| Autor: |
Wondimu Ayele, Anna Gage, Neena R. Kapoor, Solomon Kassahun Gelaw, Dilipkumar Hensman, Anagaw Derseh Mebratie, Adiam Nega, Daisuke Asai, Gebeyaw Molla, Suresh Mehata, Londiwe Mthethwa, Nompumelelo Gloria Mfeka-Nkabinde, Jean Paul Joseph, Daniella Myriam Pierre, Roody Thermidor, Catherine Arsenault |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
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| Zdroj: |
Population Health Metrics, Vol 21, Iss 1, Pp 1-11 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
1478-7954 |
| DOI: |
10.1186/s12963-023-00306-w |
| Popis: |
Abstract Background During 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. Methods We 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. Results We 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. Conclusions While 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. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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