加纳上东部地区扩大免疫规划常规数据质量评估。

Assessment of expanded programme on immunization routine data quality in the upper east region of Ghana.

机构信息

Health Information Unit, Ghana Health Services, Navrongo, Kessena-Nankana Municipal, Upper East Region, Ghana.

Department of Epidemiology, Biostatistics and Disease Control, School of Public Health, University for Development Studies (UDS), P. O. Box TL1350, Tamale, Northern Region, Ghana.

出版信息

BMC Health Serv Res. 2024 Aug 2;24(1):886. doi: 10.1186/s12913-024-11347-8.

DOI:10.1186/s12913-024-11347-8

PMID:39095772

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11297710/

Abstract

BACKGROUND

Data quality is a major challenge for most health institutions and organizations across the globe. The Ghana Health Service, supported by other non-governmental organizations, has instituted various strategies to address and improve data quality issues in regional and district health facilities in Ghana. This study sought to assess routine data quality of Expanded Programme on Immunization, specifically for Penta 1 and Penta 3 vaccines.

METHODS

A descriptive cross-sectional study design was used for the study. A simple random sampling method was used to select thirty-four health facilities across seven sub-municipalities. Records from the Expanded Programme on Immunization (EPI) Tally Books and Monthly Vaccination Summary Report were reviewed and compared with data entered into the District Health Information Management System 2 (DHIMS2) software for the period of January to December 2020. The World Health Organization Data quality self-assessment (DQS) tool was used to compare data recorded in the EPI tally books with monthly data from summary reports and DHIMS2. Data accuracy ratio was determined by the data quality assessment tools and STATA version 14.2 was used to run additional analysis. A data discrepancy is when two corresponding data sets don't match.

RESULTS

The results showed discrepancies between recounted tallies in EPI tally books and summary reports submitted as well as DHIMS2. Verification factor of 97.4% and 99.3% and a discrepancy rate of 2.6 and 0.7 for Penta 1 and Penta 3 respectively were recorded for tallied data and summary reports. A verification factor of 100.5% and 99.9% and a discrepancy of -0.5 and 0.1 respectively for the same antigens were obtained for the summary reports and DHIMS2. Data timeliness was 90.7% and completeness was 100% for both antigens.

CONCLUSION

The accuracy of Penta 1 and Penta 3 data on EPI in the Upper East Region of Ghana was high. The data availability, timeliness and completeness were also high.

摘要

背景

数据质量是全球大多数卫生机构和组织面临的主要挑战。加纳卫生服务部门在其他非政府组织的支持下，已经制定了各种策略来解决和改善加纳地区和地区卫生设施的数据质量问题。本研究旨在评估扩大免疫规划（EPI）的常规数据质量，特别是五价疫苗 1 型和 3 型疫苗。

方法

本研究采用描述性横断面研究设计。采用简单随机抽样方法，从七个分区中选择了 34 个卫生设施。对 EPI 计数簿和月度疫苗汇总报告中的记录进行了审查，并与 2020 年 1 月至 12 月期间输入到地区卫生信息管理系统 2（DHIMS2）软件中的数据进行了比较。使用世界卫生组织数据质量自我评估（DQS）工具比较 EPI 计数簿中记录的数据与月度汇总报告和 DHIMS2 中的数据。数据准确性比率由数据质量评估工具确定，使用 STATA 版本 14.2 进行了额外的分析。数据差异是指两个对应数据集不匹配的情况。

结果

结果显示，EPI 计数簿中的计数与提交的汇总报告以及 DHIMS2 中的数据存在差异。计数数据和汇总报告的验证率分别为 97.4%和 99.3%，差异率分别为 2.6%和 0.7%，五价疫苗 1 型和 3 型的验证率分别为 100.5%和 99.9%，差异率分别为-0.5%和 0.1%。对于同一抗原，汇总报告和 DHIMS2 的数据及时性分别为 90.7%和 100%，完整性均为 100%。