印度各区卫生管理信息系统数据外部一致性研究。

IF 1.1 Q4 PRIMARY HEALTH CARE
Nandhakumar Nachimuthu, R Uma Maheswari, Damodaran Vasudevan
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引用次数: 0

摘要

背景:世界卫生组织提供了卫生管理信息系统(HMIS)数据质量审查工具包,其中覆盖率的外部一致性是一个维度。目的:评估HMIS数据与印度全国家庭健康调查-5 (NFHS-5)数据在地区层面的外部一致性水平。方法:我们使用从HMIS和NFHS-5网站收集的中观水平跨地区卫生服务提供指标的二级数据。我们收集了7项指标的数据:妊娠期1内登记的母亲、至少进行过4次产前检查的母亲、最后一次分娩预防破伤风的母亲、住院分娩、剖腹产分娩、出生时的性别比例,以及15-49岁贫血的孕妇。我们使用Pearson相关系数、类内相关系数和Bland-Altman图来评估HMIS和NFHS数据在上述指标上的一致性。结果:695个县的HMIS和NFHS-5均有上述指标的数据,但564个县有贫血孕妇的数据。皮尔逊相关系数显示,两个数据集在机构分娩和剖腹产分娩之间存在很强的相关性,而其他指标之间存在弱至中度相关性。在Bland-Altman图中,两组数据间的类内相关系数不一致,出生性别比数据与产前检查至少4次的母亲数据不一致。结论:HMIS数据与NFHS数据在某些指标上的一致性较差,可以采取措施提高HMIS数据在这些指标上的质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Study on external consistency of health management information system data at district level across India.

Background: The WHO has provided toolkit for data quality review of Health Management Information System (HMIS) data, with external consistency of coverage rate being one dimension.

Objective: To assess the level of external consistency of HMIS data compared with National Family Health Survey-5 (NFHS-5) data at district level across India.

Methods: We used secondary data on health service delivery indicators across districts at meso-level collected from HMIS and NFHS-5 website. We collected data on 7 indicators: Mothers registered within trimester I, mothers with at least 4 antenatal visits, mothers last birth protected against tetanus, institutional births, births delivered by Caesarean section, sex ratio at birth, and pregnant women aged 15-49 years who are anaemic. We evaluated the agreement between HMIS and NFHS data for the above indicators using Pearson's correlation co-efficient, intraclass correlation coefficient, and Bland-Altman plot.

Results: Data were available from both HMIS and NFHS-5 for 695 districts for the above indicators, except for pregnant women with anaemia, for whom data were available for 564 districts. Pearson corelation co-efficient showed a strong correlation between the two datasets for institutional births and delivery by caesarean section, while weak to moderate correlations were observed for the other indicators. Intraclass correlation coefficient showed discordance between the two datasets, and poor agreement was observed between the data for sex ratio at birth and mothers with at least 4 antenatal visits in Bland-Altman plot.

Conclusion: Poor agreement was observed between HMIS and NFHS data for certain indicators, and steps can be taken to improve the quality of HMIS data for these indicators.

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7.10%
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审稿时长
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