Routine health management information system data in Ethiopia: consistency, trends, and challenges

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Routine health management information system data in Ethiopia : consistency, trends, and challenges

Adane, Abyot (författare): Karolinska Institutet

Adege, Tewabe M. (författare): Minist Hlth, Addis Ababa, Ethiopia.

Ahmed, Mesoud M. (författare): Minist Hlth, Addis Ababa, Ethiopia.

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Anteneh, Habtamu A. (författare): Minist Hlth, Addis Ababa, Ethiopia.

Ayalew, Emiamrew S. (författare): Minist Hlth, Addis Ababa, Ethiopia.

Berhanu, Della (författare): London Sch Hyg & Trop Med, Dept Dis Control, London, England.

Berhanu, Netsanet (författare): Minist Hlth, Addis Ababa, Ethiopia.

Beyene, Misrak G. (författare): Ethiopian Publ Hlth Inst, Addis Ababa, Ethiopia.

Bhattacharya, Antoinette (författare): London Sch Hyg & Trop Med, Dept Dis Control, London, England.

Bishaw, Tesfahun (författare): Minist Hlth, Addis Ababa, Ethiopia.

Cherinet, Eshetu (författare): Minist Hlth, Addis Ababa, Ethiopia.

Dereje, Mamo (författare): Minist Hlth, Addis Ababa, Ethiopia.

Desta, Tsega H. (författare): Minist Hlth, Addis Ababa, Ethiopia.

Dibabe, Abera (författare): Minist Hlth, Addis Ababa, Ethiopia.

Firew, Heven S. (författare): Ethiopian Publ Hlth Inst, Addis Ababa, Ethiopia.

Gebrehiwot, Freweini (författare): Ethiopian Publ Hlth Inst, Addis Ababa, Ethiopia.

Gebreyohannes, Etenesh (författare): Minist Hlth, Addis Ababa, Ethiopia.

Gella, Zenebech (författare): Minist Hlth, Addis Ababa, Ethiopia.

Girma, Addis (författare): Minist Hlth, Addis Ababa, Ethiopia.

Halefom, Zuriash (författare): Minist Hlth, Addis Ababa, Ethiopia.

Jama, Sorsa F. (författare): Minist Hlth, Addis Ababa, Ethiopia.

Kemal, Binyam (författare): Minist Hlth, Addis Ababa, Ethiopia.

Kiflom, Abyi (författare): Ethiopian Pharmaceut Supply Agcy, Addis Ababa, Ethiopia.

Källestål, Carina, 1954- (författare): Uppsala universitet,Internationell barnhälsa och nutrition,London Sch Hyg & Trop Med, Dept Dis Control, London, England.

Lemma, Seblewengel (författare): London Sch Hyg & Trop Med, Dept Dis Control, London, England.

Mazengiya, Yidnekachew D. (författare): Minist Hlth, Addis Ababa, Ethiopia.

Mekete, Kalkidan (författare): Ethiopian Publ Hlth Inst, Addis Ababa, Ethiopia.

Mengesha, Magdelawit (författare): Minist Hlth, Addis Ababa, Ethiopia.

Nega, Meresha W. (författare): Minist Hlth, Addis Ababa, Ethiopia.

Otoro, Israel A. (författare): Minist Hlth, Addis Ababa, Ethiopia.

Schellenberg, Joanna (författare): London Sch Hyg & Trop Med, Dept Dis Control, London, England.

Taddele, Tefera (författare): Ethiopian Publ Hlth Inst, Addis Ababa, Ethiopia.

Tefera, Gulilat (författare): Ethiopian Pharmaceut Supply Agcy, Addis Ababa, Ethiopia.

Teketel, Admasu (författare): Ethiopian Pharmaceut Supply Agcy, Addis Ababa, Ethiopia.

Tesfaye, Miraf (författare): Minist Hlth, Addis Ababa, Ethiopia.

Tsegaye, Tsion (författare): Ethiopian Pharmaceut Supply Agcy, Addis Ababa, Ethiopia.

Woldesenbet, Kidist (författare): Minist Hlth, Addis Ababa, Ethiopia.

Wondarad, Yakob (författare): Minist Hlth, Addis Ababa, Ethiopia.

Yosuf, Zemzem M. (författare): Minist Hlth, Addis Ababa, Ethiopia.

Zealiyas, Kidist (författare): Ethiopian Publ Hlth Inst, Addis Ababa, Ethiopia.

Zeweli, Mebratom H. (författare): Minist Hlth, Addis Ababa, Ethiopia.

Persson, Lars-Åke, 1947- (författare): Uppsala universitet,Internationell barnhälsa och nutrition,London Sch Hyg & Trop Med, Dept Dis Control, London, England.

Janson, Annika (författare): London Sch Hyg & Trop Med, Dept Dis Control, London, England.;Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden.

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Karolinska Institutet Minist Hlth, Addis Ababa, Ethiopia (creator_code:org_t)

2021-01-15
2021
Engelska.
Ingår i: Global Health Action. - : Taylor & Francis. - 1654-9716 .- 1654-9880. ; 14:1

Relaterad länk:: https://doi.org/10.1...; visa fler...; https://uu.diva-port... (primary) (Raw object); https://www.tandfonl...; https://urn.kb.se/re...; https://doi.org/10.1...; http://kipublication...; visa färre...

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Background: Ethiopia is investing in the routine Health Management Information System. Improved routine data are needed for decision-making in the health sector.Objective: To analyse the quality of the routine Health Management Information System data and triangulate with other sources, such as the Demographic and Health Surveys.Methods: We analysed national Health Management Information System data on 19 indicators of maternal health, neonatal survival, immunization, child nutrition, malaria, and tuberculosis over the 2012-2018 time period. The analyses were conducted by 38 analysts from the Ministry of Health, Ethiopia, and two government agencies who participated in the Operational Research and Coaching for Analysts (ORCA) project between June 2018 and June 2020. Using a World Health Organization Data Quality Review toolkit, we assessed indicator definitions, completeness, internal consistency over time and between related indicators, and external consistency compared with other data sources.Results: Several services reported coverage of above 100%. For many indicators, denominators were based on poor-quality population data estimates. Data on individual vaccinations had relatively good internal consistency. In contrast, there was low external consistency for data on fully vaccinated children, with the routine Health Management Information System showing 89% coverage but the Demographic and Health Survey estimate at 39%. Maternal health indicators displayed increasing coverage over time. Indicators on child nutrition, malaria, and tuberculosis were less consistent. Data on neonatal mortality were incomplete and operationalised as mortality on day 0-6. Our comparisons with survey and population projections indicated that one in eight early neonatal deaths were reported in the routine Health Management Information System. Data quality varied between regions.Conclusions: The quality of routine data gathered in the health system needs further attention. We suggest regular triangulation with data from other sources. We recommend addressing the denominator issues, reducing the complexity of indicators, and aligning indicators to international definitions.

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Av författaren/redakt...: Adane, Abyot; Adege, Tewabe M.; Ahmed, Mesoud M.; Anteneh, Habtamu ...; Ayalew, Emiamrew ...; Berhanu, Della; visa fler...; Berhanu, Netsane ...; Beyene, Misrak G ...; Bhattacharya, An ...; Bishaw, Tesfahun; Cherinet, Eshetu; Dereje, Mamo; Desta, Tsega H.; Dibabe, Abera; Firew, Heven S.; Gebrehiwot, Frew ...; Gebreyohannes, E ...; Gella, Zenebech; Girma, Addis; Halefom, Zuriash; Jama, Sorsa F.; Kemal, Binyam; Kiflom, Abyi; Källestål, Carin ...; Lemma, Sebleweng ...; Mazengiya, Yidne ...; Mekete, Kalkidan; Mengesha, Magdel ...; Nega, Meresha W.; Otoro, Israel A.; Schellenberg, Jo ...; Taddele, Tefera; Tefera, Gulilat; Teketel, Admasu; Tesfaye, Miraf; Tsegaye, Tsion; Woldesenbet, Kid ...; Wondarad, Yakob; Yosuf, Zemzem M.; Zealiyas, Kidist; Zeweli, Mebratom ...; Persson, Lars-Åk ...; Janson, Annika; visa färre...

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Av lärosätet: Uppsala universitet; Karolinska Institutet

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Routine health management information system data in Ethiopia : consistency, trends, and challenges

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