埃塞俄比亚阿姆哈拉州立地区公共卫生机构能力建设和导师制伙伴关系 (CBMP) 项目对数据质量的影响评价：一项准实验评价。

Outcome evaluation of capacity building and mentorship partnership (CBMP) program on data quality in the public health facilities of Amhara National Regional State, Ethiopia: a quasi-experimental evaluation.

机构信息

Department of Health Systems and Policy, Institute of Public health, College of Medicine and Health Sciences, University of Gondar, PO. Box - 196, Gondar, Ethiopia.

Department of Health Informatics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

BMC Health Serv Res. 2021 Oct 5;21(1):1054. doi: 10.1186/s12913-021-07063-2.

DOI:10.1186/s12913-021-07063-2

PMID:34610844

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8493720/

Abstract

BACKGROUND

Capacity Building and Mentorship Partnership (CBMP) is a flagship program designed by the Ethiopian Ministry of Health in collaboration with six local universities to strengthen the national health information system and facilitate evidence-informed decision making through various initiatives. The program was initiated in 2018. This evaluation was aimed to assess the outcome of CBMP on health data quality in the public health facilities of Amhara National Regional State, Ethiopia.

METHODS

A matched comparison group evaluation design with a sequential explanatory mixed-method was used to evaluate the outcome of CBMP on data quality. A total of 23 health facilities from the intervention group and 17 comparison health facilities from a randomly selected district were used for this evaluation. The Organization for Economic Cooperation and Development (OECD) evaluation framework with relevance, effectiveness, and impact dimensions was used to measure the program's outcome using the judgment parameter. The program's average treatment effect on data quality was estimated using propensity score matching (PSM).

RESULTS

The overall outcome of CBMP was found to be 90.75 %. The mean data quality in the intervention health facility was 89.06 % [95 %CI: 84.23, 93.88], which has a significant mean difference with the comparison health facilities (66.5 % [95 % CI: 57.9-75]). In addition, the CBMP increases the data quality of pilot facilities by 27.75 % points [95 %CI: 17.94, 37.58] on the nearest neighboring matching. The qualitative data also noted that there was a data quality problem in the health facility and CBMP improved the data quality gap among the intervention health facilities.

CONCLUSIONS

The outcome of the CBMP was highly satisfactory. The program effectively increased the data quality in the health facilities. Therefore, the finding of this evaluation can be used by policymakers, program implementers, and funding organizations to scale the program at large to improve the overall health data quality for health outcome improvement.

摘要

背景

能力建设和指导伙伴关系（CBMP）是埃塞俄比亚卫生部与六所当地大学合作设计的旗舰项目，旨在通过各种举措加强国家卫生信息系统并促进循证决策。该项目于 2018 年启动。本次评估旨在评估 CBMP 对埃塞俄比亚阿姆哈拉州公共卫生机构卫生数据质量的结果。

方法

采用匹配比较组评估设计和顺序解释性混合方法，评估 CBMP 对数据质量的结果。共有来自干预组的 23 个卫生机构和从随机选择的地区的 17 个对照卫生机构用于此评估。使用经合组织（OECD）评估框架，从相关性、有效性和影响维度，使用判断参数衡量该方案的结果。使用倾向评分匹配（PSM）估计该方案对数据质量的平均处理效果。

结果

发现 CBMP 的总体结果为 90.75%。干预卫生机构的数据质量平均为 89.06%[95%CI：84.23，93.88]，与对照卫生机构（66.5%[95%CI：57.9-75]）有显著的平均差异。此外，CBMP 通过最近的邻居匹配将试点机构的数据质量提高了 27.75%点[95%CI：17.94，37.58]。定性数据还指出，卫生机构存在数据质量问题，CBMP 缩小了干预卫生机构之间的数据质量差距。