Mpango Jonathan, Nabukenya Josephine
School of Public Health, Makerere University, Kampala, Uganda.
School of Computing and Informatics Technology, Makerere University, Kampala, Uganda.
AMIA Annu Symp Proc. 2020 Mar 4;2019:1157-1166. eCollection 2019.
Availability of an accurate and complete health facility list is fundamental in producing quality and timely data that is sufficient to aid evidence-based decision, resource allocation and planning within the healthcare ecosystem. This study aimed at examining the approaches used in Uganda to manage data about health facilities and the challenges they are facing. We conducted a qualitative study involving 32 interviews with participants from Ministry of Health, government regulatory organizations, district local government, general public, academia, implementing partners and healthcare providers. Our analysis identified four divergent approaches that had five common challenges, namely; lack of a health facility unique identifier, non-standardized, incomplete, inaccurate data, difficulty accessing and using data. Establishing a national central health facility registry to manage the national health facility list would improve patient referrals, facility look-ups, health information exchange, data curation and access and health information system integration.
获得准确完整的卫生设施清单对于生成高质量、及时的数据至关重要,这些数据足以辅助医疗保健生态系统内基于证据的决策、资源分配和规划。本研究旨在考察乌干达用于管理卫生设施数据的方法及其面临的挑战。我们开展了一项定性研究,对来自卫生部、政府监管组织、地区地方政府、普通公众、学术界、实施伙伴和医疗服务提供者的32名参与者进行了访谈。我们的分析确定了四种不同的方法,它们存在五个共同挑战,即:缺乏卫生设施唯一标识符、数据不标准化、不完整、不准确、获取和使用数据困难。建立一个国家中央卫生设施登记处来管理国家卫生设施清单,将改善患者转诊、设施查询、健康信息交换、数据管理与获取以及健康信息系统整合。