Abstract

BackgroundPopulation surveillance sites generate many datasets relevant to disease surveillance. However, there is a risk that these data are underutilized because of the volumes of data gathered and the lack of means to quickly disseminate analysis. Data visualization offers a means to quickly disseminate, understand, and interpret datasets, facilitating evidence-driven decision making through increased access to information.ObjectivesThis paper describes the development and evaluation of a framework for data dashboard design, to visualize datasets produced at a demographic health surveillance site. The aim of this research was to produce a comprehensive, reusable, and scalable dashboard design framework to fit the unique requirements of the context.MethodsThe framework was developed and implemented at a demographic surveillance platform at the Africa Health Research Institute, in KwaZulu-Natal, South Africa. This context represents an exemplar implementation for the use of data dashboards within a population health-monitoring setting. Before the full launch, an evaluation study was undertaken to assess the effectiveness of the dashboard framework as a data communication and decision-making tool. The evaluation included a quantitative task evaluation to assess usability and a qualitative questionnaire exploring the attitudes to the use of dashboards.ResultsThe evaluation participants were drawn from a diverse group of users working at the site (n=20), comprising of community members, nurses, scientific and operational staff. Evaluation demonstrated high usability for the dashboard across user groups, with scientific and operational staff having minimal issues in completing tasks. There were notable differences in the efficiency of task completion among user groups, indicating varying familiarity with data visualization. The majority of users felt that the dashboards provided a clear understanding of the datasets presented and had a positive attitude to their increased use.ConclusionsOverall, this exploratory study indicates the viability of the data dashboard framework in communicating data trends within population surveillance setting. The usability differences among the user groups discovered during the evaluation demonstrate the need for the user-led design of dashboards in this context, addressing heterogeneous computer and visualization literacy present among the diverse potential users present in such settings. The questionnaire highlighted the enthusiasm for increased access to datasets from all stakeholders highlighting the potential of dashboards in this context.

Highlights

  • Demographic surveillance, the process of monitoring births, deaths, causes of deaths, and migration in a population over time is 1 of the cornerstones of public health research [1,2]

  • The intelligent implementation of information visualization has been employed in public health and could offer a means to increase the use of datasets at Health and Demographic Surveillance System key performance indicators (KPIs) (HDSS)

  • Participants were selected from people working at Africa Health Research Institute (AHRI), representative of different groups who would use dashboards to gain insight from AHRI datasets

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Summary

Introduction

Demographic surveillance, the process of monitoring births, deaths, causes of deaths, and migration in a population over time is 1 of the cornerstones of public health research [1,2]. The intelligent implementation of information visualization has been employed in public health and could offer a means to increase the use of datasets at HDSSs. Population surveillance sites generate many datasets relevant to disease surveillance. Data visualization offers a means to quickly disseminate, understand, and interpret datasets, facilitating evidence-driven decision making through increased access to information. Objectives: This paper describes the development and evaluation of a framework for data dashboard design, to visualize datasets produced at a demographic health surveillance site. Methods: The framework was developed and implemented at a demographic surveillance platform at the Africa Health Research Institute, in KwaZulu-Natal, South Africa This context represents an exemplar implementation for the use of data dashboards within a population health-monitoring setting. The questionnaire highlighted the enthusiasm for increased access to datasets from all stakeholders highlighting the potential of dashboards in this context

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