Nyundo Christopher, Doyle Aoife M, Walumbe David, Otiende Mark, Kinuthia Michael, Amadi David, Jibendi Boniface, Mochamah George, Kihuha Norbert, Williams Thomas N, Ross David A, Bauni Evasius
KEMRI/Wellcome Trust Research Programme, Kilifi, Kenya.
INDEPTH, Accra, Ghana.
Wellcome Open Res. 2020 Feb 27;2:51. doi: 10.12688/wellcomeopenres.11302.2. eCollection 2017.
In 2014, a pilot study was conducted to test the feasibility of linking clinic attendance data for young adults at two health facilities to the population register of the Kilifi Health and Demographic Surveillance System (KHDSS). This was part of a cross-sectional survey of health problems of young people, and we tested the feasibility of using the KHDSS platform for the monitoring of future interventions. Two facilities were used for this study. Clinical data from consenting participants aged 18-24 years were matched to KHDSS records. Data matching was achieved using national identity card numbers or otherwise using a matching algorithm based on names, sex, date of birth, location of residence and the names of other homestead members. A study form was administered to all matched patients to capture reasons for their visits and time taken to access the services. Distance to health facility from a participants' homestead was also computed. 628 participated in the study: 386 (61%) at Matsangoni Health Centre, and 242 (39%) at Pingilikani Dispensary. 610 (97%) records were matched to the KHDSS register. Most records (605; 96%) were matched within these health facilities, while 5 (1%) were matched during homestead follow-up visits. 463 (75.9%) of those matched were women. Antenatal care (25%), family planning (13%), respiratory infections (9%) and malaria (9%) were the main reasons for seeking care. Antenatal clinic visits (n=175) and malaria (n=27) were the commonest reasons among women and men, respectively. Participants took 1-1.5 hours to access the services; 490 (81.0%) participants lived within 5 kilometres of a facility. With a full-time research clerk at each health facility, linking health-facility attendance data to a longitudinal HDSS platform was feasible and could be used to monitor and evaluate the impact of health interventions on health care outcomes among young people.
2014年，开展了一项试点研究，以测试将两家医疗机构中年轻成年人的就诊数据与基利菲健康与人口监测系统（KHDSS）的人口登记册相链接的可行性。这是一项关于年轻人健康问题的横断面调查的一部分，我们测试了使用KHDSS平台监测未来干预措施的可行性。本研究使用了两家医疗机构。将年龄在18至24岁之间的同意参与研究的参与者的临床数据与KHDSS记录进行匹配。数据匹配通过国民身份证号码实现，否则使用基于姓名、性别、出生日期、居住地点和其他家庭成员姓名的匹配算法。向所有匹配的患者发放了一份研究表格，以记录他们就诊的原因以及获得服务所需的时间。还计算了参与者住所到医疗机构的距离。628人参与了研究：386人（61%）在马桑戈尼健康中心，242人（39%）在平吉利卡尼诊疗所。610份（97%）记录与KHDSS登记册相匹配。大多数记录（605份；96%）在这些医疗机构内部匹配，而5份（1%）在住所随访期间匹配。匹配的记录中463人（75.9%）为女性。产前护理（25%）、计划生育（13%）、呼吸道感染（9%）和疟疾（9%）是寻求医疗服务的主要原因。产前诊所就诊（n = 175）和疟疾（n = 27）分别是女性和男性最常见的就诊原因。参与者获得服务花费1至1.5小时；490人（81.0%）居住在距离医疗机构5公里范围内。每家医疗机构配备一名全职研究办事员，将医疗机构就诊数据与纵向HDSS平台相链接是可行的，可用于监测和评估健康干预措施对年轻人医疗保健结果的影响。
