Mbondji Peter Ebongue, Kebede Derege, Soumbey-Alley Edoh William, Zielinski Chris, Kouvividila Wenceslas, Lusamba-Dikassa Paul-Samson
World Health Organization Regional Office for Africa, Cité du Djoué, PO Box 6, Brazzaville, Congo
World Health Organization Regional Office for Africa, Cité du Djoué, PO Box 6, Brazzaville, Congo.
J R Soc Med. 2014 May;107(1 suppl):28-33. doi: 10.1177/0141076814528690. Epub 2014 Apr 16.
To describe the status of health information systems in 14 sub-Saharan African countries of the World Health Organization African Region.
A questionnaire-based survey.
Fourteen sub-Saharan African countries of the African Region.
Key informants in the ministries of health, national statistics offices, health programmes, donors and technical agencies.
State of resources, indicators, data sources, data management, information products, dissemination and use of health information.
The highest average score was in the identification and harmonisation of indicators (73%), reflecting successful efforts to identify priority indicators and reach international consensus on indicators for several diseases. This was followed by information products (63%), which indicated the availability of accurate and reliable data. The lowest score (41%) was in data management, the ability to collect, store, analyse and distribute data, followed by resources - policy and planning, human and financial resources, and infrastructure (53%). Data sources (e.g. censuses, surveys) were on average inadequate with a score of 56%. The average score for dissemination and use of health information was 57%, which indicated limited or inadequate use of data for advocacy, planning and decision-making.
National health information systems are weak in the surveyed countries and much more needs to be done to improve the quality and relevance of data, and their management, sharing and use for policy-making and decision-making.
描述世界卫生组织非洲区域14个撒哈拉以南非洲国家的卫生信息系统状况。
基于问卷调查。
非洲区域的14个撒哈拉以南非洲国家。
卫生部、国家统计局、卫生项目、捐助方和技术机构的关键信息提供者。
资源状况、指标、数据来源、数据管理、信息产品、卫生信息的传播与使用。
平均得分最高的是指标的识别与协调（73%），这反映出在确定优先指标以及就几种疾病的指标达成国际共识方面所做的成功努力。其次是信息产品（63%），这表明有准确可靠的数据。得分最低的是数据管理（41%），即收集、存储、分析和分发数据的能力，其次是资源——政策与规划、人力和财力资源以及基础设施（53%）。数据来源（如人口普查、调查）平均不足，得分为56%。卫生信息传播与使用的平均得分是57%，这表明在将数据用于宣传、规划和决策方面的利用有限或不足。
在所调查的国家中，国家卫生信息系统较为薄弱，需要做更多工作来提高数据的质量和相关性，以及数据在政策制定和决策中的管理、共享与使用。
