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Maternal Service Coverage and Its Relationship To Health Information System Performance: A Linked Facility and Population-Based Survey in Ethiopia

BACKGROUND: Studies in Ethiopia show an increasing trend in maternal health service use, such as having at least 4 visits of antenatal care (ANC4+) and skilled birth attendance (SBA). Improving the health information system (HIS) is an intervention that can improve service uptake and quality. We con...

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Autores principales: Worku, Abebaw Gebeyehu, Tilahun, Hibret Alemu, Belay, Hiwot, Mohammedsanni, Afrah, Wendrad, Naod, Abate, Biruk, Mohammed, Mesoud, Ahmed, Mohammed, Wondarad, Yakob, Abebaw, Meskerem, Denboba, Wubshet, Mulugeta, Frehiwot, Oumer, Shemsedin, Biru, Amanuel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Global Health: Science and Practice 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9476483/
https://www.ncbi.nlm.nih.gov/pubmed/36109058
http://dx.doi.org/10.9745/GHSP-D-21-00688
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author Worku, Abebaw Gebeyehu
Tilahun, Hibret Alemu
Belay, Hiwot
Mohammedsanni, Afrah
Wendrad, Naod
Abate, Biruk
Mohammed, Mesoud
Ahmed, Mohammed
Wondarad, Yakob
Abebaw, Meskerem
Denboba, Wubshet
Mulugeta, Frehiwot
Oumer, Shemsedin
Biru, Amanuel
author_facet Worku, Abebaw Gebeyehu
Tilahun, Hibret Alemu
Belay, Hiwot
Mohammedsanni, Afrah
Wendrad, Naod
Abate, Biruk
Mohammed, Mesoud
Ahmed, Mohammed
Wondarad, Yakob
Abebaw, Meskerem
Denboba, Wubshet
Mulugeta, Frehiwot
Oumer, Shemsedin
Biru, Amanuel
author_sort Worku, Abebaw Gebeyehu
collection PubMed
description BACKGROUND: Studies in Ethiopia show an increasing trend in maternal health service use, such as having at least 4 visits of antenatal care (ANC4+) and skilled birth attendance (SBA). Improving the health information system (HIS) is an intervention that can improve service uptake and quality. We conducted a baseline study to measure current maternal service coverage, HIS performance status, and their relationship. METHODS: We conducted a linked health facility-level and population-based survey from September 2020 to October 2020. The study covers all regions of Ethiopia. For the population-based survey, 3,016 mothers were included. Overall, 81 health posts, 71 health centers, and 15 hospitals were selected for the facility survey. A two-stage sampling procedure was applied to select target households. The study used modified Performance of Routine Information System Management tools for the facility survey and a structured questionnaire for the household survey. Multilevel logistic regression was employed to account for clustering and control for likely confounders. RESULTS: Maternal service indicators, ANC4+ visits (54.0%), SBA (75.8%), postnatal care (70.6%), and cesarean delivery (9%) showed good service uptake. All data quality and use indicators showed lower performance compared to the national target of 90%. Maternal education and higher levels of wealth index were significantly and positively associated with all selected maternal service indicators. Longer distance from health facilities was significantly and negatively associated with SBA and the maternal care composite indicator. Among HIS-related indicators, availability of electronic HIS tools was significantly associated with maternal care composite indicator and ANC4+. CONCLUSIONS: Maternal service indicators showed promising performance. However, current HIS performance is suboptimal. Both service user and HIS-related factors were associated with maternal service uptake. Conducting similar research outside of the project sites will be helpful to have a wider understanding and better coverage.
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spelling pubmed-94764832022-09-26 Maternal Service Coverage and Its Relationship To Health Information System Performance: A Linked Facility and Population-Based Survey in Ethiopia Worku, Abebaw Gebeyehu Tilahun, Hibret Alemu Belay, Hiwot Mohammedsanni, Afrah Wendrad, Naod Abate, Biruk Mohammed, Mesoud Ahmed, Mohammed Wondarad, Yakob Abebaw, Meskerem Denboba, Wubshet Mulugeta, Frehiwot Oumer, Shemsedin Biru, Amanuel Glob Health Sci Pract Original Article BACKGROUND: Studies in Ethiopia show an increasing trend in maternal health service use, such as having at least 4 visits of antenatal care (ANC4+) and skilled birth attendance (SBA). Improving the health information system (HIS) is an intervention that can improve service uptake and quality. We conducted a baseline study to measure current maternal service coverage, HIS performance status, and their relationship. METHODS: We conducted a linked health facility-level and population-based survey from September 2020 to October 2020. The study covers all regions of Ethiopia. For the population-based survey, 3,016 mothers were included. Overall, 81 health posts, 71 health centers, and 15 hospitals were selected for the facility survey. A two-stage sampling procedure was applied to select target households. The study used modified Performance of Routine Information System Management tools for the facility survey and a structured questionnaire for the household survey. Multilevel logistic regression was employed to account for clustering and control for likely confounders. RESULTS: Maternal service indicators, ANC4+ visits (54.0%), SBA (75.8%), postnatal care (70.6%), and cesarean delivery (9%) showed good service uptake. All data quality and use indicators showed lower performance compared to the national target of 90%. Maternal education and higher levels of wealth index were significantly and positively associated with all selected maternal service indicators. Longer distance from health facilities was significantly and negatively associated with SBA and the maternal care composite indicator. Among HIS-related indicators, availability of electronic HIS tools was significantly associated with maternal care composite indicator and ANC4+. CONCLUSIONS: Maternal service indicators showed promising performance. However, current HIS performance is suboptimal. Both service user and HIS-related factors were associated with maternal service uptake. Conducting similar research outside of the project sites will be helpful to have a wider understanding and better coverage. Global Health: Science and Practice 2022-09-15 /pmc/articles/PMC9476483/ /pubmed/36109058 http://dx.doi.org/10.9745/GHSP-D-21-00688 Text en © Worku et al. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly cited. To view a copy of the license, visit https://creativecommons.org/licenses/by/4.0/. When linking to this article, please use the following permanent link: https://doi.org/10.9745/GHSP-D-21-00688
spellingShingle Original Article
Worku, Abebaw Gebeyehu
Tilahun, Hibret Alemu
Belay, Hiwot
Mohammedsanni, Afrah
Wendrad, Naod
Abate, Biruk
Mohammed, Mesoud
Ahmed, Mohammed
Wondarad, Yakob
Abebaw, Meskerem
Denboba, Wubshet
Mulugeta, Frehiwot
Oumer, Shemsedin
Biru, Amanuel
Maternal Service Coverage and Its Relationship To Health Information System Performance: A Linked Facility and Population-Based Survey in Ethiopia
title Maternal Service Coverage and Its Relationship To Health Information System Performance: A Linked Facility and Population-Based Survey in Ethiopia
title_full Maternal Service Coverage and Its Relationship To Health Information System Performance: A Linked Facility and Population-Based Survey in Ethiopia
title_fullStr Maternal Service Coverage and Its Relationship To Health Information System Performance: A Linked Facility and Population-Based Survey in Ethiopia
title_full_unstemmed Maternal Service Coverage and Its Relationship To Health Information System Performance: A Linked Facility and Population-Based Survey in Ethiopia
title_short Maternal Service Coverage and Its Relationship To Health Information System Performance: A Linked Facility and Population-Based Survey in Ethiopia
title_sort maternal service coverage and its relationship to health information system performance: a linked facility and population-based survey in ethiopia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9476483/
https://www.ncbi.nlm.nih.gov/pubmed/36109058
http://dx.doi.org/10.9745/GHSP-D-21-00688
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