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Digitalization of routine health information systems: Bangladesh, Indonesia, Pakistan
OBJECTIVE: To describe a systematic process of transforming paper registers into a digital system optimized to enhance service provision and fulfil reporting requirements. METHODS: We designed a formative study around primary health workers providing reproductive, maternal, newborn and child health...
Autores principales: | , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
World Health Organization
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9511663/ https://www.ncbi.nlm.nih.gov/pubmed/36188022 http://dx.doi.org/10.2471/BLT.22.287816 |
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author | Tamrat, Tigest Chandir, Subhash Alland, Kelsey Pedrana, Alisa Shah, Mubarak Taighoon Footitt, Carolyn Snyder, Jennifer Ratanaprayul, Natschja Siddiqi, Danya Arif Nazneen, Numera Syah, Inraini Fitria Wong, Roger Lubell-Doughtie, Peter Utami, Annisa Dwi Anwar, Khaerul Ali, Hasmot Labrique, Alain B Say, Lale Shankar, Anuraj H Mehl, Garrett Livingston |
author_facet | Tamrat, Tigest Chandir, Subhash Alland, Kelsey Pedrana, Alisa Shah, Mubarak Taighoon Footitt, Carolyn Snyder, Jennifer Ratanaprayul, Natschja Siddiqi, Danya Arif Nazneen, Numera Syah, Inraini Fitria Wong, Roger Lubell-Doughtie, Peter Utami, Annisa Dwi Anwar, Khaerul Ali, Hasmot Labrique, Alain B Say, Lale Shankar, Anuraj H Mehl, Garrett Livingston |
author_sort | Tamrat, Tigest |
collection | PubMed |
description | OBJECTIVE: To describe a systematic process of transforming paper registers into a digital system optimized to enhance service provision and fulfil reporting requirements. METHODS: We designed a formative study around primary health workers providing reproductive, maternal, newborn and child health services in three countries in Bangladesh, Indonesia and Pakistan. The study ran from November 2014 to June 2018. We developed a prototype digital application after conducting a needs assessment of health workers’ responsibilities, workflows, routine data requirements and service delivery needs. Methods included desk reviews, focus group discussions, in-depth interviews; data mapping of paper registers; observations of health workers; co-design workshops with health workers; and usability testing. Finally, we conducted an observational feasibility assessment to monitor uptake of the application. FINDINGS: Researchers reviewed a total of 17 paper registers across the sites, which we transformed into seven modules within a digital application running on mobile devices. Modules corresponded to the services provided, including household enumeration, antenatal care, family planning, immunization, nutrition and child health. A total of 65 health workers used the modules during the feasibility assessment, and average weekly form submissions ranged from 8 to 234, depending on the health worker and their responsibilities. We also observed variability in the use of modules, requiring consistent monitoring support for health workers. CONCLUSION: Lessons learnt from this study shaped key global initiatives and resulted in a software global good. The deployment of digital systems requires well-designed applications, change management and strengthening human resources to realize and sustain health system gains. |
format | Online Article Text |
id | pubmed-9511663 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | World Health Organization |
record_format | MEDLINE/PubMed |
spelling | pubmed-95116632022-10-01 Digitalization of routine health information systems: Bangladesh, Indonesia, Pakistan Tamrat, Tigest Chandir, Subhash Alland, Kelsey Pedrana, Alisa Shah, Mubarak Taighoon Footitt, Carolyn Snyder, Jennifer Ratanaprayul, Natschja Siddiqi, Danya Arif Nazneen, Numera Syah, Inraini Fitria Wong, Roger Lubell-Doughtie, Peter Utami, Annisa Dwi Anwar, Khaerul Ali, Hasmot Labrique, Alain B Say, Lale Shankar, Anuraj H Mehl, Garrett Livingston Bull World Health Organ Research OBJECTIVE: To describe a systematic process of transforming paper registers into a digital system optimized to enhance service provision and fulfil reporting requirements. METHODS: We designed a formative study around primary health workers providing reproductive, maternal, newborn and child health services in three countries in Bangladesh, Indonesia and Pakistan. The study ran from November 2014 to June 2018. We developed a prototype digital application after conducting a needs assessment of health workers’ responsibilities, workflows, routine data requirements and service delivery needs. Methods included desk reviews, focus group discussions, in-depth interviews; data mapping of paper registers; observations of health workers; co-design workshops with health workers; and usability testing. Finally, we conducted an observational feasibility assessment to monitor uptake of the application. FINDINGS: Researchers reviewed a total of 17 paper registers across the sites, which we transformed into seven modules within a digital application running on mobile devices. Modules corresponded to the services provided, including household enumeration, antenatal care, family planning, immunization, nutrition and child health. A total of 65 health workers used the modules during the feasibility assessment, and average weekly form submissions ranged from 8 to 234, depending on the health worker and their responsibilities. We also observed variability in the use of modules, requiring consistent monitoring support for health workers. CONCLUSION: Lessons learnt from this study shaped key global initiatives and resulted in a software global good. The deployment of digital systems requires well-designed applications, change management and strengthening human resources to realize and sustain health system gains. World Health Organization 2022-10-01 2022-08-22 /pmc/articles/PMC9511663/ /pubmed/36188022 http://dx.doi.org/10.2471/BLT.22.287816 Text en (c) 2022 The authors; licensee World Health Organization. https://creativecommons.org/licenses/by/3.0/igo/This is an open access article distributed under the terms of the Creative Commons Attribution IGO License (http://creativecommons.org/licenses/by/3.0/igo/legalcode (https://creativecommons.org/licenses/by/3.0/igo/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article's original URL. |
spellingShingle | Research Tamrat, Tigest Chandir, Subhash Alland, Kelsey Pedrana, Alisa Shah, Mubarak Taighoon Footitt, Carolyn Snyder, Jennifer Ratanaprayul, Natschja Siddiqi, Danya Arif Nazneen, Numera Syah, Inraini Fitria Wong, Roger Lubell-Doughtie, Peter Utami, Annisa Dwi Anwar, Khaerul Ali, Hasmot Labrique, Alain B Say, Lale Shankar, Anuraj H Mehl, Garrett Livingston Digitalization of routine health information systems: Bangladesh, Indonesia, Pakistan |
title | Digitalization of routine health information systems: Bangladesh, Indonesia, Pakistan |
title_full | Digitalization of routine health information systems: Bangladesh, Indonesia, Pakistan |
title_fullStr | Digitalization of routine health information systems: Bangladesh, Indonesia, Pakistan |
title_full_unstemmed | Digitalization of routine health information systems: Bangladesh, Indonesia, Pakistan |
title_short | Digitalization of routine health information systems: Bangladesh, Indonesia, Pakistan |
title_sort | digitalization of routine health information systems: bangladesh, indonesia, pakistan |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9511663/ https://www.ncbi.nlm.nih.gov/pubmed/36188022 http://dx.doi.org/10.2471/BLT.22.287816 |
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