Department of International Health, International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
Oxford Policy Management, New Delhi, Delhi, India.
BMJ Open. 2022 Feb 9;12(2):e051193. doi: 10.1136/bmjopen-2021-051193.
To understand factors underpinning the accuracy and timeliness of mobile phone numbers and other health information captured in India's government registry for pregnant and postpartum women. Accurate and timely registration of mobile phone numbers is necessary for beneficiaries to receive mobile health services.
Madhya Pradesh and Rajasthan states in India at the community, clinical, and administrative levels of the health system.
Interviews (n=59) with frontline health workers (FLHWs), data entry operators, and higher level officials. Focus group discussions (n=12) with pregnant women to discuss experiences with sharing data in the health system. Observations (n=9) of the process of digitization and of interactions between stakeholders for data collection.
Thematic analysis identified how key actors experienced the data collection and digitisation process, reasons for late or inaccurate data, and mechanisms that can bolster timeliness and accuracy.
Pregnant women were comfortable sharing mobile numbers with health workers, but many were unaware that their data moved beyond their FLHW. FLHWs valued knowing up-to-date beneficiary mobile numbers, but felt little incentive to ensure accuracy in the digital record system. Delays in registering pregnant women in the online portal were attributed to slow movement of paper records into the digital system and difficulties in gathering required documents from beneficiaries. Data, including women's phone numbers, were handwritten and copied multiple times by beneficiaries and health workers with variable literacy. Supervision tended to focus on completeness rather than accuracy. Health system actors noted challenges with the digital system but valued the broader project of digitisation.
Increased focus on training, supportive supervision, and user-friendly data processes that prioritise accuracy and timeliness should be considered. These inputs can build on existing positive patient-provider relationships and health system actors' enthusiasm for digitisation.
了解印度孕妇和产后妇女政府登记处中手机号码和其他健康信息准确性和及时性的支撑因素。准确、及时地登记手机号码是受益人获得移动健康服务的必要条件。
印度马哈拉施特拉邦和拉贾斯坦邦的社区、临床和行政卫生系统层面。
与一线卫生工作者（FLHWs）、数据录入员和高级官员进行访谈（n=59）。与孕妇进行焦点小组讨论（n=12），讨论在卫生系统中分享数据的经验。观察（n=9）数字化过程以及利益相关者之间的数据收集互动。
主题分析确定了关键参与者如何体验数据收集和数字化过程、数据延迟或不准确的原因，以及可以提高及时性和准确性的机制。
孕妇愿意与卫生工作者分享手机号码，但许多人不知道他们的数据会超出 FLHW 的范围。FLHWs 重视了解最新的受益人手机号码，但在数字记录系统中确保准确性的动力不足。在在线门户中延迟登记孕妇的原因是纸质记录向数字系统的缓慢转移以及从受益人那里收集所需文件的困难。数据，包括妇女的电话号码，都由受益人和卫生工作者用不同的读写能力多次手写和复制。监督往往侧重于完整性而不是准确性。卫生系统参与者注意到数字系统的挑战，但重视数字化这一更广泛的项目。
应考虑增加对培训、支持性监督和用户友好的数据流程的关注，这些流程应优先考虑准确性和及时性。这些投入可以建立在现有的积极的医患关系和卫生系统参与者对数字化的热情基础上。
