Utilizing community health worker data for program management and evaluation: Systems for data quality assessments and baseline results from Rwanda

被引：20

作者：

Mitsunaga, Tisha ^{[1
]}

Hedt-Gauthier, Bethany ^{[2
]}

Ngizwenayo, Elias ^{[1
]}

Farmer, Didi Bertrand ^{[1
]}

Karamaga, Adolphe ^{[3
]}

Drobac, Peter ^{[1
,2
,4
]}

Basinga, Paulin ^{[5
]}

Hirschhorn, Lisa ^{[2
,6
]}

Ngabo, Fidele ^{[7
]}

Mugeni, Cathy ^{[7
]}

机构：

[1] PIH, IMB, Kigali, Rwanda

[2] Harvard Univ, Sch Med, Dept Global Hlth & Social Med, Boston, MA 02115 USA

[3] Rwinkwavu Dist Hosp, Rwinkwavu, Rwanda

[4] Brigham & Womens Hosp, Div Global Hlth Equ, Boston, MA 02115 USA

[5] Natl Univ Rwanda, Sch Publ Hlth, Kigali, Rwanda

[6] PIH, Boston, MA 02215 USA

[7] Minist Hlth, Kigali, Rwanda

来源：

SOCIAL SCIENCE & MEDICINE | 2013年 / 85卷

关键词：

Africa; Rwanda; Data quality; Lot quality assurance sampling; LQAS; Community health worker; Community case management; INFORMATION-SYSTEM; CHALLENGES; POLICY;

D O I：

10.1016/j.socscimed.2013.02.033

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Community health workers (CHWs) have and continue to play a pivotal role in health services delivery in many resource-constrained environments. The data routinely generated through these programs are increasingly relied upon for providing information for program management, evaluation and quality assurance. However, there are few published results on the quality of CHW-generated data, and what information exists suggests quality is low. An ongoing challenge is the lack of routine systems for CHW data quality assessments (DQAs). In this paper, we describe a system developed for CHW DQAs and results of the first formal assessment in southern Kayonza, Rwanda, May-June 2011. We discuss considerations for other programs interested in adopting such systems. While the results identified gaps in the current data quality, the assessment also identified opportunities for strengthening the data to ensure suitable levels of quality for use in management and evaluation. (C) 2013 Elsevier Ltd. All rights reserved.

引用

页码：87 / 92

页数：6

共 40 条

[11] GoR MoH, 2009, HLTH SECT STRAT PLAN
[12] GoR MoH, 2005, HLTH SECT STRAT PLAN
[13] GoR MoH, 2010, RWAND HLTH SYST STRE
[14] Hafeez A, 2011, J PAK MED ASSOC, V61, P210
[15] Achieving child survival goals: potential contribution of community health workers
Haines, Andy
Sanders, David
Lehmann, Uta
Rowe, Alexander K.
Lawn, Joy E.
Jan, Steve
Walker, Damian G.
Bhutta, Zuipqar
[J]. LANCET, 2007, 369 (9579) : 2121 - 2131
[16] Improving data quality and supervision of antiretroviral therapy sites in Malawi: an application of Lot Quality Assurance Sampling
Hedt-Gauthier, Bethany L.
Tenthani, Lyson
Mitchell, Shira
Chimbwandira, Frank M.
Makombe, Simon
Chirwa, Zengani
Schouten, Erik J.
Pagano, Marcello
Jahn, Andreas
[J]. BMC HEALTH SERVICES RESEARCH, 2012, 12
[17] Helleringer S, 2010, AM PUBL HLTH ASS ANN
[18] Lehmann Uta., 2007, Evidence and Information for Policy
[19] Lwanga SK., 1991, SAMPLE SIZE DETERMIN
[20] Mahmood S, 2010, J PAK MED ASSOC, V60, P649

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