Quality of routine health data at the onset of the COVID-19 pandemic in Ethiopia, Haiti, Laos, Nepal, and South Africa

被引：5

作者：

Ayele, Wondimu ^{[1
]}

Gage, Anna ^{[2
]}

Kapoor, Neena R. ^{[2
]}

Gelaw, Solomon Kassahun ^{[3
]}

Hensman, Dilipkumar ^{[4
]}

Mebratie, Anagaw Derseh ^{[1
]}

Nega, Adiam ^{[1
]}

Asai, Daisuke ^{[4
]}

Molla, Gebeyaw ^{[5
]}

Mehata, Suresh ^{[6
]}

Mthethwa, Londiwe ^{[7
]}

Mfeka-Nkabinde, Nompumelelo Gloria ^{[7
]}

Joseph, Jean Paul ^{[8
]}

Pierre, Daniella Myriam ^{[9
]}

Thermidor, Roody ^{[10
]}

Arsenault, Catherine ^{[2
]}

机构：

[1] Addis Ababa Univ, Coll Hlth Sci, Sch Publ Hlth, Addis Ababa, Ethiopia

[2] Harvard TH Chan Sch Publ Hlth, Dept Global Hlth & Populat, Boston, MA 02115 USA

[3] Minist Hlth Ethiopia, Addis Ababa, Ethiopia

[4] WHO, Viangchan, Laos

[5] Ethiopian Publ Hlth Inst, Addis Ababa, Ethiopia

[6] Govt Nepal, Minist Hlth & Populat, Kathmandu, Nepal

[7] Univ KwaZulu Natal, Sch Nursing & Publ Hlth, Durban, South Africa

[8] Div Epidemiol & Lab, Zanmi Lasante, Mirebalais, Plateau Cent, Haiti

[9] Programme Natl Lutte IST, Minist Sante Publ & Populat MSPP, PNLS Un Coordinat Malad Transmissibles UCMIT, VIH,SIDA,PNLS, Port au Prince, Haiti

[10] Minist Publ Hlth & Populat, Studies & Planning Unit, Port au Prince, Haiti

来源：

POPULATION HEALTH METRICS | 2023年 / 21卷 / 01期

关键词：

Health management information systems; DHIS2; Data quality; COVID-19; SYSTEM;

D O I：

10.1186/s12963-023-00306-w

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

BackgroundDuring the COVID-19 pandemic, governments and researchers have used routine health data to estimate potential declines in the delivery and uptake of essential health services. This research relies on the data being high quality and, crucially, on the data quality not changing because of the pandemic. In this paper, we investigated those assumptions and assessed data quality before and during COVID-19.MethodsWe obtained routine health data from the DHIS2 platforms in Ethiopia, Haiti, Lao People's Democratic Republic, Nepal, and South Africa (KwaZulu-Natal province) for a range of 40 indicators on essential health services and institutional deaths. We extracted data over 24 months (January 2019-December 2020) including pre-pandemic data and the first 9 months of the pandemic. We assessed four dimensions of data quality: reporting completeness, presence of outliers, internal consistency, and external consistency.ResultsWe found high reporting completeness across countries and services and few declines in reporting at the onset of the pandemic. Positive outliers represented fewer than 1% of facility-month observations across services. Assessment of internal consistency across vaccine indicators found similar reporting of vaccines in all countries. Comparing cesarean section rates in the HMIS to those from population-representative surveys, we found high external consistency in all countries analyzed.ConclusionsWhile efforts remain to improve the quality of these data, our results show that several indicators in the HMIS can be reliably used to monitor service provision over time in these five countries.

引用

页数：11