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拉合尔地区社区女性卫生工作者报告的初级卫生保健统计数据的准确性。

Accuracy of primary health care statistics reported by community based lady health workers in district Lahore.

作者信息

Mahmood Shahid, Ayub Muhammad

机构信息

Department of Epidemiology, Institute of Public Health, Lahore.

出版信息

J Pak Med Assoc. 2010 Aug;60(8):649-53.

Abstract

OBJECTIVE

To determine the accuracy of monthly reports submitted by lady health workers of National program for family planning and primary health care in district Lahore.

METHODS

A cross sectional descriptive study was conducted in district Lahore from November 2008 to February 2009. Forty lady health workers were selected using stratified random technique. Four monthly reports (one from each quarter of year 2008) submitted in health facilities by each lady health worker were retrieved from respective health facilities. These reports were then audited for accuracy using registers in health houses and verification of primary health care information in their respective communities. A scoring system was devised to grade reports for accuracy as good (80% and above score), satisfactory (60-70% score) and unsatisfactory (less than 60% score).

RESULTS

Out of 40 lady health workers (LHWs) interviewed, 32 (80%) had good knowledge, 6 (15%) had satisfactory knowledge, while 2 (5%) had unsatisfactory knowledge regarding data recording and reporting tools. Based on our scoring system, only 47.5% of reports were found accurate. In addition, 35% of reports contained missed entries, misreported data and factitious information.

CONCLUSION

There are significant gaps in recording and reporting of primary health care data in National programme for family planning and primary health care in district Lahore. Considering the utility of this data for health planning at district, provincial and national levels, adequate supervision and regular auditing should be carried out at health facility and district levels before onward transmission primary health care data to provincial and national levels.

摘要

目的

确定拉合尔地区计划生育与初级卫生保健国家项目的女性卫生工作者提交的月度报告的准确性。

方法

2008年11月至2009年2月在拉合尔地区开展了一项横断面描述性研究。采用分层随机技术选取了40名女性卫生工作者。从各自的卫生机构中检索出每位女性卫生工作者在卫生机构提交的四份月度报告(2008年每个季度各一份)。然后利用卫生站的登记册以及各自社区的初级卫生保健信息核查情况对这些报告的准确性进行审核。设计了一个评分系统,将报告的准确性分为良好(得分80%及以上)、满意(得分60 - 70%)和不满意(得分低于60%)三个等级。

结果

在接受访谈的40名女性卫生工作者中,32人(80%)知识掌握良好,6人(15%)知识掌握情况令人满意,而2人(5%)在数据记录和报告工具方面知识掌握情况不佳。根据我们的评分系统,仅47.5%的报告被认定准确。此外,35%的报告存在漏记、数据错报和虚假信息。

结论

拉合尔地区计划生育与初级卫生保健国家项目在初级卫生保健数据的记录和报告方面存在重大差距。鉴于这些数据对地区、省和国家层面卫生规划的效用,在将初级卫生保健数据向上传输至省和国家层面之前,应在卫生机构和地区层面进行充分监督和定期审核。

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