Assessment & adjustment for

data quality used in the

South African DISTRICT HEALTH

BAROMETER

Assessment & adjustment for

data quality used in the

South African DISTRICT HEALTH

BAROMETERCandy Day

21 September 2009

Assessment of data sourcesData Source Contents Capacity & Practices Dissemination Integration and use Total

CensusHighly adequate

100%Highly adequate

75%Adequate

71%Adequate

56%Highly adequate

75%

Vital statisticsHighly adequate

89%Adequate

67%Highly adequate

100%Highly Adequate

83%Highly adequate

85%

Population-based surveys

Adequate57%

Highly Adequate88%

Highly adequate100%

Present but not adequate

33%

Adequate70%

Health and disease records (incl. surveillance)

Adequate56%

Adequate59%

Present but not adequate

44%

Present but not adequate

28%

Present but not adequate

47%

Health service records

Not adequate at all12%

Present but not adequate

41%

Highly adequate78%

Adequate50%

Present but not adequate

45%

Resource recordsAdequate

63%

Present but not adequate

40%

Present but not adequate

33%

Present but not adequate

31%

Present but not adequate

42%

TotalAdequate

63%Adequate

62%Adequate

71%

Present but not Adequate47%

Adequate61%

Problems of health records Range from burdensome paper-records

to high-tech paperless EMRs In general these systems do not function

well Incomplete, poor quality, time delays Inadequate staffing and resourcing Poor feedback, dissemination and use Poor integration

Record review Challenges for routine health system data

management in a large public programme to prevent mother-to-child HIV transmission in South Africa.Kedar S Mate, Brandon Bennett, Wendy Mphatswe, Pierre Barker, Nigel Rollins (2009) PloS one 4 (5) p. e5483

An evaluation of the District Health Information System in rural South Africa.A Garrib, N Stoops, A McKenzie, L Dlamini, T Govender, J Rohde, K Herbst (2008)South African medical journal 98 (7) p. 549-52

All indicators

Single indicator

Monthly data

Trend smoothing

Data variability

Noteworthy events

Data quality issues

HIV prevalence data sources

Vital statisticsMalaria deaths notification and vital registration - South Africa

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1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

SA

SA (VR)

Linking expenditure to utilisation

THANK YOU!

Candy Day

candy@hst.org.za

http://www.hst.org.za