Developing an intervention model for data quality management and health information use at community and district levels in Rwanda
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Date
2014
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Abstract
The purpose of this study was to develop an intervention model for health data quality
management (DQM) and health information use at community and district levels in Rwanda and
similar settings, based on a situation analysis of current practices and performance in Rwanda
and existing evidence found in similar settings. This thesis is by publication and comprises three
research papers based on the findings of three evaluation studies conducted, and reports on the
study four which describes the model developed.
Methods
The study was initiated based on a systematic review of health DQM and best practices at
community and district levels in low-and middle-income countries (LMIC). A retrospective
design was used to evaluate the quality of clinical and community health data, and a survey of
health information users was conducted. The mixed methods approach was adopted to collect
quantitative and qualitative data, and the teamwork in “Group Model Building” (GMB) process
through a workshop was used to develop the model.Findings
Poor health DQM and health information use at community and District levels in Rwanda and
other LMIC was found, particularly at the sources of data. Best practices were also found, but
several issues hindering the quality of health data and utilization namely poor management of
District Health Information System, lack of institutional support to all stakeholders involved in
DQM, and lack of information culture. Variables that influenced the quality of health data and
use included the training of the staff and community health workers (CHWs), regular formative
supervision and monitoring and evaluation, involvement of all stakeholders, Data Quality Audit
(DQA), feedback initiatives, understanding and perception of data usefulness, use of electronic
and computerized systems, and proper leadership and coordination. Those variables were
included in the model developed.
Conclusion
Based on the identified barriers to high quality data systems, an intervention model for health
DQM and health information use at community and District levels in Rwanda was developed as
the main achievement of this study.
Description
Doctor of Philosophy in Nursing. University of KwaZulu-Natal, Howard College 2014.
Keywords
Theses--Nursing., Community health services--Rwanda., Medical care--Rwanda., Medical archives., Data libraries., Community health services., Medical care., Rwanda.