Understanding the challenges associated with the use of data from routine health information systems in low- and middle-income countries: A systematic review.

Klesta Hoxha, Yuen W Hung, Bridget R Irwin, Karen A Grépin
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引用次数: 32

Abstract

Background: Routine health information systems (RHISs) are crucial to informing decision-making at all levels of the health system. However, the use of RHIS data in low- and middle-income countries (LMICs) is limited due to concerns regarding quality, accuracy, timeliness, completeness and representativeness.

Objective: This study systematically reviewed technical, behavioural and organisational/environmental challenges that hinder the use of RHIS data in LMICs and strategies implemented to overcome these challenges.

Method: Four electronic databases were searched for studies describing challenges associated with the use of RHIS data and/or strategies implemented to circumvent these challenges in LMICs. Identified articles were screened against inclusion and exclusion criteria by two independent reviewers.

Results: Sixty studies met the inclusion criteria and were included in this review, 55 of which described challenges in using RHIS data and 20 of which focused on strategies to address these challenges. Identified challenges and strategies were organised by their technical, behavioural and organisational/environmental determinants and by the core steps of the data process. Organisational/environmental challenges were the most commonly reported barriers to data use, while technical challenges were the most commonly addressed with strategies.

Conclusion: Despite the known benefits of RHIS data for health system strengthening, numerous challenges continue to impede their use in practice.

Implications: Additional research is needed to identify effective strategies for addressing the determinants of RHIS use, particularly given the disconnect identified between the type of challenge most commonly described in the literature and the type of challenge most commonly targeted for interventions.

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了解低收入和中等收入国家与使用常规卫生信息系统数据相关的挑战:一项系统审查。
背景:常规卫生信息系统(RHISs)对于为各级卫生系统的决策提供信息至关重要。然而,由于对质量、准确性、及时性、完整性和代表性的担忧,RHIS数据在低收入和中等收入国家(LMICs)的使用受到限制。目的:本研究系统地回顾了阻碍在中低收入国家使用RHIS数据的技术、行为和组织/环境挑战,以及为克服这些挑战而实施的策略。方法:在四个电子数据库中检索描述与使用RHIS数据相关的挑战和/或在中低收入国家实施规避这些挑战的策略的研究。确定的文章由两名独立审稿人根据纳入和排除标准进行筛选。结果:60项研究符合纳入标准并纳入本综述,其中55项研究描述了使用RHIS数据的挑战,其中20项研究侧重于解决这些挑战的策略。确定的挑战和策略由其技术,行为和组织/环境决定因素以及数据处理的核心步骤组织。组织/环境挑战是最常见的数据使用障碍,而技术挑战是最常见的战略解决方案。结论:尽管已知RHIS数据对加强卫生系统有好处,但许多挑战继续阻碍其在实践中的使用。含义:需要进一步的研究来确定有效的策略来解决RHIS使用的决定因素,特别是考虑到文献中最常见的挑战类型与干预措施最常见的挑战类型之间的脱节。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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