Effect of birthweight measurement quality improvement on low birthweight prevalence in rural Ethiopia
| Autor: | Amare Worku, Fisseha Shiferie, Workagegnehu Tarekegn Kidane, Sheila Isanaka, Estifanos Baye, Michelle Eglovitch, Luke C. Mullany, Mulatu Melese Derebe, Sitota Tsegaye, Grace J Chan, Blair J. Wylie, Firehiwot Workneh Abate, Tigest Shifraw, Ingrid E. Olson, Rose L. Molina, Yemane Berhane, Kalkidan Yibeltal, Anne C C Lee, Alemayehu Worku |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Quality management Low birthweight Epidemiology Computer applications to medicine. Medical informatics R858-859.7 Data quality improvement initiative Prevalence Birth Weight Humans Medicine Data reporting Birthweight heaping Retrospective Studies business.industry Research Rural health Public health Infant Newborn Public Health Environmental and Occupational Health Health services research Infant Quality Improvement Delivery registers Confidence interval Data quality Ethiopia Public aspects of medicine RA1-1270 business Demography |
| Zdroj: | Population Health Metrics Population Health Metrics, Vol 19, Iss 1, Pp 1-7 (2021) |
| ISSN: | 1478-7954 |
| DOI: | 10.1186/s12963-021-00265-0 |
| Popis: | Background Low birthweight (LBW) ( Methods A comparative pre-post study was performed in selected rural health facilities located in West Gojjam and South Gondar zones. At baseline, a retrospective review of delivery records from February to May 2018 was performed in 14 health centers to collect birthweight data. A birthweight QI initiative was introduced in August 2019, which included provision of high-quality digital infant weight scales (precision 5 g), routine calibration, training in birth weighing and data recording, and routine field supervision. After the QI implementation, birthweight data were prospectively collected from late August to early September 2019, and December 2019 to June 2020. Data quality, as measured by heaping (weights at exact multiples of 500 g) and rounding to the nearest 100 g, and the prevalence of LBW were calculated before and after QI implementation. Results We retrospectively reviewed 1383 delivery records before the QI implementation and prospectively measured 1371 newborn weights after QI implementation. Heaping was most frequently observed at 3000 g and declined from 26% pre-initiative to 6.7% post-initiative. Heaping at 2500 g decreased from 5.4% pre-QI to 2.2% post-QI. The percentage of rounding to the nearest 100 g was reduced from 100% pre-initiative to 36.5% post-initiative. Before the QI initiative, the prevalence of recognized LBW was 2.2% (95% confidence interval [CI]: 1.5–3.1) and after the QI initiative increased to 11.7% (95% CI: 10.1–13.5). Conclusions A QI intervention can improve the quality of birthweight measurements, and data measurement quality may substantially affect estimates of LBW prevalence. |
| Databáze: | OpenAIRE |
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