Sychareun Vanphanom, Hansana Visanou, Phengsavanh Alongkone, Chaleunvong Kongmany, Eunyoung Ko, Durham Jo
Faculty of Postgraduate Studies, University of Health Sciences, Vientiane, Lao PDR.
BMC Health Serv Res. 2014 Jun 14;14:255. doi: 10.1186/1472-6963-14-255.
Routine health information is an essential health system building block. In low and low-middle income countries however, concerns about the quality of routine administrative data have often undermined their use. The purpose of the present study was to verify the data availability, and consistency of six key maternal and child health indicators (first antenatal care, fourth antenatal care, skilled birth attendants, postnatal care, 'Bacillus Calmette Guerin and diphtheria-pertussis-tetanus third dose).
The study collected data for the identified indicators in 2011 from Xiengkhouang and Houaphanh provinces in the Lao People's Democratic Republic (PDR). The data came from health centres (N = 109), sub-districts (N = 26) and district health offices (N = 16). Core indicators were calculated using numerators and denominators from the different data sources at the district and health centre level and standardized statistical tests performed.
The study revealed that data for the six indicators were either not available or not complete in the service logbooks or registers in most of the health centres. Furthermore, few health centres kept the data for up to five years, often destroying it once the report had been sent to the district health office. In addition, there was limited numerator consistency between the different data sources.
Data on the six indicators collected and reported in the public health system across the two provinces lacked completeness, accuracy and consistency. To improve the quality of data, there is a need to train health centre staff in data collection and recording as well as ensuring there is adequate monitoring and supervision. A uniform national standardized form is also necessary with findings shared with district health offices and centres. Additionally, staff should be encouraged to own and value local data.
常规健康信息是卫生系统的重要组成部分。然而，在低收入和中低收入国家，对常规行政数据质量的担忧常常削弱了其用途。本研究的目的是核实六个关键母婴健康指标（首次产前检查、第四次产前检查、熟练接生员、产后护理、卡介苗和白喉-百日咳-破伤风三联疫苗第三剂）的数据可用性和一致性。
该研究收集了2011年老挝人民民主共和国（老挝）川圹省和华潘省已确定指标的数据。数据来自卫生中心（N = 109）、分区（N = 26）和地区卫生办公室（N = 16）。核心指标通过使用地区和卫生中心层面不同数据源的分子和分母进行计算，并进行标准化统计测试。
研究表明，大多数卫生中心的服务日志或登记簿中没有这六个指标的数据，或者数据不完整。此外，很少有卫生中心将数据保存长达五年，通常在将报告发送到地区卫生办公室后就销毁数据。此外，不同数据源之间的分子一致性有限。
这两个省份公共卫生系统收集和报告的六个指标的数据缺乏完整性、准确性和一致性。为了提高数据质量，需要对卫生中心工作人员进行数据收集和记录培训，并确保有足够的监测和监督。还需要一份统一的国家标准化表格，并将结果与地区卫生办公室和卫生中心共享。此外，应鼓励工作人员重视和珍视本地数据。
