Implementation of a cloud-based electronic medical record for maternal and child health in rural Kenya

Haskew, John; Rø, Gunnar; Saito, Kaori; Turner, Kenrick; Odhiambo, George; Wamae, Annah; Sharif, Shahnaaz; Sugishita, Tomohiko

doi:10.1016/j.ijmedinf.2015.01.005

Cited by 62 publications

(42 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Strategies to minimise paper (e.g. cell phone-based audit [ 39 ], cloud-storage [ 49 ]) have been piloted but not scaled up in many low-income settings. Even in settings where an electronic health information system has been rolled out more widely, like the District Health Information System (DHIS) used in Malawi, Rwanda and South Africa, this may have a limited impact if data quality remains poor [ 36 ].…”

Section: Resultsmentioning

confidence: 99%

Counting every stillbirth and neonatal death through mortality audit to improve quality of care for every pregnant woman and her baby

Kerber

Mathai

Lewis

et al. 2015

BMC Pregnancy Childbirth

106

158

View full text Add to dashboard Cite

BackgroundWhile there is widespread acknowledgment of the need for improved quality and quantity of information on births and deaths, there has been less movement towards systematically capturing and reviewing the causes and avoidable factors linked to deaths, in order to affect change. This is particularly true for stillbirths and neonatal deaths which can fall between different health care providers and departments. Maternal and perinatal mortality audit applies to two of the five objectives in the Every Newborn Action Plan but data on successful approaches to overcome bottlenecks to scaling up audit are lacking.MethodsWe reviewed the current evidence for facility-based perinatal mortality audit with a focus on low- and middle-income countries and assessed the status of mortality audit policy and implementation. Based on challenges identified in the literature, key challenges to completing the audit cycle and affecting change were identified across the WHO health system building blocks, along with solutions, in order to inform the process of scaling up this strategy with attention to quality.ResultsMaternal death surveillance and review is moving rapidly with many countries enacting and implementing policies and with accountability beyond the single facility conducting the audits. While 51 priority countries report having a policy on maternal death notification in 2014, only 17 countries have a policy for reporting and reviewing stillbirths and neonatal deaths. The existing evidence demonstrates the potential for audit to improve birth outcomes, only if the audit cycle is completed. The primary challenges within the health system building blocks are in the area of leadership and health information. Examples of successful implementation exist from high income countries and select low- and middle-income countries provide valuable learning, especially on the need for leadership for effective audit systems and on the development and the use of clear guidelines and protocols in order to ensure that the audit cycle is completed.ConclusionsHealth workers have the power to change health care routines in daily practice, but this must be accompanied by concrete inputs at every level of the health system. The system requires data systems including consistent cause of death classification and use of best practice guidelines to monitor performance, as well as leaders to champion the process, especially to ensure a no-blame environment, and to access change agents at other levels to address larger, systemic challenges.

show abstract

Section: Resultsmentioning

confidence: 99%

Counting every stillbirth and neonatal death through mortality audit to improve quality of care for every pregnant woman and her baby

Kerber

Mathai

Lewis

et al. 2015

BMC Pregnancy Childbirth

106

158

View full text Add to dashboard Cite

show abstract

“…This sub group has received the most attention at 32% of studies reviewed in the category of evaluation. The rest of the studies assessed data completeness in different healthcare institutions (Cruz-Correia et al, 2013;Haskew et al, 2015;Köpcke et al, 2013), pre-and post-implementation of data quality interventions regarding introduction of advanced information systems (Bruland et al, 2014;Herzberg et al, 2011;van Engen-Verheul et al, 2016) and during different time points (Haskew et al, 2015;Puttkammer et al, 2016;Taggart et al, 2015;Tu et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Data Completeness in Healthcare: A Literature Survey

Liu

Talaei-Khoei

Zowghi

et al. 2017

PAJAIS

View full text Add to dashboard Cite

As the adoption of eHealth has made it easier to access and aggregate healthcare data, there has been growing application for clinical decisions, health services planning, and public health monitoring with daily collected data in clinical care. Reliable data quality is a precursor of the aforementioned tasks. There is a body of research on data quality in healthcare, however, a clear picture of data completeness in this field is missing. This research aims to identify and classify current research themes related to data completeness in healthcare. In addition, the paper presents problems with data completeness in the reviewed literature and identifies methods that have been adopted to address those problems. This study has reviewed 24 papers (January 2011-April 2016) published in information and computing sciences, biomedical engineering, and medicine and health sciences journals. The paper uncovers three main research themes, including design and development, evaluation, and determinants. In conclusion, this paper improves our understanding of the current state of the art of data completeness in healthcare records and indicates future research directions.

show abstract

“…The ease of electronic feedback of data to providers is associated with improved quality of data [ 16 ]. eRegistry forms improve data quality with functionalities such as logical checks and limitations, warning prompts for improbable or missing data entries [ 29 , 50 , Frost et al, submitted], or pre-defined algorithms to improve correct categorizations, e.g. for causes of death [ 31 ].…”

Section: Resultsmentioning

confidence: 99%

eRegistries: Electronic registries for maternal and child health

Frøen

Myhre

Frost

et al. 2016

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

BackgroundThe Global Roadmap for Health Measurement and Accountability sees integrated systems for health information as key to obtaining seamless, sustainable, and secure information exchanges at all levels of health systems. The Global Strategy for Women’s, Children’s and Adolescent’s Health aims to achieve a continuum of quality of care with effective coverage of interventions. The WHO and World Bank recommend that countries focus on intervention coverage to monitor programs and progress for universal health coverage. Electronic health registries - eRegistries - represent integrated systems that secure a triple return on investments: First, effective single data collection for health workers to seamlessly follow individuals along the continuum of care and across disconnected cadres of care providers. Second, real-time public health surveillance and monitoring of intervention coverage, and third, feedback of information to individuals, care providers and the public for transparent accountability. This series on eRegistries presents frameworks and tools to facilitate the development and secure operation of eRegistries for maternal and child health.MethodsIn this first paper of the eRegistries Series we have used WHO frameworks and taxonomy to map how eRegistries can support commonly used electronic and mobile applications to alleviate health systems constraints in maternal and child health. A web-based survey of public health officials in 64 low- and middle-income countries, and a systematic search of literature from 2005–2015, aimed to assess country capacities by the current status, quality and use of data in reproductive health registries.ResultseRegistries can offer support for the 12 most commonly used electronic and mobile applications for health. Countries are implementing health registries in various forms, the majority in transition from paper-based data collection to electronic systems, but very few have eRegistries that can act as an integrating backbone for health information. More mature country capacity reflected by published health registry based research is emerging in settings reaching regional or national scale, increasingly with electronic solutions. 66 scientific publications were identified based on 32 registry systems in 23 countries over a period of 10 years; this reflects a challenging experience and capacity gap for delivering sustainable high quality registries.ConclusionsRegistries are being developed and used in many high burden countries, but their potential benefits are far from realized as few countries have fully transitioned from paper-based health information to integrated electronic backbone systems. Free tools and frameworks exist to facilitate progress in health information for women and children.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-016-0801-7) contains supplementary material, which is available to authorized users.

show abstract

Implementation of a cloud-based electronic medical record for maternal and child health in rural Kenya

Abstract: Background: Complete and timely health information is essential to inform public health decision-

Cited by 62 publications

References 9 publications

Counting every stillbirth and neonatal death through mortality audit to improve quality of care for every pregnant woman and her baby

Counting every stillbirth and neonatal death through mortality audit to improve quality of care for every pregnant woman and her baby

Data Completeness in Healthcare: A Literature Survey

eRegistries: Electronic registries for maternal and child health

Contact Info

Product

Resources

About