Coping mechanisms and strategies adopted to improve the quality and timeliness of immunization data among lower-level private-for-profit service providers in Kampala Capital City, Uganda
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View abstract on PubMed
Summary
This summary is machine-generated.Private providers in Kampala improve immunization data quality through practical training, peer learning, and better record-keeping. Despite these efforts, challenges like staff turnover persist, requiring enhanced supervision.
Area Of Science
- Public Health
- Health Systems Research
- Data Management
Background
- Lower-level urban private-for-profit health facilities play a key role in delivering immunization services.
- There is limited understanding of the strategies employed by these providers to ensure immunization data quality and timeliness.
- This study investigates coping mechanisms for improving immunization data quality in Kampala, Uganda.
Purpose Of The Study
- To examine the coping mechanisms and strategies used by lower-level private-for-profit health service providers to enhance the quality and timeliness of immunization data.
- To identify challenges faced by these providers in maintaining data integrity within the urban context of Kampala.
Main Methods
- A qualitative study design was employed, utilizing in-depth interviews with frontline health workers (n=17) and key informant interviews with district health managers and immunization partners (n=8).
- Thematic analysis was conducted using Atlas.ti software for data management and coding.
Main Results
- Strategies included experiential learning for data management skills, peer-to-peer knowledge sharing, implementing a cohort registration system, separating patient records, and modifying service delivery with performance rewards.
- Village Health Teams (VHTs) were engaged for outreaches and data completion, alongside regular data quality checks using monitoring charts.
Conclusions
- Private providers face data quality challenges influenced by the implementation context, but employ various strategies focusing on skills, peer learning, and record management.
- Chronic issues like high staff turnover necessitate continuous efforts and leveraging existing opportunities, such as mandated supervision of private providers by public health facilities.
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