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Data for tracking SDGs: challenges in capturing neonatal data from hospitals in Kenya
- Source :
- BMJ Global Health, BMJ Global Health, Vol 5, Iss 3 (2020)
- Publication Year :
- 2019
-
Abstract
- BackgroundTarget 3.2 of the United Nations Sustainable Development Goals (SDGs) is to reduce neonatal mortality. In low-income and middle-income countries (LMICs), the District Health Information Software, V.2 (DHIS2) is widely used to help improve indicator data reporting. There are few reports on its use for collecting neonatal hospital data that are of increasing importance as births within facilities increase. To address this gap, we investigated implementation experiences of DHIS2 in LMICs and mapped the information flow relevant for neonatal data reporting in Kenyan hospitals.MethodsA narrative review of published literature and policy documents from LMICs was conducted. Information gathered was used to identify the challenges around DHIS2 and to map information flows from healthcare facilities to the national level. Two use cases explore how newborn data collection and reporting happens in hospitals. The results were validated, adjusted and system challenges identified.ResultsLiterature and policy documents report that DHIS2 is a useful tool with strong technical capabilities, but significant challenges can emerge with the implementation. Visualisations of information flows highlight how a complex, people-based and paper-based subsystem for inpatient information capture precedes digitisation. Use cases point to major challenges in these subsystems in accurately identifying newborn deaths and appropriate data for the calculation of mortality even in hospitals.ConclusionsDHIS2 is a tool with potential to improve availability of health information that is key to health systems, but it critically depends on people-based and paper-based subsystems. In hospitals, the subsystems are subject to multiple micro level challenges. Work is needed to design and implement better standardised information processes, recording and reporting tools, and to strengthen the information system workforce. If the challenges are addressed and data quality improved, DHIS2 can support countries to track progress towards the SDG target of improving neonatal mortality.
- Subjects :
- Knowledge management
Computer science
lcsh:Infectious and parasitic diseases
Information capture
paediatrics
03 medical and health sciences
0302 clinical medicine
030225 pediatrics
Health care
Information system
Humans
lcsh:RC109-216
030212 general & internal medicine
Information flow (information theory)
Data reporting
Health policy
Original Research
lcsh:R5-920
Data collection
business.industry
Public Health, Environmental and Occupational Health
Infant, Newborn
health policy
Sustainable Development
Kenya
Hospitals
3. Good health
Data quality
business
lcsh:Medicine (General)
health systems
Subjects
Details
- ISSN :
- 20597908
- Volume :
- 5
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- BMJ global health
- Accession number :
- edsair.doi.dedup.....2a9edc89d55605f7b9e4a0b58dd8153c