Trial reportBMJ global health2024
Data-driven decision-making for district health management: a cluster-randomised study in 24 districts of Ethiopia.
Trial report in BMJ global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05310682 (Data-Informed Platform for Health), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Data-Informed Platform for Health (DIPH)
Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Conceptualisation and application of implementation strength in public health programmes within health systems: a systematic review.BMC health services research · 2026Pooled it
- Effect of the data-informed platform for health intervention on the culture of data use for decision-making among district health office staff in North Shewa Zone, Ethiopia: a cluster-randomised controlled trial.BMC medical informatics and decision making · 2024Trial
- From Integrated Care to Learning Systems.Healthcare (Basel, Switzerland) · 2026Review
- Predictive modeling of medical waste and a proposal to improve segregation in a peruvian hospital.Scientific reports · 2026Article
- Modeling and forecasting neonatal mortality in Ethiopia: a comparative study using statistical, machine learning, and deep learning approaches.Archives of public health = Archives belges de sante publique · 2026Article
- Contributions of District Health Information Software 2 (DHIS2) to maternal and child health service performance in Ethiopia: an interrupted time series mixed-methods study.Archives of public health = Archives belges de sante publique · 2025Article
- Effect of Augmented Capacity Development Interventions (ACDI) on Information Utilization for Decision-Making in the Routine Health Information System in Public Health Institutions of Gofa Zone, Southern Ethiopia: A Cluster Randomized Controlled Trial.Health services insights · 2025Article
- Unveiling the role of DHIS2 in enhancing data quality and accessibility in primary healthcare facilities: Evidence from Ethiopia.PloS one · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUse of local data for health system planning and decision-making in maternal, newborn and child health services is limited in low-income and middle-income countries, despite decentralisation and advances in data gathering. An improved culture of data-sharing and collaborative planning is needed. The Data-Informed Platform for Health is a system-strengthening strategy which promotes structured decision-making by district health officials using local data. Here, we describe implementation including process evaluation at district level in Ethiopia, and evaluation through a cluster-randomised trial.
methodsWe supported district health teams in 4-month cycles of data-driven decision-making by: (a) defining problems using a health system framework; (b) reviewing data; (c) considering possible solutions; (d) value-based prioritising; and (e) a consultative process to develop, commit to and follow up on action plans. 12 districts were randomly selected from 24 in the North Shewa zone of Ethiopia between October 2020 and June 2022. The remaining districts formed the trial's comparison arm. Outcomes included health information system performance and governance of data-driven decision-making. Analysis was conducted using difference-in-differences.
results58 4-month cycles were implemented, four or five in each district. Each focused on a health service delivery challenge at district level. Administrators' practice of, and competence in, data-driven decision-making showed a net increase of 77% (95% CI: 40%, 114%) in the regularity of monthly reviews of service performance, and 48% (95% CI: 9%, 87%) in data-based feedback to health facilities. Statistically significant improvement was also found in administrators' use of information to appraise services. Qualitative findings also suggested that district health staff reported enhanced data use and collaborative decision-making.
conclusionsThis study generated robust evidence that 20 months' implementation of the Data-Informed Platform for Health strengthened health management through better data use and appraisal practices, systemised problem analysis to follow up on action points and improved stakeholder engagement. TRIAL REGISTRATION NUMBER: NCT05310682.
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