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The Jordan Stillbirth and Neonatal Mortality Surveillance (JSANDS) System: Evaluation Study
Yousef Khader1, Mohammad Alyahya1, Ziad El-Khatib2
1Department of Public Health, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Journal of Medical Internet Research
|July 21, 2021
Summary
The Jordan Stillbirth and Neonatal Mortality Surveillance (JSANDS) system effectively registers stillbirths and neonatal deaths. Its excellent performance and high user satisfaction indicate it can be expanded to all Jordanian maternity hospitals.
Area of Science:
- Public Health Surveillance
- Maternal and Child Health
- Electronic Health Records
Background:
- The Jordan Stillbirth and Neonatal Mortality Surveillance (JSANDS) is an electronic system for tracking births, stillbirths, and neonatal deaths.
- It was piloted in five maternity hospitals from May 2019 to December 2020.
Purpose of the Study:
- To evaluate the performance and usefulness of the JSANDS system.
- To assess key attributes including acceptability, simplicity, flexibility, stability, representativeness, sustainability, penetration, data quality, sensitivity, and adoption.
Main Methods:
- An 18-month post-implementation evaluation using the Updated Guidelines for Evaluating Public Health Surveillance Systems.
- System attributes were scored using a Likert scale, with performance interpreted as excellent, good, average, or poor based on percentage scores.
Main Results:
- 270 healthcare professionals participated, rating JSANDS usefulness as excellent (85.6%).
- Overall acceptability (82.3%), flexibility (80.2%), stability (80.0%), and representativeness (86.6%) were also rated excellent.
- Simplicity was rated good (75.4%), and 86.2% intended to continue using JSANDS; data quality was complete.
Conclusions:
- JSANDS demonstrated excellent performance in registering stillbirths and neonatal deaths and their causes.
- Most system attributes were rated excellent, supporting scalability to all Jordanian maternity hospitals.
- High usefulness, simplified tools, and ease of reporting contribute to the system's high potential for expansion.
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