Evidence map›Paper›PMID 32797091›Full record

ArticlePloS one2020

Effect of data quality improvement intervention on health management information system data accuracy: An interrupted time series analysis.

Zewdie Mulissa, Naod Wendrad, Befikadu Bitewulign, Abera Biadgo, Mehiret Abate, Haregeweyni Alemu, Biruk Abate, Abiyou Kiflie, Hema Magge, Gareth Parry

Abstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Zewdie MulissaInstitute for Healthcare Improvement, Addis Ababa, Ethiopia.ORCID 0000-0002-3947-9579
Naod WendradMedical Service Directorate, Federal Ministry of Health of Ethiopia, Addis Ababa, Ethiopia.
Befikadu BitewulignInstitute for Healthcare Improvement, Addis Ababa, Ethiopia.
Abera BiadgoInstitute for Healthcare Improvement, Addis Ababa, Ethiopia.
Mehiret AbateInstitute for Healthcare Improvement, Addis Ababa, Ethiopia.
Haregeweyni AlemuInstitute for Healthcare Improvement, Addis Ababa, Ethiopia.
Biruk AbatePolicy, Planning, Monitoring and Evaluation Directorate, Federal Ministry of Health of Ethiopia, Addis Ababa, Ethiopia.
Abiyou KiflieInstitute for Healthcare Improvement, Addis Ababa, Ethiopia.
Hema MaggeInstitute for Healthcare Improvement, Addis Ababa, Ethiopia.
Gareth ParryInstitute for Healthcare Improvement, Boston, MA, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs part of a partnership between the Institute for Healthcare Improvement and the Ethiopian Federal Ministry of Health, woreda-based quality improvement collaboratives took place between November 2016 and December 2017 aiming to accelerate reduction of maternal and neonatal mortality in Lemu Bilbilu, Tanqua Abergele and Duguna Fango woredas. Before starting the collaboratives, assessments found inaccuracies in core measures obtained from Health Management Information System reports. METHODS AND

resultsBuilding on the quality improvement collaborative design, data quality improvement activities were added and we used the World Health Organization review methodology to drive a verification factor for the core measures of number of pregnant women that received their first antenatal care visit, number of pregnant women that received antenatal care on at least four visits, number of pregnant women tested for syphilis and number of births attended by skilled health personnel. Impact of the data quality improvement was assessed using interrupted time series analysis. We found accurate data across all time periods for Tanqua Abergele. In Lemu Bilbilu and Duguna Fango, data quality improved for all core metrics over time. In Duguna Fango, the verification factor for number of pregnant women that received their first antenatal care visit improved from 0.794 (95%CI 0.753, 0.836; p<0.001) pre-intervention by 0.173 (95%CI 0.128, 0.219; p<0.001) during the collaborative; and the verification factor for number of pregnant women tested for syphilis improved from 0.472 (95%CI 0.390, 0.554; p<0.001) pre-intervention by 0.460 (95%CI 0.369, 0.552; p<0.001) during the collaborative. In Lemu Bilbilu, the verification factor for number of pregnant women receiving a fourth antenatal visit rose from 0.589 (95%CI 0.513, 0.664; p<0.001) at baseline by 0.358 (95%CI 0.258, 0.458; p<0.001) post-intervention; and skilled birth attendance rose from 0.917 (95%CI 0.869, 0.965) at baseline by 0.083 (95%CI 0.030, 0.136; p<0.001) during the collaborative.

conclusionsA Data quality improvement initiative embedded within woreda clinical improvement collaborative improved accuracy of data used to monitor maternal and newborn health services in Ethiopia.

Indexed as

Management Information SystemsMaternal Health ServicesPrenatal CareQuality ImprovementData AccuracyEthiopiaFemaleHumansInfant, NewbornInterrupted Time Series AnalysisPregnancyWorld Health Organization

Identifiers

PMID32797091
PMCPMC7428163

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.