International Food Policy Research Institute, C/O ILRI, Bole Sub-City, Kebele no 13, Box 5689, Addis Ababa, Ethiopia.
University of Georgia, Athens, USA.
Matern Child Health J. 2020 Aug;24(8):1028-1037. doi: 10.1007/s10995-020-02943-1.
This study assessed the completeness of child health records maintained and collected within community health information system in Ethiopia.
A household listing was carried out in 221 enumeration areas in food insecure areas of Ethiopia to determine the presence of a child less than 24-months. This list of children was then compared against the information stored at the local health posts. A household survey was administered to a sample of 2155 households that had a child less than 24-months of age to assess determinants and consequences of exclusion from the health post registers.
Out of the 10,318 children identified during the listing, 36% were found from the health post records. Further analysis based on the household survey data indicated that health posts that had adopted nationally recommended recordkeeping practices had more complete records (p < 0.01) and that children residing farther from health posts were less likely to be found from the registers (p < 0.05). Mothers whose child was found from the registers were more likely to know a health extension worker (p < 0.01), had a contact with one (p < 0.01), and their child was more likely to have received growth monitoring (p < 0.05).
The incompleteness of the data collected at the health posts poses a challenge for effective implementation of the national health extension program and various complementary programs in Ethiopia.
本研究评估了埃塞俄比亚社区卫生信息系统中保存和收集的儿童健康记录的完整性。
在埃塞俄比亚粮食不安全地区的 221 个普查区进行了家庭清单编制，以确定是否有 24 个月以下的儿童。然后将这些儿童名单与当地卫生所存储的信息进行比较。对有 24 个月以下儿童的 2155 户家庭进行了住户调查，以评估被卫生所登记册排除的决定因素和后果。
在列出的 10318 名儿童中，有 36%是从卫生所记录中找到的。基于住户调查数据的进一步分析表明，采用国家推荐的记录保存做法的卫生所记录更加完整（p<0.01），而居住在离卫生所较远的儿童更不可能从登记册中找到（p<0.05）。其子女在登记册中找到的母亲更有可能认识一名健康推广员（p<0.01），与一名健康推广员有过接触（p<0.01），而且其子女更有可能接受生长监测（p<0.05）。
卫生所收集的数据不完整，这对埃塞俄比亚国家健康推广计划和各种补充计划的有效实施构成了挑战。
