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Understanding maternity care providers’ use of data in Southern Tanzania

INTRODUCTION: Health information management system data is collected for national planning and evaluation but is rarely used for healthcare improvements at subnational or facility-level in low-and-middle-income countries. Research suggests that perceived data quality and lack of feedback are contrib...

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Autores principales: Unkels, Regine, Alwy Al-Beity, Fadhlun, Julius, Zamoyoni, Mkumbo, Elibariki, Pembe, Andrea B, Hanson, Claudia, Molsted-Alvesson, Helle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9827191/
https://www.ncbi.nlm.nih.gov/pubmed/36609348
http://dx.doi.org/10.1136/bmjgh-2022-010937
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author Unkels, Regine
Alwy Al-Beity, Fadhlun
Julius, Zamoyoni
Mkumbo, Elibariki
Pembe, Andrea B
Hanson, Claudia
Molsted-Alvesson, Helle
author_facet Unkels, Regine
Alwy Al-Beity, Fadhlun
Julius, Zamoyoni
Mkumbo, Elibariki
Pembe, Andrea B
Hanson, Claudia
Molsted-Alvesson, Helle
author_sort Unkels, Regine
collection PubMed
description INTRODUCTION: Health information management system data is collected for national planning and evaluation but is rarely used for healthcare improvements at subnational or facility-level in low-and-middle-income countries. Research suggests that perceived data quality and lack of feedback are contributing factors. We aimed to understand maternity care providers’ perceptions of data and how they use it, with a view to co-design interventions to improve data quality and use. METHODS: We based our research on constructivist grounded theory. We conducted 14 in-depth interviews, two focus group discussions with maternity care providers and 48 hours of observations in maternity wards to understand maternity providers’ interaction with data in two rural hospitals in Southern Tanzania. Constant comparative data analysis was applied to develop initial and focused codes, subcategories and categories were continuously validated through peer and member checks. RESULTS: Maternity care providers found routine health information data of little use to reconcile demands from managers, the community and their challenging working environment within their daily work. They thus added informal narrative documentation sources. They created alternative narratives through data of a maternity care where mothers and babies were safeguarded. The resulting documentation system, however, led to duplication and increased systemic complexity. CONCLUSIONS: Current health information systems may not meet all data demands of maternity care providers, or other healthcare workers. Policy makers and health information system specialists need to acknowledge different ways of data use beyond health service planning, with an emphasis on healthcare providers’ data needs for clinical documentation.
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spelling pubmed-98271912023-01-10 Understanding maternity care providers’ use of data in Southern Tanzania Unkels, Regine Alwy Al-Beity, Fadhlun Julius, Zamoyoni Mkumbo, Elibariki Pembe, Andrea B Hanson, Claudia Molsted-Alvesson, Helle BMJ Glob Health Original Research INTRODUCTION: Health information management system data is collected for national planning and evaluation but is rarely used for healthcare improvements at subnational or facility-level in low-and-middle-income countries. Research suggests that perceived data quality and lack of feedback are contributing factors. We aimed to understand maternity care providers’ perceptions of data and how they use it, with a view to co-design interventions to improve data quality and use. METHODS: We based our research on constructivist grounded theory. We conducted 14 in-depth interviews, two focus group discussions with maternity care providers and 48 hours of observations in maternity wards to understand maternity providers’ interaction with data in two rural hospitals in Southern Tanzania. Constant comparative data analysis was applied to develop initial and focused codes, subcategories and categories were continuously validated through peer and member checks. RESULTS: Maternity care providers found routine health information data of little use to reconcile demands from managers, the community and their challenging working environment within their daily work. They thus added informal narrative documentation sources. They created alternative narratives through data of a maternity care where mothers and babies were safeguarded. The resulting documentation system, however, led to duplication and increased systemic complexity. CONCLUSIONS: Current health information systems may not meet all data demands of maternity care providers, or other healthcare workers. Policy makers and health information system specialists need to acknowledge different ways of data use beyond health service planning, with an emphasis on healthcare providers’ data needs for clinical documentation. BMJ Publishing Group 2023-01-06 /pmc/articles/PMC9827191/ /pubmed/36609348 http://dx.doi.org/10.1136/bmjgh-2022-010937 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Original Research
Unkels, Regine
Alwy Al-Beity, Fadhlun
Julius, Zamoyoni
Mkumbo, Elibariki
Pembe, Andrea B
Hanson, Claudia
Molsted-Alvesson, Helle
Understanding maternity care providers’ use of data in Southern Tanzania
title Understanding maternity care providers’ use of data in Southern Tanzania
title_full Understanding maternity care providers’ use of data in Southern Tanzania
title_fullStr Understanding maternity care providers’ use of data in Southern Tanzania
title_full_unstemmed Understanding maternity care providers’ use of data in Southern Tanzania
title_short Understanding maternity care providers’ use of data in Southern Tanzania
title_sort understanding maternity care providers’ use of data in southern tanzania
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9827191/
https://www.ncbi.nlm.nih.gov/pubmed/36609348
http://dx.doi.org/10.1136/bmjgh-2022-010937
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