从试点和扩展基于DHIS2的实时治疗报告工具的经验教训,用于尼日利亚的大规模药物管理
Martins Imhansoloeva1, Christian Nwosu1, Omosefe Osinoiki1
1Sightsavers, Nigeria Country Office, Abuja, Nigeria.
PLoS neglected tropical diseases
|October 10, 2025
概括
一个新的DHIS2平台改善了尼日利亚大规模药物管理局 (MDA) 的数据管理. 这个数字系统提高了数据质量,可访问性和决策能力,用于忽视的热带疾病 (NTD) 消除计划.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 热带医学 热带医学
背景情况:
- 大规模药物管理 (MDA) 对于消除被忽视的热带疾病 (NTD) 至关重要.
- 目前用于MDA数据的纸质和Excel系统缓慢且易出错.
- 在尼日利亚开发了一个基于DHIS2的平台,用于实时的MDA数据管理.
研究的目的:
- 试点并扩展用于MDA数据收集和监控的DHIS2平台.
- 评估数据质量,访问,政府所有权和DHIS2平台的实用性.
- 评估平台在不同实施模式中的有效性.
主要方法:
- 一个DHIS2平台在尼日利亚三个州进行了试点并与现有系统一起扩展.
- 来自两个平台的程序数据进行了比较.
- 数据质量和访问通过元数据和帮助电话监控.
- 通过问卷,日记和采访收集了参与者的反.
- 分别使用Stata和主题分析分析了定量和定性数据.
主要成果:
- DHIS2平台在各个层面增加了数据访问和使用.
- 对政府对数据所有权的看法有所改善.
- 用户报告了更好的错误纠正和决策能力.
- 扩大DHIS2的规模证明是可行的,并在不同的非政府组织发展组织 (NGDO) 支持模式中产生了类似的好处.
结论:
- DHIS2平台改善了数据所有权,并且可以在各种环境中复制.
- 扩展的考虑因素包括操作模式,文化背景和技术能力.
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