ArticleBulletin of the World Health Organization2017
Using health-facility data to assess subnational coverage of maternal and child health indicators, Kenya.
Article in Bulletin of the World Health Organization, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.
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Who cites it
56 citing papers in PubMed, 131 citations in OpenAlex.
- Maternal and child healthcare coverage and trends: refugee vs. non-refugee districts in Uganda.Conflict and health · 2026Article
- Assessing the impact of a facility-based digital intervention on district-level data quality in rural Burkina Faso.BMJ global health · 2026Article
- Geographic inequalities, and social-demographic determinants of reproductive, maternal and child health at sub-national levels in Kenya.BMC public health · 2025Article
- A scoping review of the methods used to estimate health facility catchment populations for child health indicators in sub-Saharan Africa.Population health metrics · 2025Article
- Concordance of coverage estimates from routine and survey data of measles second dose vaccine in Western Kenya.Frontiers in epidemiology · 2025Article
- Effects of the COVID-19 pandemic on maternal, newborn, and child health service coverage in Burkina Faso.Journal of global health · 2024Article
- The Impact of Health Information System Interventions on Maternal and Child Health Service Utilizations in Ethiopia: A Quasi-Experimental Study.Global health, science and practice · 2024Article
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- Inter-district and Wealth-related Inequalities in Maternal and Child Health Service Coverage and Child Mortality within Addis Ababa City.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Article
- Review
- Characterising patterns in routinely reported longitudinal HIV data in South Africa using a Bayesian multiplicative interaction model.BMJ public health · 2023Article
- Quality of reporting and trends of emergency obstetric and neonatal care indicators: an analysis from Tanzania district health information system data between 2016 and 2020.BMC pregnancy and childbirth · 2023Article
- Malaria vaccine coverage estimation using age-eligible populations and service user denominators in Kenya.Malaria journal · 2023Article
- Reduced incidence of respiratory, gastrointestinal and malaria infections among children during the COVID-19 pandemic in Western Kenya: An analysis of facility-based and weekly diaries data.Journal of global health · 2023Article
- Investigating rapid diagnostic testing in Kenya's health system, 2018-2020: validating non-reporting in routine data using a health facility service assessment survey.BMC health services research · 2023Article
- Spatio-Temporal Bayesian Models for Malaria Risk Using Survey and Health Facility Routine Data in Rwanda.International journal of environmental research and public health · 2023Article
- Improving health information system for malaria program management: Malaria Frontline Project lessons learned from Kano and Zamfara States, Nigeria, 2016-2019.The Pan African medical journal · 2023Article
- Feasibility, usability and acceptability of a novel digital hybrid-system for reporting of routine maternal health information in Southern Tanzania: A mixed-methods study.PLOS global public health · 2023Article
- Critical success factors for routine immunization performance: A case study of Zambia 2000 to 2018.Vaccine: X · 2022Article
- Health service utilisation during the COVID-19 pandemic in sub-Saharan Africa in 2020: a multicountry empirical assessment with a focus on maternal, newborn and child health services.BMJ global health · 2022Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
Abstract
objectiveTo develop a systematic approach to obtain the best possible national and subnational statistics for maternal and child health coverage indicators from routine health-facility data.
methodsOur approach aimed to obtain improved numerators and denominators for calculating coverage at the subnational level from health-facility data. This involved assessing data quality and determining adjustment factors for incomplete reporting by facilities, then estimating local target populations based on interventions with near-universal coverage (first antenatal visit and first dose of pentavalent vaccine). We applied the method to Kenya at the county level, where routine electronic reporting by facilities is in place via the district health information software system.
findingsReporting completeness for facility data were well above 80% in all 47 counties and the consistency of data over time was good. Coverage of the first dose of pentavalent vaccine, adjusted for facility reporting completeness, was used to obtain estimates of the county target populations for maternal and child health indicators. The country and national statistics for the four-year period 2012/13 to 2015/16 showed good consistency with results of the 2014 Kenya demographic and health survey. Our results indicated a stagnation of immunization coverage in almost all counties, a rapid increase of facility-based deliveries and caesarean sections and limited progress in antenatal care coverage.
conclusionWhile surveys will continue to be necessary to provide population-based data, web-based information systems for health facility reporting provide an opportunity for more frequent, local monitoring of progress, in maternal and child health.
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