Quality of reporting and trends of emergency obstetric and neonatal care indicators: an analysis from Tanzania district health information system data between 2016 and 2020
Abstract Background Routine health facility data provides the opportunity to monitor progress in quality and uptake of health care continuously. Our study aimed to assess the reliability and usefulness of emergency obstetric care data including temporal and regional variations over the past five yea...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-023-06028-z |
| _version_ | 1797555816807530496 |
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| author | Josephine Shabani Honorati Masanja Sophia Kagoye Jacqueline Minja Shraddha Bajaria Yeromin Mlacha Sia Msuya Mahundi Masoud Daudi Simba Andrea B. Pembe Ahmad Mohamed Makuwani Habib Ismail Maro Chacha Claud Kumalija Ties Boerma Claudia Hanson |
| author_facet | Josephine Shabani Honorati Masanja Sophia Kagoye Jacqueline Minja Shraddha Bajaria Yeromin Mlacha Sia Msuya Mahundi Masoud Daudi Simba Andrea B. Pembe Ahmad Mohamed Makuwani Habib Ismail Maro Chacha Claud Kumalija Ties Boerma Claudia Hanson |
| author_sort | Josephine Shabani |
| collection | DOAJ |
| description | Abstract Background Routine health facility data provides the opportunity to monitor progress in quality and uptake of health care continuously. Our study aimed to assess the reliability and usefulness of emergency obstetric care data including temporal and regional variations over the past five years in Tanzania Mainland. Methods Data were compiled from the routine monthly district reports compiled as part of the health management information systems for 2016–2020. Key indicators for maternal and neonatal care coverage, emergency obstetric and neonatal complications, and interventions indicators were computed. Assessment on reliability and consistency of reports was conducted and compared with annual rates and proportions over time, across the 26 regions in of Tanzania Mainland and by institutional delivery coverage. Results Facility reporting was near complete with 98% in 2018–2020. Estimated population coverage of institutional births increased by 10% points from 71.2% to 2016 to 81.7% in 2020 in Tanzania Mainland, driven by increased use of dispensaries and health centres compared to hospitals. This trend was more pronounced in regions with lower institutional birth rates. The Caesarean section rate remained stable at around 10% of institutional births. Trends in the occurrence of complications such as antepartum haemorrhage, premature rupture of membranes, pre-eclampsia, eclampsia or post-partum bleeding were consistent over time but at low levels (1% of institutional births). Prophylactic uterotonics were provided to nearly all births while curative uterotonics were reported to be used in less than 10% of post-partum bleeding and retained placenta cases. Conclusion Our results show a mixed picture in terms of usefulness of the District Health Information System(DHIS2) data. Key indicators of institutional delivery and Caesarean section rates were plausible and provide useful information on regional disparities and trends. However, obstetric complications and several interventions were underreported thus diminishing the usefulness of these data for monitoring. Further research is needed on why complications and interventions to address them are not documented reliably. |
| first_indexed | 2024-03-10T16:53:00Z |
| format | Article |
| id | doaj.art-80aa258ab8264104a37b7a4d1e83bd59 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-03-10T16:53:00Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-80aa258ab8264104a37b7a4d1e83bd592023-11-20T11:13:44ZengBMCBMC Pregnancy and Childbirth1471-23932023-10-0123111110.1186/s12884-023-06028-zQuality of reporting and trends of emergency obstetric and neonatal care indicators: an analysis from Tanzania district health information system data between 2016 and 2020Josephine Shabani0Honorati Masanja1Sophia Kagoye2Jacqueline Minja3Shraddha Bajaria4Yeromin Mlacha5Sia Msuya6Mahundi Masoud7Daudi Simba8Andrea B. Pembe9Ahmad Mohamed Makuwani10Habib Ismail11Maro Chacha12Claud Kumalija13Ties Boerma14Claudia Hanson15Ifakara Health InstituteIfakara Health InstituteNational Institute for Medical ResearchIfakara Health InstituteIfakara Health InstituteIfakara Health InstituteKilimanjaro Christian Medical University CollegeUniversity of Dar es SalaamMuhimbili University of Health and Allied SciencesMuhimbili University of Health and Allied SciencesMinistry of HealthMinistry of HealthMinistry of HealthMinistry of HealthUniversity of ManitobaLondon School of Hygiene & Tropical MedicineAbstract Background Routine health facility data provides the opportunity to monitor progress in quality and uptake of health care continuously. Our study aimed to assess the reliability and usefulness of emergency obstetric care data including temporal and regional variations over the past five years in Tanzania Mainland. Methods Data were compiled from the routine monthly district reports compiled as part of the health management information systems for 2016–2020. Key indicators for maternal and neonatal care coverage, emergency obstetric and neonatal complications, and interventions indicators were computed. Assessment on reliability and consistency of reports was conducted and compared with annual rates and proportions over time, across the 26 regions in of Tanzania Mainland and by institutional delivery coverage. Results Facility reporting was near complete with 98% in 2018–2020. Estimated population coverage of institutional births increased by 10% points from 71.2% to 2016 to 81.7% in 2020 in Tanzania Mainland, driven by increased use of dispensaries and health centres compared to hospitals. This trend was more pronounced in regions with lower institutional birth rates. The Caesarean section rate remained stable at around 10% of institutional births. Trends in the occurrence of complications such as antepartum haemorrhage, premature rupture of membranes, pre-eclampsia, eclampsia or post-partum bleeding were consistent over time but at low levels (1% of institutional births). Prophylactic uterotonics were provided to nearly all births while curative uterotonics were reported to be used in less than 10% of post-partum bleeding and retained placenta cases. Conclusion Our results show a mixed picture in terms of usefulness of the District Health Information System(DHIS2) data. Key indicators of institutional delivery and Caesarean section rates were plausible and provide useful information on regional disparities and trends. However, obstetric complications and several interventions were underreported thus diminishing the usefulness of these data for monitoring. Further research is needed on why complications and interventions to address them are not documented reliably.https://doi.org/10.1186/s12884-023-06028-zEmergency obstetric careDistrict Health Information SystemObstetric complicationsEmONC interventionsInstitutional deliveriesIndicators |
| spellingShingle | Josephine Shabani Honorati Masanja Sophia Kagoye Jacqueline Minja Shraddha Bajaria Yeromin Mlacha Sia Msuya Mahundi Masoud Daudi Simba Andrea B. Pembe Ahmad Mohamed Makuwani Habib Ismail Maro Chacha Claud Kumalija Ties Boerma Claudia Hanson Quality of reporting and trends of emergency obstetric and neonatal care indicators: an analysis from Tanzania district health information system data between 2016 and 2020 BMC Pregnancy and Childbirth Emergency obstetric care District Health Information System Obstetric complications EmONC interventions Institutional deliveries Indicators |
| title | Quality of reporting and trends of emergency obstetric and neonatal care indicators: an analysis from Tanzania district health information system data between 2016 and 2020 |
| title_full | Quality of reporting and trends of emergency obstetric and neonatal care indicators: an analysis from Tanzania district health information system data between 2016 and 2020 |
| title_fullStr | Quality of reporting and trends of emergency obstetric and neonatal care indicators: an analysis from Tanzania district health information system data between 2016 and 2020 |
| title_full_unstemmed | Quality of reporting and trends of emergency obstetric and neonatal care indicators: an analysis from Tanzania district health information system data between 2016 and 2020 |
| title_short | Quality of reporting and trends of emergency obstetric and neonatal care indicators: an analysis from Tanzania district health information system data between 2016 and 2020 |
| title_sort | quality of reporting and trends of emergency obstetric and neonatal care indicators an analysis from tanzania district health information system data between 2016 and 2020 |
| topic | Emergency obstetric care District Health Information System Obstetric complications EmONC interventions Institutional deliveries Indicators |
| url | https://doi.org/10.1186/s12884-023-06028-z |
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