Evidence map›Paper›PMID 34154578›Full record

ArticleBMC health services research2021

Key informant perspectives on the challenges and opportunities for using routine health data for decision-making in Senegal.

Pierre Muhoza, Haneefa Saleem, Adama Faye, Ibrahima Gaye, Roger Tine, Abdoulaye Diaw, Alioune Gueye, Almamy Malick Kante, Andrea Ruff, Melissa A Marx

Abstract read
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

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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.

Pierre MuhozaDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. pmuhoza1@jhmi.edu.
Haneefa SaleemDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Adama FayeInstitut de Santé et Développement, Université Cheikh Anta Diop de Dakar, Dakar, Senegal.
Ibrahima GayeInstitut de Santé et Développement, Université Cheikh Anta Diop de Dakar, Dakar, Senegal.
Roger TineFaculté de Médecine, de Pharmacie et d'Odontologie, Université Cheikh Anta Diop de Dakar, Dakar, Senegal.
Abdoulaye DiawDirection de la Planification, de la Recherche et des Statistiques/ Division du Système d'Information Sanitaire et Social, Ministère de la Santé et de l'Action Sociale (MSAS), Dakar, Senegal.
Alioune GueyeProgramme National de Lutte Contre le Paludisme, Ministère de la Santé et de l'Action Sociale (MSAS), Dakar, Senegal.
Almamy Malick KanteDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Andrea RuffDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Melissa A MarxDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncreasing the performance of routine health information systems (RHIS) is an important policy priority both globally and in Senegal. As RHIS data become increasingly important in driving decision-making in Senegal, it is imperative to understand the factors that determine their use.

methodsSemi-structured interviews were conducted with 18 high- and mid-level key informants active in the malaria, tuberculosis and HIV programmatic areas in Senegal. Key informants were employed in the relevant divisions of the Senegal Ministry of Health or nongovernmental / civil society organizations. We asked respondents questions related to the flow, quality and use of RHIS data in their organizations. A framework approach was used to analyze the qualitative data.

resultsAlthough the respondents worked at the strategic levels of their respective organizations, they consistently indicated that data quality and data use issues began at the operational level of the health system before the data made its way to the central level. We classify the main identified barriers and facilitators to the use of routine data into six categories and attempt to describe their interrelated nature. We find that data quality is a central and direct determinant of RHIS data use. We report that a number of upstream factors in the Senegal context interact to influence the quality of routine data produced. We identify the sociopolitical, financial and system design determinants of RHIS data collection, dissemination and use. We also discuss the organizational and infrastructural factors that influence the use of RHIS data.

conclusionsWe recommend specific prescriptive actions with potential to improve RHIS performance in Senegal, the quality of the data produced and their use. These actions include addressing sociopolitical factors that often interrupt RHIS functioning in Senegal, supporting and motivating staff that maintain RHIS data systems as well as ensuring RHIS data completeness and representativeness. We argue for improved coordination between the various stakeholders in order to streamline RHIS data processes and improve transparency. Finally, we recommend the promotion of a sustained culture of data quality assessment and use.

Indexed as

Health Information SystemsTuberculosisData AccuracyData CollectionHumansSenegalData qualityData useHIV/AIDSMalariaRoutine dataRoutine health information systemsSenegalTuberculosis

Identifiers

PMID34154578
PMCPMC8218491

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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.