Dumont A, Gueye M, Sow A, Diop I, Konate M K, Dambé P, Abrahamowicz M, Fournier P
Rev Epidemiol Sante Publique. 2012 Dec;60(6):489-96. doi: 10.1016/j.respe.2012.05.005. Epub 2012 Oct 31.
In sub-Saharan Africa, problems of access to relevant and high-quality facility-based statistics hinder the assessment of safe motherhood programs. The objective of this study was to assess the quality of data collected in referral hospitals in Mali and Senegal after the routine information system (RIS) was strengthened.
This was a multicenter observational study conducted during the pre-intervention period of a randomized controlled trial (trial QUARITE). The RIS was strengthened based on technical, organizational and behavioral factors. We included all women who gave birth in the 46 referral hospitals from October 1, 2007 to October 30, 2008. The completeness, completion and accuracy rates were monitored every 3 months in each hospital. The cost of investment needed to strengthen the existing RIS was also determined.
The mean completeness rate ranged from 94 to 97% depending on the study period. The completion and accuracy rates increased during the study period from 72% and 79% to 87% and 93%, respectively (significant differences). The average investment per hospital was less than 1% of state subsidies for public hospitals.
Strengthening the existing information system has set up an economically and technologically appropriate system for monitoring maternal and perinatal health in Senegal and Mali. We encourage policy makers and researchers from countries with limited resources to invest in RIS to improve and monitor the performance of health systems.
在撒哈拉以南非洲地区，获取相关且高质量的机构统计数据存在问题，这阻碍了对安全孕产项目的评估。本研究的目的是评估在马里和塞内加尔的转诊医院加强常规信息系统（RIS）后所收集数据的质量。
这是一项在随机对照试验（QUARITE试验）干预前期进行的多中心观察性研究。基于技术、组织和行为因素对RIS进行了强化。我们纳入了2007年10月1日至2008年10月30日期间在46家转诊医院分娩的所有妇女。每家医院每3个月监测一次完整性、填写率和准确率。还确定了强化现有RIS所需的投资成本。
根据研究时期不同，平均完整性率在94%至97%之间。在研究期间，填写率和准确率分别从72%和79%提高到了87%和93%（有显著差异）。每家医院的平均投资不到国家对公立医院补贴的1%。
强化现有信息系统为塞内加尔和马里的孕产妇和围产期健康监测建立了一个经济且技术上合适的系统。我们鼓励资源有限国家的政策制定者和研究人员投资于RIS，以改善和监测卫生系统的绩效。
