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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: World Health Organization 2022
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.
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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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