Effects of a health information system data quality intervention on concordance in Mozambique: time-series analyses from 20092012
Population Health Metrics
; 13(9): 1-5, 20150000. tab
Article
in English
| RSDM
| ID: biblio-1357642
Responsible library:
MZ10
ABSTRACT
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 20102013. 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 (20092010) to 87.5% during 20122013. Concordance improved by 1.0% (confidence interval [CI] 0.60, 1.5) per month during the intervention period of 20102011 and 1.6% (CI 0.89, 2.2) per month from 20112012. No significant improvements were observed from 20092010 (during baseline period) or 20122013. Facilities with more technical staff (aß 0.71; CI 0.14, 1.3), more firstantenatal care visits (aß 3.3; CI 0.43, 6.2), and fewer clinic beds (aß -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.
Full text:
Available
Collection:
National databases
/
MZ
Health context:
Sustainable Health Agenda for the Americas
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SDG3 - Health and Well-Being
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SDG3 - Target 3.1 Reduce Maternal Mortality
Health problem:
Goal 10: Communicable diseases
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Goal 6: Information systems for health
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Target 3.3: End transmission of communicable diseases
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Target 3.4: Reduce premature mortality due to noncommunicable diseases
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Maternal Care
Database:
RSDM
Main subject:
Tetanus
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Whooping Cough
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Vaccination
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Diphtheria
Type of study:
Prognostic study
Limits:
Humans
Language:
English
Journal:
Population Health Metrics
Year:
2015
Document type:
Article
Institution/Affiliation country:
Community Health Department, School of Medicine, Eduardo Mondlane University/MZ
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Department of Epidemiology, University of Washington School of Public Health/US
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Department of Family Child Nursing, University of Washington/US
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Department of Global Health, University of Washington/MZ
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Department of Global Health, University of Washington/US
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Health Alliance Internationa/MZ
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Health Alliance International/MZ
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Health Alliance International/US
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Ministry of Health, Beira Operations Research Center/MZ