Data quality self-assessment of child health and sexual reproductive health indicators in Botswana, 2016-2017

Abstract

There is no published data on quality of administrative data for various health indicators in Botswana, yet such data are used for policy making and future planning. This article reports on quality of data on child health and sexual and reproductive health (SRH) indicators in Botswana. The main objective of the study was to assess the quality of administrative data from Expanded Immunization Program (EPI) and condom use, Depo-Provera uptake and domiciliary care attendance in Botswana. This was a retrospective study entailing a review of data retrieved from district health records and District Health Information System (DHIS). A total of 30 clinics and health posts were randomly selected from two cities, a town and three rural villages which makes up 6 districts commonly denoted urban, semi-urban and rural respectively. Through a stratified random sampling health facilities were selected. EPI data (Penta 3- third dose of pentavalent vaccine and Measles vaccine) and SRH data (condom use, Depo-Provera uptake and Domiciliary care) were assessed for completeness, discrepancies and verification factor using WHO Routine data quality (RDQA) assessment tool. A verification score of less than 90%% was considered as underreporting while more than 110% is over reporting. However, the score which is within +-10% is acceptable, reliable and a good indicator of data quality and reporting system. About 56% (9/16) SRH indicators had a verification factor score outside the accepted range and 87% (13/15) discrepancy value outside the accepted range. For immunization, 10% (1/10) had a verification factor score outside the accepted range and 33% (3/9) had a discrepancy value outside the accepted range. The level of completeness was high for both Penta3 and Measles coverage and it was lowest for condom. Our findings highlight a poorer data quality for SRH indicators compared to child health indicators. A comprehensive program review drawing lessons from the child health indicators is required to improve the quality of administrative data in Botswana.

Routine Health Information Quality and Associated Factors Among Health Facilities in Eastern Zone of Tigray, Ethiopia, 2021: A Comparative Cross-Sectional Study

“…In both this difference could be due to the personnel collecting data, the work burden, and the lack of motivational awards/incentives. The proportion of departments with acceptable veri cation factors(52.23%) was different from a study conducted in Botswana with 56% RH indicators and 10% for immunization outside the acceptable veri cation factor but smaller than the immunization rate in that same study (32). This might be the strati ed sampling method in the study in Botswana but simple random sampling and census in this study.…”

“…South Africa has 65% accuracy in PMTCT data (21), while Kenya demonstrates high accuracy for under-ve malaria, full immunization, and skilled delivery indicators (22). Botswana has 56% of Sexual and Reproductive Health (SRH) indicators with scores outside the accepted range (32), while Malawi shows 78-100% accuracy (20).…”

Conducting Household Surveys on Reproductive Health in Urban Settings: Lessons From Karachi, Pakistan

“…Likewise, strong institutionalized religious doctrines in combination with cultural beliefs in urban communities, and men's role as the overall head of household makes women less likely to share their experiences and practices related to family planning [9]. Data quality on the uptake of family planning therefore remains a challenge to address maternal mortality and to reduce reproductive risks by discussing unwanted pregnancies in (LMICs) [10].…”