Abstract
Background Improving a health system requires data, but too often they are unused or under-used by decision makers. Without interventions to improve the use of data in decision making, health systems cannot meet the needs of the populations they serve. In 2008, in Côte d'Ivoire, data were largely unused in health decision-making processes. Objective To implement and evaluate an intervention to improve the use of data in decision making in Cote d'Ivoire. Design From 2008 to 2012, Cote d'Ivoire sought to improve the use of national health data through an intervention that broadens participation in and builds links between data collection and decision-making processes; identifies information needs; improves data quality; builds capacity to analyze, synthesize, and interpret data; and develops policies to support data use. To assess the results, a Performance of Routine Information System Management Assessment was conducted before and after the intervention using a combination of purposeful and random sampling. In 2008, the sample consisted of the central level, 12 districts, and 119 facilities, and in 2012, the sample consisted of the central level, 20 districts, and 190 health facilities. To assess data use, we developed dichotomous indicators: discussions of analysis findings, decisions taken based on the analysis, and decisions referred to upper management for action. We aggregated the indicators to generate a composite, continuous index of data use. Results From 2008 to 2012, the district data-use score increased from 40 to 70%; the facility score remained the same – 38%. The central score is not reported, because of a methodological difference in the two assessments. Conclusions The intervention improved the use of data in decision making at the district level in Côte d'Ivoire. This study provides an example of, and guidance for, implementing a large-scale intervention to improve data-informed decision making.
Highlights
Improving a health system requires data, but too often they are unused or under-used by decision makers
This paper describes one such intervention, implemented with Cote d’Ivoire’s Ministere de la Santeet de l’Hygiene Publique (MSHP), and the improvements that resulted in the quality, availability, and use of data from the national routine health information system (RHIS)2 [8]
ACONDA VS and the Institut de Sante Publique et de Developpement developed an electronic medical record called Systeme d’Information et de Gestion du Dossier Electronique du Patient (SIGDEP), which became available for use in 2010
Summary
Improving a health system requires data, but too often they are unused or under-used by decision makers. In 2008, in Cote d’Ivoire, data were largely unused in health decision-making processes. Objective: To implement and evaluate an intervention to improve the use of data in decision making in Cote d’Ivoire. Design: From 2008 to 2012, Cote d’Ivoire sought to improve the use of national health data through an intervention that broadens participation in and builds links between data collection and decision-making processes; identifies information needs; improves data quality; builds capacity to analyze, synthesize, and interpret data; and develops policies to support data use. Conclusions: The intervention improved the use of data in decision making at the district level in Cote d’Ivoire. This study provides an example of, and guidance for, implementing a large-scale intervention to improve data-informed decision making
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