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Hospital mortality statistics in Tanzania: availability, accessibility, and quality 2006–2015

BACKGROUND: Accurate and reliable hospital information on the pattern and causes of death is important to monitor and evaluate the effectiveness of health policies and programs. The objective of this study was to assess the availability, accessibility, and quality of hospital mortality data in Tanza...

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Autores principales: Mremi, Irene R., Rumisha, Susan F., Chiduo, Mercy G., Mangu, Chacha D., Mkwashapi, Denna M., Kishamawe, Coleman, Lyimo, Emanuel P., Massawe, Isolide S., Matemba, Lucas E., Bwana, Veneranda M., Mboera, Leonard E. G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247530/
https://www.ncbi.nlm.nih.gov/pubmed/30458804
http://dx.doi.org/10.1186/s12963-018-0175-3
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author Mremi, Irene R.
Rumisha, Susan F.
Chiduo, Mercy G.
Mangu, Chacha D.
Mkwashapi, Denna M.
Kishamawe, Coleman
Lyimo, Emanuel P.
Massawe, Isolide S.
Matemba, Lucas E.
Bwana, Veneranda M.
Mboera, Leonard E. G.
author_facet Mremi, Irene R.
Rumisha, Susan F.
Chiduo, Mercy G.
Mangu, Chacha D.
Mkwashapi, Denna M.
Kishamawe, Coleman
Lyimo, Emanuel P.
Massawe, Isolide S.
Matemba, Lucas E.
Bwana, Veneranda M.
Mboera, Leonard E. G.
author_sort Mremi, Irene R.
collection PubMed
description BACKGROUND: Accurate and reliable hospital information on the pattern and causes of death is important to monitor and evaluate the effectiveness of health policies and programs. The objective of this study was to assess the availability, accessibility, and quality of hospital mortality data in Tanzania. METHODS: This cross-sectional study involved selected hospitals of Tanzania and was carried out from July to October 2016. Review of hospital death registers and forms was carried out to cover a period of 10 years (2006–2015). Interviews with hospital staff were conducted to seek information as regards to tools used to record mortality data, staff involved in recording and availability of data storage and archiving facilities. RESULTS: A total of 247,976 death records were reviewed. The death register was the most (92.3%) common source of mortality data. Other sources included the International Classification of Diseases (ICD) report forms, Inpatient registers, and hospital administrative reports. Death registers were available throughout the 10-year period while ICD-10 forms were available for the period of 2013–2015. In the years between 2006 and 2010 and 2011–2015, the use of death register increased from 82 to 94.9%. Three years after the introduction of ICD-10 procedure, the forms were available and used in 28% (11/39) hospitals. The level of acceptable data increased from 69% in 2006 to 97% in 2015. Inconsistency in the language used, use of non-standard nomenclature for causes of death, use of abbreviations, poorly and unreadable handwriting, and missing variables were common data quality challenges. About 6.3% (n = 15,719) of the records had no patient age, 3.5% (n = 8790) had no cause of death and ~ 1% had no sex indicated. The frequency of missing sex variable was most common among under-5 children. Data storage and archiving in most hospitals was generally poor. Registers and forms were stored in several different locations, making accessibility difficult. CONCLUSION: Overall, this study demonstrates gaps in hospital mortality data availability, accessibility, and quality, and highlights the need for capacity strengthening in data management and periodic record reviews. Policy guidelines on the data management including archiving are necessary to improve data.
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spelling pubmed-62475302018-11-26 Hospital mortality statistics in Tanzania: availability, accessibility, and quality 2006–2015 Mremi, Irene R. Rumisha, Susan F. Chiduo, Mercy G. Mangu, Chacha D. Mkwashapi, Denna M. Kishamawe, Coleman Lyimo, Emanuel P. Massawe, Isolide S. Matemba, Lucas E. Bwana, Veneranda M. Mboera, Leonard E. G. Popul Health Metr Research BACKGROUND: Accurate and reliable hospital information on the pattern and causes of death is important to monitor and evaluate the effectiveness of health policies and programs. The objective of this study was to assess the availability, accessibility, and quality of hospital mortality data in Tanzania. METHODS: This cross-sectional study involved selected hospitals of Tanzania and was carried out from July to October 2016. Review of hospital death registers and forms was carried out to cover a period of 10 years (2006–2015). Interviews with hospital staff were conducted to seek information as regards to tools used to record mortality data, staff involved in recording and availability of data storage and archiving facilities. RESULTS: A total of 247,976 death records were reviewed. The death register was the most (92.3%) common source of mortality data. Other sources included the International Classification of Diseases (ICD) report forms, Inpatient registers, and hospital administrative reports. Death registers were available throughout the 10-year period while ICD-10 forms were available for the period of 2013–2015. In the years between 2006 and 2010 and 2011–2015, the use of death register increased from 82 to 94.9%. Three years after the introduction of ICD-10 procedure, the forms were available and used in 28% (11/39) hospitals. The level of acceptable data increased from 69% in 2006 to 97% in 2015. Inconsistency in the language used, use of non-standard nomenclature for causes of death, use of abbreviations, poorly and unreadable handwriting, and missing variables were common data quality challenges. About 6.3% (n = 15,719) of the records had no patient age, 3.5% (n = 8790) had no cause of death and ~ 1% had no sex indicated. The frequency of missing sex variable was most common among under-5 children. Data storage and archiving in most hospitals was generally poor. Registers and forms were stored in several different locations, making accessibility difficult. CONCLUSION: Overall, this study demonstrates gaps in hospital mortality data availability, accessibility, and quality, and highlights the need for capacity strengthening in data management and periodic record reviews. Policy guidelines on the data management including archiving are necessary to improve data. BioMed Central 2018-11-20 /pmc/articles/PMC6247530/ /pubmed/30458804 http://dx.doi.org/10.1186/s12963-018-0175-3 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Mremi, Irene R.
Rumisha, Susan F.
Chiduo, Mercy G.
Mangu, Chacha D.
Mkwashapi, Denna M.
Kishamawe, Coleman
Lyimo, Emanuel P.
Massawe, Isolide S.
Matemba, Lucas E.
Bwana, Veneranda M.
Mboera, Leonard E. G.
Hospital mortality statistics in Tanzania: availability, accessibility, and quality 2006–2015
title Hospital mortality statistics in Tanzania: availability, accessibility, and quality 2006–2015
title_full Hospital mortality statistics in Tanzania: availability, accessibility, and quality 2006–2015
title_fullStr Hospital mortality statistics in Tanzania: availability, accessibility, and quality 2006–2015
title_full_unstemmed Hospital mortality statistics in Tanzania: availability, accessibility, and quality 2006–2015
title_short Hospital mortality statistics in Tanzania: availability, accessibility, and quality 2006–2015
title_sort hospital mortality statistics in tanzania: availability, accessibility, and quality 2006–2015
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247530/
https://www.ncbi.nlm.nih.gov/pubmed/30458804
http://dx.doi.org/10.1186/s12963-018-0175-3
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