Global investment is needed so that countries can reduce neonatal mortality to below 12 deaths per 1000 live births by 2030

Persson, Lars‐Åke

doi:10.1111/apa.15530

Cited by 1 publication

(2 citation statements)

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“…The data element ‘total number of births in the same kebele’ includes both institutional births and births in the community: this data element was severely under-reported. The reasons for not reporting neonatal deaths in the routine HMIS need to be further explored as part of the efforts to reach the global target of less than 12 deaths per 1000 live births by 2030 [ 20–22 ].…”

Section: Discussionmentioning

confidence: 99%

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Routine health management information system data in Ethiopia: consistency, trends, and challenges

Adane

Adege²,

Ahmed³

et al. 2021

Global Health Action

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Background : Ethiopia is investing in the routine Health Management Information System. Improved routine data are needed for decision-making in the health sector. Objective : To analyse the quality of the routine Health Management Information System data and triangulate with other sources, such as the Demographic and Health Surveys. Methods : We analysed national Health Management Information System data on 19 indicators of maternal health, neonatal survival, immunization, child nutrition, malaria, and tuberculosis over the 2012–2018 time period. The analyses were conducted by 38 analysts from the Ministry of Health, Ethiopia, and two government agencies who participated in the Operational Research and Coaching for Analysts (ORCA) project between June 2018 and June 2020. Using a World Health Organization Data Quality Review toolkit, we assessed indicator definitions, completeness, internal consistency over time and between related indicators, and external consistency compared with other data sources. Results : Several services reported coverage of above 100%. For many indicators, denominators were based on poor-quality population data estimates. Data on individual vaccinations had relatively good internal consistency. In contrast, there was low external consistency for data on fully vaccinated children, with the routine Health Management Information System showing 89% coverage but the Demographic and Health Survey estimate at 39%. Maternal health indicators displayed increasing coverage over time. Indicators on child nutrition, malaria, and tuberculosis were less consistent. Data on neonatal mortality were incomplete and operationalised as mortality on day 0–6. Our comparisons with survey and population projections indicated that one in eight early neonatal deaths were reported in the routine Health Management Information System. Data quality varied between regions. Conclusions : The quality of routine data gathered in the health system needs further attention. We suggest regular triangulation with data from other sources. We recommend addressing the denominator issues, reducing the complexity of indicators, and aligning indicators to international definitions.

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Section: Discussionmentioning

confidence: 99%

“…Another example of a reporting issue is vitamin A supplementation. There may be a lack of clarity over whether the number reported represents the [20][21][22]. The WHO toolkit provided a useful method for analysing data.…”

Section: Indicator Definitions and Reporting Guidelinesmentioning

confidence: 99%