Effect of Performance-Based Nonfinancial Incentives on Data Quality in Individual Medical Records of Institutional Births: Quasi-Experimental Study
BackgroundDespite the potential of routine health information systems in tackling persistent maternal deaths stemming from poor service quality at health facilities during and around childbirth, research has demonstrated their suboptimal performance, evident from the incomple...
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| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2024-04-01
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| Series: | JMIR Medical Informatics |
| Online Access: | https://medinform.jmir.org/2024/1/e54278 |
| _version_ | 1797221070168653824 |
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| author | Biniam Kefiyalew Taye Lemma Derseh Gezie Asmamaw Atnafu Shegaw Anagaw Mengiste Jens Kaasbøll Monika Knudsen Gullslett Binyam Tilahun |
| author_facet | Biniam Kefiyalew Taye Lemma Derseh Gezie Asmamaw Atnafu Shegaw Anagaw Mengiste Jens Kaasbøll Monika Knudsen Gullslett Binyam Tilahun |
| author_sort | Biniam Kefiyalew Taye |
| collection | DOAJ |
| description |
BackgroundDespite the potential of routine health information systems in tackling persistent maternal deaths stemming from poor service quality at health facilities during and around childbirth, research has demonstrated their suboptimal performance, evident from the incomplete and inaccurate data unfit for practical use. There is a consensus that nonfinancial incentives can enhance health care providers’ commitment toward achieving the desired health care quality. However, there is limited evidence regarding the effectiveness of nonfinancial incentives in improving the data quality of institutional birth services in Ethiopia.
ObjectiveThis study aimed to evaluate the effect of performance-based nonfinancial incentives on the completeness and consistency of data in the individual medical records of women who availed institutional birth services in northwest Ethiopia.
MethodsWe used a quasi-experimental design with a comparator group in the pre-post period, using a sample of 1969 women’s medical records. The study was conducted in the “Wegera” and “Tach-armacheho” districts, which served as the intervention and comparator districts, respectively. The intervention comprised a multicomponent nonfinancial incentive, including smartphones, flash disks, power banks, certificates, and scholarships. Personal records of women who gave birth within 6 months before (April to September 2020) and after (February to July 2021) the intervention were included. Three distinct women’s birth records were examined: the integrated card, integrated individual folder, and delivery register. The completeness of the data was determined by examining the presence of data elements, whereas the consistency check involved evaluating the agreement of data elements among women’s birth records. The average treatment effect on the treated (ATET), with 95% CIs, was computed using a difference-in-differences model.
ResultsIn the intervention district, data completeness in women’s personal records was nearly 4 times higher (ATET 3.8, 95% CI 2.2-5.5; P=.02), and consistency was approximately 12 times more likely (ATET 11.6, 95% CI 4.18-19; P=.03) than in the comparator district.
ConclusionsThis study indicates that performance-based nonfinancial incentives enhance data quality in the personal records of institutional births. Health care planners can adapt these incentives to improve the data quality of comparable medical records, particularly pregnancy-related data within health care facilities. Future research is needed to assess the effectiveness of nonfinancial incentives across diverse contexts to support successful scale-up. |
| first_indexed | 2024-04-24T12:59:35Z |
| format | Article |
| id | doaj.art-4e8b73901d0543269f0f6701ba8ef036 |
| institution | Directory Open Access Journal |
| issn | 2291-9694 |
| language | English |
| last_indexed | 2024-04-24T12:59:35Z |
| publishDate | 2024-04-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Medical Informatics |
| spelling | doaj.art-4e8b73901d0543269f0f6701ba8ef0362024-04-05T15:00:57ZengJMIR PublicationsJMIR Medical Informatics2291-96942024-04-0112e5427810.2196/54278Effect of Performance-Based Nonfinancial Incentives on Data Quality in Individual Medical Records of Institutional Births: Quasi-Experimental StudyBiniam Kefiyalew Tayehttps://orcid.org/0000-0002-4180-6073Lemma Derseh Geziehttps://orcid.org/0000-0002-6418-7674Asmamaw Atnafuhttps://orcid.org/0000-0002-0323-5820Shegaw Anagaw Mengistehttps://orcid.org/0000-0003-4617-3102Jens Kaasbøllhttps://orcid.org/0000-0001-9666-0887Monika Knudsen Gullsletthttps://orcid.org/0000-0002-8983-5770Binyam Tilahunhttps://orcid.org/0000-0002-1813-167X BackgroundDespite the potential of routine health information systems in tackling persistent maternal deaths stemming from poor service quality at health facilities during and around childbirth, research has demonstrated their suboptimal performance, evident from the incomplete and inaccurate data unfit for practical use. There is a consensus that nonfinancial incentives can enhance health care providers’ commitment toward achieving the desired health care quality. However, there is limited evidence regarding the effectiveness of nonfinancial incentives in improving the data quality of institutional birth services in Ethiopia. ObjectiveThis study aimed to evaluate the effect of performance-based nonfinancial incentives on the completeness and consistency of data in the individual medical records of women who availed institutional birth services in northwest Ethiopia. MethodsWe used a quasi-experimental design with a comparator group in the pre-post period, using a sample of 1969 women’s medical records. The study was conducted in the “Wegera” and “Tach-armacheho” districts, which served as the intervention and comparator districts, respectively. The intervention comprised a multicomponent nonfinancial incentive, including smartphones, flash disks, power banks, certificates, and scholarships. Personal records of women who gave birth within 6 months before (April to September 2020) and after (February to July 2021) the intervention were included. Three distinct women’s birth records were examined: the integrated card, integrated individual folder, and delivery register. The completeness of the data was determined by examining the presence of data elements, whereas the consistency check involved evaluating the agreement of data elements among women’s birth records. The average treatment effect on the treated (ATET), with 95% CIs, was computed using a difference-in-differences model. ResultsIn the intervention district, data completeness in women’s personal records was nearly 4 times higher (ATET 3.8, 95% CI 2.2-5.5; P=.02), and consistency was approximately 12 times more likely (ATET 11.6, 95% CI 4.18-19; P=.03) than in the comparator district. ConclusionsThis study indicates that performance-based nonfinancial incentives enhance data quality in the personal records of institutional births. Health care planners can adapt these incentives to improve the data quality of comparable medical records, particularly pregnancy-related data within health care facilities. Future research is needed to assess the effectiveness of nonfinancial incentives across diverse contexts to support successful scale-up.https://medinform.jmir.org/2024/1/e54278 |
| spellingShingle | Biniam Kefiyalew Taye Lemma Derseh Gezie Asmamaw Atnafu Shegaw Anagaw Mengiste Jens Kaasbøll Monika Knudsen Gullslett Binyam Tilahun Effect of Performance-Based Nonfinancial Incentives on Data Quality in Individual Medical Records of Institutional Births: Quasi-Experimental Study JMIR Medical Informatics |
| title | Effect of Performance-Based Nonfinancial Incentives on Data Quality in Individual Medical Records of Institutional Births: Quasi-Experimental Study |
| title_full | Effect of Performance-Based Nonfinancial Incentives on Data Quality in Individual Medical Records of Institutional Births: Quasi-Experimental Study |
| title_fullStr | Effect of Performance-Based Nonfinancial Incentives on Data Quality in Individual Medical Records of Institutional Births: Quasi-Experimental Study |
| title_full_unstemmed | Effect of Performance-Based Nonfinancial Incentives on Data Quality in Individual Medical Records of Institutional Births: Quasi-Experimental Study |
| title_short | Effect of Performance-Based Nonfinancial Incentives on Data Quality in Individual Medical Records of Institutional Births: Quasi-Experimental Study |
| title_sort | effect of performance based nonfinancial incentives on data quality in individual medical records of institutional births quasi experimental study |
| url | https://medinform.jmir.org/2024/1/e54278 |
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