Child immunization data quality in Rwanda: an assessment of routine health information system data DOI Creative Commons
Thaoussi Uwera, J. Frederik Frøen, Eleni Papadopoulou

et al.

Archives of Public Health, Journal Year: 2025, Volume and Issue: 83(1)

Published: April 9, 2025

Documentation and reporting of routine data by health workers is the backbone childhood immunization program. Immunization from management information systems (HMIS) in low-and middle-income countries (LMICs) are often incomplete unreliable. In Rwanda, e-Tracker, an individual-level system built on DHIS2 open-source software, has been implemented scaled nationwide since 2019. The aim this study was to assess quality HMIS over time. Data were derived four sources for January December 2020 24 facilities districts: facility registers (paper-based), district aggregated reports national (electronic), e-Tracker (electronic). We then obtained 2022 same assessed changes assessments conducted selected indicators: Bacille Calmette-Guérin (BCG), Pentavalent 3 (Penta 3) Measles & Rubella 1 (MR1). calculated frequencies percentage differences. Accuracy ratios computed against 2022. 2020, varying degrees inconsistencies between observed, ranging - 2.57 0.67% BCG, -13.85% -1.45% Penta3, 8.30-2.00% MR1. Only BCG entered 2020. By 2022, completeness Penta3 MR1 had also increased substantially. paper based variable across districts facilities. Improvements time demonstrate uptake use workers, possibly explained removal documentation reporting. Further improvements can be achieved purposefully designed implementation strategies support with digital entry.

Language: Английский

Child immunization data quality in Rwanda: an assessment of routine health information system data DOI Creative Commons
Thaoussi Uwera, J. Frederik Frøen, Eleni Papadopoulou

et al.

Archives of Public Health, Journal Year: 2025, Volume and Issue: 83(1)

Published: April 9, 2025

Documentation and reporting of routine data by health workers is the backbone childhood immunization program. Immunization from management information systems (HMIS) in low-and middle-income countries (LMICs) are often incomplete unreliable. In Rwanda, e-Tracker, an individual-level system built on DHIS2 open-source software, has been implemented scaled nationwide since 2019. The aim this study was to assess quality HMIS over time. Data were derived four sources for January December 2020 24 facilities districts: facility registers (paper-based), district aggregated reports national (electronic), e-Tracker (electronic). We then obtained 2022 same assessed changes assessments conducted selected indicators: Bacille Calmette-Guérin (BCG), Pentavalent 3 (Penta 3) Measles & Rubella 1 (MR1). calculated frequencies percentage differences. Accuracy ratios computed against 2022. 2020, varying degrees inconsistencies between observed, ranging - 2.57 0.67% BCG, -13.85% -1.45% Penta3, 8.30-2.00% MR1. Only BCG entered 2020. By 2022, completeness Penta3 MR1 had also increased substantially. paper based variable across districts facilities. Improvements time demonstrate uptake use workers, possibly explained removal documentation reporting. Further improvements can be achieved purposefully designed implementation strategies support with digital entry.

Language: Английский

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