Amiri Mirwais, Al-Soukhni Majd, Tahtamouni Manal, Al Nsour Mohannad
The Eastern Mediterranean Public Health Network (EMPHNET), Shmeisani, Abdallah Ben Abbas Street, Bldg No. 42, Amman, Jordan.
Independent Consultant, Amman, Jordan.
Reprod Health. 2025 May 31;22(Suppl 1):77. doi: 10.1186/s12978-025-01995-2.
Primary data on antenatal care services in Jordan are stored in diverse systems among hospitals and Mother & Child Health (MCH) centers. The resulting information flow gaps between healthcare levels challenge the quality and continuity of MCH care. To close these data and care delivery gaps, a harmonized Reproductive Health Registry (hRHR) was designed and piloted to bring data in a consistent/digital/readily accessible format and enhance the current health information system. Our study evaluated the perceptions on the newly developed hRHR's improvement of the delivery of sexual and reproductive health (SRH) services in 19 healthcare centers where the hRHR was piloted.
We utilized a mixed methodology (qualitative and quantitative assessments). Three tools were used for Key Informants/stakeholders, services providers, and women.
A total of 13 SRH stakeholders, 37 service providers, and 855 women/service users participated in this evaluation. All SRH stakeholders agreed that the hRHR is responding to a need for digitalization of routine MCH data, medical files, and reports. They all agreed that the synchronization with the currently used Computerized Patient Record System (CPRS) and the hRHR Web-based application will enhance the expansion and needed upgrades in the future. For service providers, 73% were satisfied with the system, 78.4% were willing to keep using it, and 81.1% indicated that the hRHR is highly useful to health providers. For women/service users, 89.2% agreed/strongly agreed that the new system improves the confidentiality and privacy of their health information, and 89.7% agreed/strongly agreed that the new system allows health staff to easily access patient information. There were also foreseeable challenges including fragmentation of electronic data management, lack of connectivity across health services, limited ownership, dependence on external funding as impeding factor for scalability, poor IT infrastructure still disrupting service in MCH centers and affecting data entry, and limited electronic connectivity/reporting access impacting the continuity of care.
The new hRHR has a high acceptance level among stakeholders, health providers and women using MCH services. The evaluation showed that the system improved documentation of data, decreased time, and effort of data reporting and retrieval, and improved access to patient data.
约旦产前护理服务的原始数据存储在医院和母婴健康（MCH）中心的各种不同系统中。医疗保健层级之间由此产生的信息流差距对母婴保健护理的质量和连续性构成挑战。为了弥合这些数据和护理提供方面的差距，设计并试点了一个统一的生殖健康登记系统（hRHR），以采用一致/数字化/易于获取的格式呈现数据，并加强当前的健康信息系统。我们的研究评估了在19个试点推行hRHR的医疗保健中心中，对新开发的hRHR改善性与生殖健康（SRH）服务提供情况的看法。
我们采用了混合方法（定性和定量评估）。使用了三种工具分别针对关键信息提供者/利益相关者、服务提供者和女性。
共有13名性与生殖健康利益相关者、37名服务提供者以及855名女性/服务使用者参与了此次评估。所有性与生殖健康利益相关者都认为，hRHR满足了对常规母婴保健数据、医疗档案和报告进行数字化的需求。他们一致认为，与当前使用的计算机化患者记录系统（CPRS）以及基于网络的hRHR应用程序进行同步，将有助于未来的扩展和所需的升级。对于服务提供者而言，73%对该系统感到满意，78.4%愿意继续使用，81.1%表示hRHR对医疗服务提供者非常有用。对于女性/服务使用者，89.2%同意/强烈同意新系统提高了她们健康信息的保密性和隐私性，89.7%同意/强烈同意新系统使医护人员能够轻松获取患者信息。也存在一些可预见的挑战，包括电子数据管理分散、卫生服务之间缺乏连通性、所有权有限、依赖外部资金作为扩大规模的阻碍因素、糟糕的信息技术基础设施仍在扰乱母婴保健中心的服务并影响数据录入，以及有限的电子连通性/报告获取途径影响护理的连续性。
新的hRHR在利益相关者、医疗服务提供者以及使用母婴保健服务的女性中具有较高的接受度。评估表明，该系统改善了数据记录，减少了数据报告和检索的时间与精力，并改善了对患者数据的获取。
