ArticleBMC health services research2021
Measuring coverage of maternal and child health services using routine health facility data: a Sierra Leone case study.
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.
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Who cites it
13 citing papers in PubMed.
- Integrated Determinants of Maternal Healthcare Decisions: A Cross-Sectional Analysis of Predisposing, Enabling, and Illness-Level Factors in Bo District, Sierra Leone.Annals of global health · 2026Article
- How effective coverage has been used to measure quality in maternal and child health services in sub-Saharan Africa: a scoping review.BMJ public health · 2026Article
- 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
- Effective coverage for reproductive, maternal, neonatal and newborn health: an analysis of geographical and socioeconomic inequalities in 39 low- and middle-income countries.BMJ global health · 2025Article
- Concordance of coverage estimates from routine and survey data of measles second dose vaccine in Western Kenya.Frontiers in epidemiology · 2025Article
- Childhood vaccination trends among the Maasai nomadic pastoralists: Insights from a community-based vaccine registry in Kenya.PLOS global public health · 2025Article
- Effects of the COVID-19 pandemic on maternal, newborn, and child health service coverage in Burkina Faso.Journal of global health · 2024Article
- Malaria vaccine coverage estimation using age-eligible populations and service user denominators in Kenya.Malaria journal · 2023Article
- Article
- Distribution, sources, and ecological risk assessment of polycyclic aromatic hydrocarbons in agricultural and dumpsite soils in Sierra Leone.RSC advances · 2023Article
- Health Information System and Health Care Applications Performance in the Healthcare Arena: A Bibliometric Analysis.Healthcare (Basel, Switzerland) · 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
- Strengthening routine health information systems for analysis and data use: a tipping point.BMC health services research · 2021Article
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Authors and funding
8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThere are limited existing approaches to generate estimates from Routine Health Information Systems (RHIS) data, despite the growing interest to these data. We calculated and assessed the consistency of maternal and child health service coverage estimates from RHIS data, using census-based and health service-based denominators in Sierra Leone.
methodsWe used Sierra Leone 2016 RHIS data to calculate coverage of first antenatal care contact (ANC1), institutional delivery and diphtheria-pertussis-tetanus 3 (DPT3) immunization service provision. For each indicator, national and district level coverages were calculated using denominators derived from two census-based and three health service-based methods. We compared the coverage estimates from RHIS data to estimates from MICS 2017. We considered the agreement adequate when estimates from RHIS fell within the 95% confidence interval of the survey estimate.
resultsWe found an overall poor consistency of the coverage estimates calculated from the census-based methods. ANC1 and institutional delivery coverage estimates from these methods were greater than 100% in about half of the fourteen districts, and only 3 of the 14 districts had estimates consistent with the survey data. Health service-based methods generated better estimates. For institutional delivery coverage, five districts met the agreement criteria using BCG service-based method. We found better agreement for DPT3 coverage estimates using DPT1 service-based method as national coverage was close to survey data, and estimates were consistent for 8 out of 14 districts. DPT3 estimates were consistent in almost half of the districts (6/14) using ANC1 service-based method.
conclusionThe study highlighted the challenge in determining an appropriate denominator for RHIS-based coverage estimates. Systematic and transparent data quality check and correction, as well as rigorous approaches to determining denominators are key considerations to generate accurate coverage statistics using RHIS data.
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