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The burden of recording and reporting health data in primary health care facilities in five low- and lower-middle income countries

BACKGROUND: Recording and reporting health data in facilities is the backbone of routine health information systems which provide data collected by health facility workers during service provision. Data is firstly collected in a register, to record patient health data and care process, and tallied i...

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Autores principales: Siyam, Amani, Ir, Por, York, Dararith, Antwi, James, Amponsah, Freddie, Rambique, Ofelia, Funzamo, Carlos, Azeez, Aderemi, Mboera, Leonard, Kumalija, Claud John, Rumisha, Susan Fred, Mremi, Irene, Boerma, Ties, O’Neill, Kathryn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8436492/
https://www.ncbi.nlm.nih.gov/pubmed/34511083
http://dx.doi.org/10.1186/s12913-021-06652-5
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author Siyam, Amani
Ir, Por
York, Dararith
Antwi, James
Amponsah, Freddie
Rambique, Ofelia
Funzamo, Carlos
Azeez, Aderemi
Mboera, Leonard
Kumalija, Claud John
Rumisha, Susan Fred
Mremi, Irene
Boerma, Ties
O’Neill, Kathryn
author_facet Siyam, Amani
Ir, Por
York, Dararith
Antwi, James
Amponsah, Freddie
Rambique, Ofelia
Funzamo, Carlos
Azeez, Aderemi
Mboera, Leonard
Kumalija, Claud John
Rumisha, Susan Fred
Mremi, Irene
Boerma, Ties
O’Neill, Kathryn
author_sort Siyam, Amani
collection PubMed
description BACKGROUND: Recording and reporting health data in facilities is the backbone of routine health information systems which provide data collected by health facility workers during service provision. Data is firstly collected in a register, to record patient health data and care process, and tallied into nationally designed reporting forms. While there is anecdotal evidence of large numbers of registers and reporting forms for primary health care (PHC) facilities, there are few systematic studies to document this potential burden on health workers. This multi-country study aimed to document the numbers of registers and reporting forms use at the PHC level and to estimate the time it requires for health workers to meet data demands. METHODS: In Cambodia, Ghana, Mozambique, Nigeria and Tanzania, a desk review was conducted to document registers and reporting forms mandated at the PHC level. In each country, visits to 16 randomly selected public PHC facilities followed to assess the time spent on paper-based recording and reporting. Information was collected through self-reports of estimated time use by health workers, and observation of 1360 provider-patient interactions. Data was primarily collected in outpatient care (OPD), antenatal care (ANC), immunization (EPI), family planning (FP), HIV and Tuberculosis (TB) services. RESULT: Cross-countries, the average number of registers was 34 (ranging between 16 and 48). Of those, 77% were verified in use and each register line had at least 20 cells to be completed per patient. The mean time spent on recording was about one-third the total consultation time for OPD, FP, ANC and EPI services combined. Cross-countries, the average number of monthly reporting forms was 35 (ranging between 19 and 52) of which 78% were verified in use. The estimated time to complete monthly reporting forms was 9 h (ranging between 4 to 15 h) per month per health worker. CONCLUSIONS: PHC facilities are mandated to use many registers and reporting forms pausing a considerable burden to health workers. Service delivery systems are expected to vary, however an imperative need remains to invest in international standards of facility-based registers and reporting forms, to ensure regular, comparable, quality-driven facility data collection and use. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-06652-5.
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spelling pubmed-84364922021-09-13 The burden of recording and reporting health data in primary health care facilities in five low- and lower-middle income countries Siyam, Amani Ir, Por York, Dararith Antwi, James Amponsah, Freddie Rambique, Ofelia Funzamo, Carlos Azeez, Aderemi Mboera, Leonard Kumalija, Claud John Rumisha, Susan Fred Mremi, Irene Boerma, Ties O’Neill, Kathryn BMC Health Serv Res Review BACKGROUND: Recording and reporting health data in facilities is the backbone of routine health information systems which provide data collected by health facility workers during service provision. Data is firstly collected in a register, to record patient health data and care process, and tallied into nationally designed reporting forms. While there is anecdotal evidence of large numbers of registers and reporting forms for primary health care (PHC) facilities, there are few systematic studies to document this potential burden on health workers. This multi-country study aimed to document the numbers of registers and reporting forms use at the PHC level and to estimate the time it requires for health workers to meet data demands. METHODS: In Cambodia, Ghana, Mozambique, Nigeria and Tanzania, a desk review was conducted to document registers and reporting forms mandated at the PHC level. In each country, visits to 16 randomly selected public PHC facilities followed to assess the time spent on paper-based recording and reporting. Information was collected through self-reports of estimated time use by health workers, and observation of 1360 provider-patient interactions. Data was primarily collected in outpatient care (OPD), antenatal care (ANC), immunization (EPI), family planning (FP), HIV and Tuberculosis (TB) services. RESULT: Cross-countries, the average number of registers was 34 (ranging between 16 and 48). Of those, 77% were verified in use and each register line had at least 20 cells to be completed per patient. The mean time spent on recording was about one-third the total consultation time for OPD, FP, ANC and EPI services combined. Cross-countries, the average number of monthly reporting forms was 35 (ranging between 19 and 52) of which 78% were verified in use. The estimated time to complete monthly reporting forms was 9 h (ranging between 4 to 15 h) per month per health worker. CONCLUSIONS: PHC facilities are mandated to use many registers and reporting forms pausing a considerable burden to health workers. Service delivery systems are expected to vary, however an imperative need remains to invest in international standards of facility-based registers and reporting forms, to ensure regular, comparable, quality-driven facility data collection and use. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-06652-5. BioMed Central 2021-09-13 /pmc/articles/PMC8436492/ /pubmed/34511083 http://dx.doi.org/10.1186/s12913-021-06652-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Review
Siyam, Amani
Ir, Por
York, Dararith
Antwi, James
Amponsah, Freddie
Rambique, Ofelia
Funzamo, Carlos
Azeez, Aderemi
Mboera, Leonard
Kumalija, Claud John
Rumisha, Susan Fred
Mremi, Irene
Boerma, Ties
O’Neill, Kathryn
The burden of recording and reporting health data in primary health care facilities in five low- and lower-middle income countries
title The burden of recording and reporting health data in primary health care facilities in five low- and lower-middle income countries
title_full The burden of recording and reporting health data in primary health care facilities in five low- and lower-middle income countries
title_fullStr The burden of recording and reporting health data in primary health care facilities in five low- and lower-middle income countries
title_full_unstemmed The burden of recording and reporting health data in primary health care facilities in five low- and lower-middle income countries
title_short The burden of recording and reporting health data in primary health care facilities in five low- and lower-middle income countries
title_sort burden of recording and reporting health data in primary health care facilities in five low- and lower-middle income countries
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8436492/
https://www.ncbi.nlm.nih.gov/pubmed/34511083
http://dx.doi.org/10.1186/s12913-021-06652-5
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