提高妇幼保健数据的准确性和可靠性:MCGL 成功案例

Odipo Erick, Dan Rambo, Paul Odila, Deborah Sitrin, Alinda Ndenga, Collins Mukanya
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摘要

背景:准确的母婴健康数据对于知情决策至关重要;然而,保持产后护理和活产记录数据质量的一致性仍是一项长期挑战。自母婴性别平等项目启动以来,这些数据集中的差异已影响到决策数据的质量。有鉴于此,显然需要一个有效的解决方案来纠正数据完整性问题并提高可靠性:方法:在医疗机构层面对医护人员进行指导,以确保他们清楚了解准确报告的指标,重点关注《韩国医疗卫生信息系统》2020 年修订版中引入的新数据元素。项目监测、评估和学习官员与卫生信息官员合作,确定了用于监测的指标集以及密切相关的替代指标。项目采用了一种系统方法,包括对主要指标和相应的替代指标进行比较分析。例如,如果记录了 100 个活产婴儿,则预计有 100 个婴儿在 48 小时内接受了产后护理。每月与 HRIO 定期沟通,以确定和验证比较过程中出现的差异:数据质量显著提高。2020 年 10 月至 2021 年 9 月,6337 名婴儿在 48 小时内接受了产后护理,占 11309 名活产婴儿的 56%。在随后几年(2021 年 10 月至 2022 年 9 月和 2022 年 10 月至 2023 年 9 月),这一比例分别提高到 89% 和 92%:导师指导和每月定期沟通的综合影响可提高数据质量,增强人们使用数据做出明智决策的信心。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Enhancing data accuracy and reliability in maternal and child health: MCGL success story
Background: Accurate maternal and child health data are essential for informed decision-making; however, maintaining consistent data quality in postnatal care and live birth records remains a persistent challenge. Since the inception of MCGL, discrepancies within these datasets have compromised the data's quality for decision making. Recognizing this, the need for an effective solution to rectify data integrity issues and enhance reliability became evident. Methods: Mentorship at the facility level was conducted for healthcare staff to ensure a clear understanding of indicators for accurate reporting, focusing on new data elements introduced in the KHIS 2020 revision. In collaboration with health information officers, the project monitoring, evaluation, and learning officer identified sets of indicators, along with closely related proxy indicators, for monitoring. A systematic approach was employed, involving a comparative analysis of primary indicators and corresponding proxy indicators. For instance, if 100 live births were recorded, an expectation of 100 infants receiving postnatal care within 48 hours was anticipated. Regular monthly communication was established with HRIOs to identify and validate discrepancies that emerged during the comparison. Results: Significant improvement in data quality was observed. From October 2020 to September 2021, 6,337 infants received PNC within 48 hours, accounting for 56% of the 11,309 live births. In the subsequent years (October 2021 to September 2022 and October 2022 to September 2023), this p increased to 89% and 92%, respectively. Conclusion: The combined impact of mentorship and regular monthly communication can enhance data quality, instilling increased confidence in data use for informed decision making.
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