scholarly journals Disruption in essential health services in Mexico during COVID-19: an interrupted time series analysis of health information system data

2021 ◽  
Vol 6 (9) ◽  
pp. e006204
Author(s):  
Svetlana V Doubova ◽  
Hannah H Leslie ◽  
Margaret E Kruk ◽  
Ricardo Pérez-Cuevas ◽  
Catherine Arsenault
Keyword(s):  
Time Series ◽  
Information System ◽  
Health Services ◽  
Health Information ◽  
Service Use ◽  
Communicable Disease ◽  
Caesarean Section Rate ◽  
Health Information System ◽  
Interrupted Time Series ◽  
System Data

IntroductionThe COVID-19 pandemic has disrupted health systems around the world. The objectives of this study are to estimate the overall effect of the pandemic on essential health service use and outcomes in Mexico, describe observed and predicted trends in services over 24 months, and to estimate the number of visits lost through December 2020.MethodsWe used health information system data for January 2019 to December 2020 from the Mexican Institute of Social Security (IMSS), which provides health services for more than half of Mexico’s population—65 million people. Our analysis includes nine indicators of service use and three outcome indicators for reproductive, maternal and child health and non-communicable disease services. We used an interrupted time series design and linear generalised estimating equation models to estimate the change in service use and outcomes from April to December 2020. Estimates were expressed using average marginal effects on the risk ratio scale.ResultsThe study found that across nine health services, an estimated 8.74 million patient visits were lost in Mexico. This included a decline of over two thirds for breast and cervical cancer screenings (79% and 68%, respectively), over half for sick child visits and female contraceptive services, approximately one-third for childhood vaccinations, diabetes, hypertension and antenatal care consultations, and a decline of 10% for deliveries performed at IMSS. In terms of patient outcomes, the proportion of patients with diabetes and hypertension with controlled conditions declined by 22% and 17%, respectively. Caesarean section rate did not change.ConclusionSignificant disruptions in health services show that the pandemic has strained the resilience of the Mexican health system and calls for urgent efforts to resume essential services and plan for catching up on missed preventive care even as the COVID-19 crisis continues in Mexico.

Quality of Routine Health Information System Data and Associated Factors Among Departments in Public Health Facilities of Harari Region, Ethiopia

2021 ◽  
Author(s):  
Adisu Tafari Shama ◽  
Hirbo Shore Roba ◽  
Admas Abera ◽  
Negga Baraki
Keyword(s):  
Public Health ◽  
Information System ◽  
Data Quality ◽  
Health Information ◽  
Health Information System ◽  
Health Facilities ◽  
Quality Data ◽  
Public Health Facilities ◽  
System Data

Abstract Background: Despite the improvements in the knowledge and understanding of the role of health information in the global health system, the quality of data generated by a routine health information system is still very poor in low and middle-income countries. There is a paucity of studies as to what determines data quality in health facilities in the study area. Therefore, this study was aimed to assess the quality of routine health information system data and associated factors in public health facilities of Harari region, Ethiopia.Methods: A cross-sectional study was conducted in all public health facilities in Harari region of Ethiopia. The department-level data were collected from respective department heads through document reviews, interviews, and observation check-lists. Descriptive statistics were used to data quality and multivariate logistic regression was run to identify factors influencing data quality. The level of significance was declared at P-value <0.05. Result: The study found a good quality data in 51.35% (95% CI, 44.6-58.1) of the departments in public health facilities in Harari Region. Departments found in the health centers were 2.5 times more likely to have good quality data as compared to departments found in the health posts. The presence of trained staffs able to fill reporting formats (AOR=2.474; 95%CI: 1.124-5.445) and provision of feedback (AOR=3.083; 95%CI: 1.549-6.135) were also significantly associated with data quality. Conclusion: The level of good data quality in the public health facilities was less than the expected national level. Training should be provided to increase the knowledge and skills of the health workers.

scholarly journals Increased Hospitalizations for Neuropathies as Indicators of Zika Virus Infection, according to Health Information System Data, Brazil

2016 ◽  
Vol 22 (11) ◽  
pp. 1894-1899 ◽  
Author(s):  
Christovam Barcellos ◽  
Diego Ricardo Xavier ◽  
Ana Luiza Pavão ◽  
Cristiano Siqueira Boccolini ◽  
Maria Fatima Pina ◽  
...  
Keyword(s):  
Information System ◽  
Virus Infection ◽  
Health Information ◽  
Zika Virus ◽  
Health Information System ◽  
Zika Virus Infection ◽  
System Data

scholarly journals Penerapan Sistem Data Cleansing untuk Mencegah dan Menghilangkan Duplikasi Rekam Medis

2020 ◽  
Vol 6 (4) ◽  
Author(s):  
Nur Rokhman ◽  
Annisa Maulida Ningtyas ◽  
Marko Ferdian Salim ◽  
Dian Budi Santoso
Keyword(s):  
Information System ◽  
Health Services ◽  
Health Information ◽  
Medical Record ◽  
Health Information System ◽  
Appropriate Technology ◽  
Medical Record Data ◽  
Data Cleansing ◽  
Record Data ◽  
Effectiveness And Efficiency

Health Information System is a system that integrates the collection, processing, reporting of data, and use of information needed to increase the effectiveness and efficiency of health services through better management at all levels of health services. Kulon Progo Health Office is one of the Health Services that has utilized the Health Information System in organizing its health transactions. However, the implementation of the Health Information System still has shortcomings, namely that it was found that a patient has many medical record numbers or often referred to as duplicated medical record data. Community service activities are carried out through the use of appropriate technology at the Kulon Progo Health Office. This activity aims to implement data cleansing techniques using the "RESIK" framework  to help prevent and detect duplication of medical records and provide training to medical recorders in cleaning data. The training was attended by 105 participants, each of whom was a representative of the Puskesmas staff in the Kulon Progo Health Office area. The “RESIK” framework  was then piloted at Puskesmas Sentolo 2 as the location for the implementation of the system. From this activity, duplicate medical record data can be found at Puskesmas Sentolo 2, and then cleaning is carried out. Kulon Progo Health Office is advised to implement data cleansing using the "RESIK" framework  at all Puskesmas in the Kulon Progo area.

scholarly journals Use of mHealth Solutions for Improving Access to Adolescents' Sexual and Reproductive Health Services in Resource-Limited Settings: Lessons From Zimbabwe

2021 ◽  
Vol 3 ◽  
Author(s):  
Dominica Dhakwa ◽  
Fungai H. Mudzengerere ◽  
Mulamuli Mpofu ◽  
Emmanuel Tachiwenyika ◽  
Florence Mudokwani ◽  
...  
Keyword(s):  
Information System ◽  
Reproductive Health ◽  
Health Services ◽  
Health Information ◽  
Adolescent Girls ◽  
Young Women ◽  
Health Information System ◽  
Completion Rates ◽  
District Health ◽  
Referral Completion

Background: Gaps still exist in reducing new HIV infections among adolescent girls and young women (AGYW) aged 10–24 years. High Internet coverage and mobile phone penetration rates present opportunities for the use of mobile health (mHealth) to support access to health services. We present results of an FHI 360 and Zimbabwe Health Interventions-implemented mHealth intervention for reproductive health (RH) and HIV testing service (HTS) referral among AGYW aged 10–19 years between October 2019 and September 2020.Methods: Adolescent girls and young women referred for RH and HTS under the Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe (DREAMS) program had automatic reminders sent to their phones to facilitate access to services through short message service (SMS) and also using a paper-based system. These data were captured in a web-based District Health Information System (DHIS) database, which captured the referral completion status of the AGYW. Data for AGYW referred for RH and HTS for the period October 2018 to September 2019 for the paper-based system and October 2018 to September 2020 for the mHealth were extracted from District Health Information System version 2 (DHIS2) database and analyzed using SPSS to generate descriptive statistics. The Chi-square test was used to assess differences in referral completion rates by age-group; marital status, district, and type of service, as well as differences between mHealth and paper-based referral completion rates within each of the groups for the variables above.Results: A total of 8,800 AGYW referred for RH and HTS, where 4,355 and 4,445 were referred through the mHealth and paper-based systems, respectively. About 95.2% (4,148/4,355) and 87.8% (3,903/4,445) referred through mHealth and the paper-based system, respectively completed referrals. The median time for referral completion was 1 day (Range = 0–9 days) for mHealth and 11 days (Range = 0–28 days) for the paper-based system. AGYW referred through mHealth were 17.995 timesmore likely to complete the referral system than those referred through the paper-based system (OR =17.995; p &lt;0.001).Conclusion: Compared to the paper-based referral system the mHealth solution resulted in a higher, service referral completion rates and shorter turnaround time. We recommend expansion of the mHealth solution to all DREAMS supported districts to increase uptake of RH and HTS among AGYW aged 10–19 years.

scholarly journals OpenMRS FRAMEWORK : HEALTH INFORMATION SYSTEM SOLUTION TO DEVELOP IN SABHA, LIBYA

Respati ◽  
2017 ◽  
Vol 9 (27) ◽  
Author(s):  
Mostafa Abobaker ◽  
Selo Sulistyo ◽  
Adhistya Erna Permanasari
Keyword(s):  
Health Care ◽  
Information System ◽  
Information Systems ◽  
Health Services ◽  
Health Information ◽  
Health Care System ◽  
Health Information System ◽  
Health Information Systems ◽  
Care System ◽  
The Revolution

The health care system in Libya in recent years does not change significantly, less developed and modernized. This problem is further exacerbated by the revolution that occurred in Libya. The revolution that occurred in 2011 has caused the health care system into collapse. In this study conducted a review for the development of health information systems in Libya by using OpenMRS Framework.At the stage of gathering information using questionnaires concluded that the majority of respondents (about 95.35%) wanted the development of a new system that can resolve the main problems that occurred in Libya, the health information system ineffective and inefficient in which this system has led to wastage of time and increased operating costs. Based on analysis of system vulnerabilities using PIECES method could also be concluded that the current system is not used effectively and efficiently. In this study is also presented on how to implement OpenMRS.Based on the results of the discussion it can be concluded that OpenMRS is a solution that can be taken for the development of a health information system that is fast, low cost, and is an open source application that only requires a little setting in the system of patient management and care. OpenMRS can be implemented to support the health services of a small clinic to the health services with enterprise scale. Therefore, OpenMRS could be the answer to the development of health information systems in various countries around the world, including Libya.

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