“We don’t trust all data coming from all facilities”: factors influencing the quality of care network data quality in Ethiopia
Background Good quality data are a key to quality health care. In 2017, WHO has launched the Quality of Care Network (QCN) to reduce maternal, newborn and stillbirth mortality via learning and sharing networks. Guided by the principle of equity and dignity, the network members agreed to implement th...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Global Health Action |
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| Online Access: | http://dx.doi.org/10.1080/16549716.2023.2279856 |
| _version_ | 1797351895764828160 |
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| author | Asebe Amenu Tufa Geremew Gonfa Anene Tesfa Theodros Getachew Desalegn Bekele Ftalew Dagnaw Nehla Djellouli Tim Colbourn Tanya Marchant Seblewengel Lemma |
| author_facet | Asebe Amenu Tufa Geremew Gonfa Anene Tesfa Theodros Getachew Desalegn Bekele Ftalew Dagnaw Nehla Djellouli Tim Colbourn Tanya Marchant Seblewengel Lemma |
| author_sort | Asebe Amenu Tufa |
| collection | DOAJ |
| description | Background Good quality data are a key to quality health care. In 2017, WHO has launched the Quality of Care Network (QCN) to reduce maternal, newborn and stillbirth mortality via learning and sharing networks. Guided by the principle of equity and dignity, the network members agreed to implement the programme in 2017–2021. Objective This paper seeks to explore how QCN has contributed to improving data quality and to identify factors influencing quality of data in Ethiopia. Methods We conducted a qualitative study in selected QCN facilities in Ethiopia using key informant interview and observation methods. We interviewed 40 people at national, sub-national and facility levels. Non-participant observations were carried out in four purposively selected health facilities; we accessed monthly reports from 41 QCN learning facilities. A codebook was prepared following a deductive and inductive analytical approach, coded using Nvivo 12 and thematically analysed. Results There was a general perception that QCN had improved health data documentation and use in the learning facilities, achieved through coaching, learning and building from pre-existing initiatives. QCN also enhanced the data elements available by introducing a broader set of quality indicators. However, the perception of poor data quality persisted. Factors negatively affecting data quality included a lack of integration of QCN data within routine health system activities, the perception that QCN was a pilot, plus a lack of inclusive engagement at different levels. Both individual and system capabilities needed to be strengthened. Conclusion There is evidence of QCN’s contribution to improving data awareness. But a lack of inclusive engagement of actors, alignment and limited skill for data collection and analysis continued to affect data quality and use. In the absence of new resources, integration of new data activities within existing routine health information systems emerged as the most important potential action for positive change. |
| first_indexed | 2024-03-08T13:07:19Z |
| format | Article |
| id | doaj.art-71386fc9db2b4bb99976e9b4b0e9bbc6 |
| institution | Directory Open Access Journal |
| issn | 1654-9880 |
| language | English |
| last_indexed | 2024-03-08T13:07:19Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj.art-71386fc9db2b4bb99976e9b4b0e9bbc62024-01-18T15:58:24ZengTaylor & Francis GroupGlobal Health Action1654-98802023-12-0116110.1080/16549716.2023.22798562279856“We don’t trust all data coming from all facilities”: factors influencing the quality of care network data quality in EthiopiaAsebe Amenu Tufa0Geremew Gonfa1Anene Tesfa2Theodros Getachew3Desalegn Bekele4Ftalew Dagnaw5Nehla Djellouli6Tim Colbourn7Tanya Marchant8Seblewengel Lemma9Ethiopian Public Health Institute, HSRHRD, Addis AbabaEthiopian Public Health Institute, HSRHRD, Addis AbabaEthiopian Public Health Institute, HSRHRD, Addis AbabaEthiopian Public Health Institute, HSRHRD, Addis AbabaEthiopian Ministry of Health, Quality and Clinical Service Directorate, Addis AbabaEthiopian Ministry of Health, Quality and Clinical Service Directorate, Addis AbabaUniversity College London, LondonUniversity College London, LondonLondon School of Hygiene & Tropical Medicine, LondonLondon School of Hygiene & Tropical Medicine, LondonBackground Good quality data are a key to quality health care. In 2017, WHO has launched the Quality of Care Network (QCN) to reduce maternal, newborn and stillbirth mortality via learning and sharing networks. Guided by the principle of equity and dignity, the network members agreed to implement the programme in 2017–2021. Objective This paper seeks to explore how QCN has contributed to improving data quality and to identify factors influencing quality of data in Ethiopia. Methods We conducted a qualitative study in selected QCN facilities in Ethiopia using key informant interview and observation methods. We interviewed 40 people at national, sub-national and facility levels. Non-participant observations were carried out in four purposively selected health facilities; we accessed monthly reports from 41 QCN learning facilities. A codebook was prepared following a deductive and inductive analytical approach, coded using Nvivo 12 and thematically analysed. Results There was a general perception that QCN had improved health data documentation and use in the learning facilities, achieved through coaching, learning and building from pre-existing initiatives. QCN also enhanced the data elements available by introducing a broader set of quality indicators. However, the perception of poor data quality persisted. Factors negatively affecting data quality included a lack of integration of QCN data within routine health system activities, the perception that QCN was a pilot, plus a lack of inclusive engagement at different levels. Both individual and system capabilities needed to be strengthened. Conclusion There is evidence of QCN’s contribution to improving data awareness. But a lack of inclusive engagement of actors, alignment and limited skill for data collection and analysis continued to affect data quality and use. In the absence of new resources, integration of new data activities within existing routine health information systems emerged as the most important potential action for positive change.http://dx.doi.org/10.1080/16549716.2023.2279856quality of care networkdata qualitydata reliabilitydata learningdata sharing |
| spellingShingle | Asebe Amenu Tufa Geremew Gonfa Anene Tesfa Theodros Getachew Desalegn Bekele Ftalew Dagnaw Nehla Djellouli Tim Colbourn Tanya Marchant Seblewengel Lemma “We don’t trust all data coming from all facilities”: factors influencing the quality of care network data quality in Ethiopia Global Health Action quality of care network data quality data reliability data learning data sharing |
| title | “We don’t trust all data coming from all facilities”: factors influencing the quality of care network data quality in Ethiopia |
| title_full | “We don’t trust all data coming from all facilities”: factors influencing the quality of care network data quality in Ethiopia |
| title_fullStr | “We don’t trust all data coming from all facilities”: factors influencing the quality of care network data quality in Ethiopia |
| title_full_unstemmed | “We don’t trust all data coming from all facilities”: factors influencing the quality of care network data quality in Ethiopia |
| title_short | “We don’t trust all data coming from all facilities”: factors influencing the quality of care network data quality in Ethiopia |
| title_sort | we don t trust all data coming from all facilities factors influencing the quality of care network data quality in ethiopia |
| topic | quality of care network data quality data reliability data learning data sharing |
| url | http://dx.doi.org/10.1080/16549716.2023.2279856 |
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