Accuracy of Tuberculosis Routine Data and Nurses’ Views of the TB-HIV Information System in the Free State, South Africa

Abstract

Christo Heunis, PhD, is an Associate Professor, Centre for Health Systems ResearchD and Research Associate, Centre for Health Systems Research & Development, University of the Free State, Bloemfontein. Gladys Kigozi, MSc, is a Junior Researcher and Doctoral Student, Centre for Health Systems Research & Development, University of the Free State, Bloemfontein. Michelle Engelbrecht, PhD, is a Senior Researcher, Centre for Health Systems Research&Development, University of the Free State, Bloemfontein. Yolisa Tsibolane, BA Cur, is a Senior Manager, TB Management Programme, Free State Department of Health, Bloemfontein. Sonja van der Merwe, B Soc Sc, is an Assistant Director, TB Programme Surveillance, Free State Department of Health, Bloemfontein. Seipati Motlhanke, BA Cur, is an Assistant Director, TB-HIV/AIDS Programme Integration, Free State Department of Health, Bloemfontein. Reliable data are a prerequisite for evidence-based decision making in health care policy (AbouZahr & Boerma, 2005). Accurate measurement is crucial in evaluating epidemic trends, as well as in planning and monitoring disease-specific service provision. On the basis of a systematic review of descriptive and comparative studies and previous reviews of health information technologies, Chaudhry et al. (2006) demonstrated the efficacy of information gathered using health information technologies, such as electronic health records, to improve both quality and efficiency of health care. Sound data are especially vital for the success of large-scale public sector health programs in developing countries where limited human and financial resources require their optimal use (Fraser et al., 2005). Lippeveld (in AbouZahr & Boerma, 2005) defined a health information system (HIS) as an “integrated effort to collect, process, report and use health information and knowledge to influence policy-making, programme action and research” (p. 579). HISs are especially important when responses need to be urgent, as in the case of epidemic diseases such as