assessment & adjustment for data quality used in the south african district health barometer
DESCRIPTION
Assessment & adjustment for data quality used in the South African DISTRICT HEALTH BAROMETER. Candy Day 21 September 2009. Assessment of data sources. Problems of health records. Range from burdensome paper-records to high-tech paperless EMRs In general these systems do not function well - PowerPoint PPT PresentationTRANSCRIPT
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Assessment & adjustment for
data quality used in the
South African DISTRICT HEALTH
BAROMETER
Assessment & adjustment for
data quality used in the
South African DISTRICT HEALTH
BAROMETERCandy Day
21 September 2009
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Assessment of data sourcesData Source Contents Capacity & Practices Dissemination Integration and use Total
CensusHighly adequate
100%Highly adequate
75%Adequate
71%Adequate
56%Highly adequate
75%
Vital statisticsHighly adequate
89%Adequate
67%Highly adequate
100%Highly Adequate
83%Highly adequate
85%
Population-based surveys
Adequate57%
Highly Adequate88%
Highly adequate100%
Present but not adequate
33%
Adequate70%
Health and disease records (incl. surveillance)
Adequate56%
Adequate59%
Present but not adequate
44%
Present but not adequate
28%
Present but not adequate
47%
Health service records
Not adequate at all12%
Present but not adequate
41%
Highly adequate78%
Adequate50%
Present but not adequate
45%
Resource recordsAdequate
63%
Present but not adequate
40%
Present but not adequate
33%
Present but not adequate
31%
Present but not adequate
42%
TotalAdequate
63%Adequate
62%Adequate
71%
Present but not Adequate47%
Adequate61%
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Problems of health records Range from burdensome paper-records
to high-tech paperless EMRs In general these systems do not function
well Incomplete, poor quality, time delays Inadequate staffing and resourcing Poor feedback, dissemination and use Poor integration
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Record review Challenges for routine health system data
management in a large public programme to prevent mother-to-child HIV transmission in South Africa.Kedar S Mate, Brandon Bennett, Wendy Mphatswe, Pierre Barker, Nigel Rollins (2009) PloS one 4 (5) p. e5483
An evaluation of the District Health Information System in rural South Africa.A Garrib, N Stoops, A McKenzie, L Dlamini, T Govender, J Rohde, K Herbst (2008)South African medical journal 98 (7) p. 549-52
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All indicators
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Single indicator
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Monthly data
Trend smoothing
Data variability
Noteworthy events
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Data quality issues
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HIV prevalence data sources
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Vital statisticsMalaria deaths notification and vital registration - South Africa
0
20
40
60
80
100
120
140
160
180
Jan
Feb
Mar Apr
May Ju
n Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar Apr
May Ju
n Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar Apr
May Ju
n Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar Apr
May Ju
n Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar Apr
May Ju
n Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar Apr
May Ju
n Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar Apr
May Ju
n Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar Apr
May Ju
n Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar Apr
May Ju
n Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar Apr
May Ju
n Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar Apr
May Ju
n Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
SA
SA (VR)
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Linking expenditure to utilisation