Evidence map›Paper›PMID 37259137›Full record

ArticleBMC public health2023

A roadmap for using DHIS2 data to track progress in key health indicators in the Global South: experience from sub-saharan Africa.

Andrea Farnham, Georg Loss, Isaac Lyatuu, Herminio Cossa, Alexandra V Kulinkina, Mirko S Winkler

Abstract read
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

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

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  18. Routine data in a primary care performance dashboard, Ethiopia.Bulletin of the World Health Organization · 2024
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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

6 authors.

Andrea FarnhamSwiss Tropical and Public Health Institute, Kreuzstrasse 2, 4123 Allschwil, Basel, Switzerland. andrea.farnham@swisstph.ch.ORCID 0000-0002-0830-0927
Georg LossSwiss Tropical and Public Health Institute, Kreuzstrasse 2, 4123 Allschwil, Basel, Switzerland.
Isaac LyatuuSwiss Tropical and Public Health Institute, Kreuzstrasse 2, 4123 Allschwil, Basel, Switzerland.
Herminio CossaSwiss Tropical and Public Health Institute, Kreuzstrasse 2, 4123 Allschwil, Basel, Switzerland.
Alexandra V KulinkinaSwiss Tropical and Public Health Institute, Kreuzstrasse 2, 4123 Allschwil, Basel, Switzerland.
Mirko S WinklerSwiss Tropical and Public Health Institute, Kreuzstrasse 2, 4123 Allschwil, Basel, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High quality health data as collected by health management information systems (HMIS) is an important building block of national health systems. District Health Information System 2 (DHIS2) software is an innovation in data management and monitoring for strengthening HMIS that has been widely implemented in low and middle-income countries in the last decade. However, analysts and decision-makers still face significant challenges in fully utilizing the capabilities of DHIS2 data to pursue national and international health agendas. We aimed to (i) identify the most relevant health indicators captured by DHIS2 for tracking progress towards the Sustainable Development goals in sub-Saharan African countries and (ii) present a clear roadmap for improving DHIS2 data quality and consistency, with a special focus on immediately actionable solutions. We identified that key indicators in child and maternal health (e.g. vaccine coverage, maternal deaths) are currently being tracked in the DHIS2 of most countries, while other indicators (e.g. HIV/AIDS) would benefit from streamlining the number of indicators collected and standardizing case definitions. Common data issues included unreliable denominators for calculation of incidence, differences in reporting among health facilities, and programmatic differences in data quality. We proposed solutions for many common data pitfalls at the analysis level, including standardized data cleaning pipelines, k-means clustering to identify high performing health facilities in terms of data quality, and imputation methods. While we focus on immediately actionable solutions for DHIS2 analysts, improvements at the point of data collection are the most rigorous. By investing in improving data quality and monitoring, countries can leverage the current global attention on health data to strengthen HMIS and progress towards national and international health priorities.

Indexed as

Health Information SystemsAfrica South of the SaharaChildData AccuracyData CollectionHealth FacilitiesHumansDHIS2Health systemsRoutine health management information system

Identifiers

PMID37259137
PMCPMC10230132

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.