ArticleBMC health services research2020
Labour and delivery ward register data availability, quality, and utility - Every Newborn - birth indicators research tracking in hospitals (EN-BIRTH) study baseline analysis in three countries.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Design and content of health facility routine data recording and reporting forms for maternal, newborn, and child health: a scoping review of literature.JAMIA open · 2026Review
- Comparing routine health information quality and associated factors among health facilities in the eastern zone of Tigray, Ethiopia, 2019/20: a cross-sectional study.BMC medical informatics and decision making · 2026Article
- Article
- Availability and the quality of key newborn data within routine health facility data: findings of the IMPULSE observational study in the Central African Republic, Ethiopia, Tanzania, and Uganda.Journal of global health · 2025Observational
- Measuring ENAP interventions for small and/or sick newborns in routine health information systems: indicators and considerations from a WHO expert consultation.Journal of global health · 2025Article
- Predicting newborn birth outcomes with prenatal maternal health features and correlates in the United States: a machine learning approach using archival data.BMC pregnancy and childbirth · 2024Article
- Introducing a standardised register for strengthening the inpatient management of newborns and sick children: Implementation research in selected health facilities of Bangladesh.Journal of global health · 2024Article
- Increase in birthweight coverage of neonatal deaths is needed to monitor low birthweight prevalence in India: lessons from the National Family Health Survey.BMC pregnancy and childbirth · 2023Article
- Improving birth weight measurement and recording practices in Kenya and Tanzania: a prospective intervention study with historical controls.Population health metrics · 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
- Understanding maternity care providers' use of data in Southern Tanzania.BMJ global health · 2023Article
- Article
- Article
- Estimating population-based coverage of reproductive, maternal, newborn, and child health (RMNCH) interventions from health management information systems: a comprehensive review.BMC health services research · 2021Review
- Effect of birthweight measurement quality improvement on low birthweight prevalence in rural Ethiopia.Population health metrics · 2021Article
- Birthweight: EN-BIRTH multi-country validation study.BMC pregnancy and childbirth · 2021Observational
- Neonatal resuscitation: EN-BIRTH multi-country validation study.BMC pregnancy and childbirth · 2021Observational
- Uterotonics for prevention of postpartum haemorrhage: EN-BIRTH multi-country validation study.BMC pregnancy and childbirth · 2021Observational
- Barriers and enablers to routine register data collection for newborns and mothers: EN-BIRTH multi-country validation study.BMC pregnancy and childbirth · 2021Observational
- Electronic data collection for multi-country, hospital-based, clinical observation of maternal and newborn care: EN-BIRTH study experiences.BMC pregnancy and childbirth · 2021Observational
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39 authors.
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Abstract
backgroundCountries with the highest burden of maternal and newborn deaths and stillbirths often have little information on these deaths. Since over 81% of births worldwide now occur in facilities, using routine facility data could reduce this data gap. We assessed the availability, quality, and utility of routine labour and delivery ward register data in five hospitals in Bangladesh, Nepal, and Tanzania. This paper forms the baseline register assessment for the Every Newborn-Birth Indicators Research Tracking in Hospitals (EN-BIRTH) study.
methodsWe extracted 21 data elements from routine hospital labour ward registers, useful to calculate selected maternal and newborn health (MNH) indicators. The study sites were five public hospitals during a one-year period (2016-17). We measured 1) availability: completeness of data elements by register design, 2) data quality: implausibility, internal consistency, and heaping of birthweight and explored 3) utility by calculating selected MNH indicators using the available data.
resultsData were extracted for 20,075 births. Register design was different between the five hospitals with 10-17 of the 21 selected MNH data elements available. More data were available for health outcomes than interventions. Nearly all available data elements were > 95% complete in four of the five hospitals and implausible values were rare. Data elements captured in specific columns were 85.2% highly complete compared to 25.0% captured in non-specific columns. Birthweight data were less complete for stillbirths than live births at two hospitals, and significant heaping was found in all sites, especially at 2500g and 3000g. All five hospitals recorded count data required to calculate impact indicators including; stillbirth rate, low birthweight rate, Caesarean section rate, and mortality rates.
conclusionsData needed to calculate MNH indicators are mostly available and highly complete in EN-BIRTH study hospital routine labour ward registers in Bangladesh, Nepal and Tanzania. Register designs need to include interventions for coverage measurement. There is potential to improve data quality if Health Management Information Systems utilization with feedback loops can be strengthened. Routine health facility data could contribute to reduce the coverage and impact data gap around the time of birth.
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