢旺达国家卫生部门优先领域选定的10项指标的完整性和内部一致性。完整性以非缺失报告的百分比衡量。一致性的衡量标准是没有极端异常值、相关指标之间的内部一致性以及指标在一段时间内的一致性。这些评估是在地区和国家一级进行的。结果：从全国范围来看，2008年至2012年，10个关键指标的平均月度地区报告完整率为98%。指标数据的完整性随着时间的推移而提高：2008年，88%; 2009年，91%; 2010年，89%; 2011年，90%; 2012年，95%（p
Background: Health data can be useful for effective service delivery, decision making, and evaluating existing programs in order to maintain high quality of healthcare. Studies have shown variability in data quality from national health management information systems (HMISs) in sub-Saharan Africa which threatens utility of these data as a tool to improve health systems. The purpose of this study is to assess the quality of Rwanda's HMIS data over a 5-year period.Methods: The World Health Organization (WHO) data quality report card framework was used to assess the quality of HMIS data captured from 2008 to 2012 and is a census of all 495 publicly funded health facilities in Rwanda. Factors assessed included completeness and internal consistency of 10 indicators selected based on WHO recommendations and priority areas for the Rwanda national health sector. Completeness was measured as percentage of non-missing reports. Consistency was measured as the absence of extreme outliers, internal consistency between related indicators, and consistency of indicators over time. These assessments were done at the district and national level.Results: Nationally, the average monthly district reporting completeness rate was 98% across 10 key indicators from 2008 to 2012. Completeness of indicator data increased over time: 2008, 88%; 2009, 91%; 2010, 89%; 2011, 90%; and 2012, 95% (p