卢旺达儿童免疫数据质量:对例行健康信息系统数据的评估
Thaoussi Uwera1,2, J Frederik Frøen3, Eleni Papadopoulou3
1Regional Center of Excellence in Biomedical Engineering and e-Health, University of Rwanda, KG 11 Ave Gasabo, Kigali, Rwanda. uwera04@gmail.com.
概括
在卢旺达,随着全国范围内实施电子免疫注册表 (e-Tracker),儿童常规免疫数据质量得到了改善. 系统 系统 系统
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 全球健康 全球健康
背景情况:
- 常规数据记录和报告对于儿童免疫计划至关重要.
- 低收入和中等收入国家 (LMICs) 的健康管理信息系统 (HMIS) 经常面临数据完整性和可靠性问题.
- 卢旺达在2019年在全国范围内实施了免疫电子追踪器,这是一个基于DHIS2构建的个人级HMIS.
研究的目的:
- 随着时间的推移,评估卢旺达卫生管理信息系统 (HMIS) 中常规免疫数据的质量.
- 评估e-Tracker系统对数据质量的影响.
主要方法:
- 从四个HMIS来源 (设施注册,地区报告,国家HMIS,e-Tracker) 收集了2020年和2022年24个卫生设施的数据.
- 数据质量评估了儿童免疫接种的三个关键指标:Bacille Calmette-Guérin (BCG),Pentavalent 3 (Penta 3) 和麻疹和红疹1 (MR1).
- 通过将HMIS报告与设施登记 (2020) 和e-Tracker (2022) 进行比较来计算准确率.
主要成果:
- 2020年,在纸质设施注册表和电子HMIS报告之间发现了BCG,Penta3和MR1的显著不一致.
- 最初,只有BCG数据在2020年被记录在e-Tracker中.
- 到2022年,Penta 3和MR1数据的e-Tracker完整性得到了显著改善.
结论:
- 卢旺达纸质HMIS的数据质量是可变的.
- 电子追踪器数据的质量提高表明卫生工作者采用数据的增加,这可能是由于从纸质报告转向纸质报告.
- 支持数字数据输入的有针对性的实施策略可以进一步提高数据质量.
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