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Babona Nshuti MA, Touray K, Muluh TJ, Ubong GA, Ngofa RO, Mohammed BI, Roselyne I, Oviaesu D, Bakata EMO, Lau F, Kipterer J, Green HHW, Seaman V, Ahmed JA, Ndoutabe M. Development of a Consolidated Health Facility Masterlist Using Data From Polio Electronic Surveillance in the World Health Organization African Region. JMIR Public Health Surveill 2024; 10:e54250. [PMID: 38904997 PMCID: PMC11226925 DOI: 10.2196/54250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Revised: 02/15/2024] [Accepted: 03/14/2024] [Indexed: 06/22/2024] Open
Abstract
Geospatial data reporting from surveillance and immunization efforts is a key aspect of the World Health Organization (WHO) Global Polio Eradication Initiative in Africa. These activities are coordinated through the WHO Regional Office for Africa Geographic Information Systems Centre. To ensure the accuracy of field-collected data, the WHO Regional Office for Africa Geographic Information Systems Centre has developed mobile phone apps such as electronic surveillance (eSURV) and integrated supportive supervision (ISS) geospatial data collection programs. While eSURV and ISS have played a vital role in efforts to eradicate polio and control other communicable diseases in Africa, disease surveillance efforts have been hampered by incomplete and inaccurate listings of health care sites throughout the continent. To address this shortcoming, data compiled from eSURV and ISS are being used to develop, update, and validate a Health Facility master list for the WHO African region that contains comprehensive listings of the names, locations, and types of health facilities in each member state. The WHO and Ministry of Health field officers are responsible for documenting and transmitting the relevant geospatial location information regarding health facilities and traditional medicine sites using the eSURV and ISS form; this information is then used to update the Health Facility master list and is also made available to national ministries of health to update their respective health facility lists. This consolidation of health facility information into a single registry is expected to improve disease surveillance and facilitate epidemiologic research for the Global Polio Eradication Initiative, as well as aid public health efforts directed at other diseases across the African continent. This review examines active surveillance using eSURV at the district, country, and regional levels, highlighting its role in supporting polio surveillance and immunization efforts, as well as its potential to serve as a fundamental basis for broader public health initiatives and research throughout Africa.
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Affiliation(s)
| | - Kebba Touray
- World Health Organization Regional Office for Africa, Brazzaville, Congo
| | | | - Godwin Akpan Ubong
- World Health Organization Regional Office for Africa, Brazzaville, Congo
| | - Reuben Opara Ngofa
- World Health Organization Regional Office for Africa, Brazzaville, Congo
| | - Bello Isa Mohammed
- World Health Organization Regional Office for Africa, Brazzaville, Congo
| | - Ishimwe Roselyne
- World Health Organization Regional Office for Africa, Brazzaville, Congo
| | - David Oviaesu
- World Health Organization Regional Office for Africa, Brazzaville, Congo
| | | | - Fiona Lau
- Bill & Melinda Gates Foundation, Seattle, WA, United States
| | - John Kipterer
- World Health Organization Regional Office for Africa, Brazzaville, Congo
| | - Hugh Henry W Green
- World Health Organization Regional Office for Africa, Brazzaville, Congo
| | - Vincent Seaman
- Bill & Melinda Gates Foundation, Seattle, WA, United States
| | - Jamal A Ahmed
- World Health Organization Regional Office for Africa, Brazzaville, Congo
| | - Modjirom Ndoutabe
- World Health Organization Regional Office for Africa, Brazzaville, Congo
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Altaras R, Worges M, La Torre S, Audu BM, Mwangi G, Zeh-Meka A, Yikpotey P, Domkam Kammogne I, Chanda-Kapata P, Vanderick C, Yukich J, Streat E. Outreach Training and Supportive Supervision for Quality Malaria Service Delivery: A Qualitative Evaluation in 11 Sub-Saharan African Countries. Am J Trop Med Hyg 2024; 110:20-34. [PMID: 38320314 PMCID: PMC10919231 DOI: 10.4269/ajtmh.23-0316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 08/28/2023] [Indexed: 02/08/2024] Open
Abstract
Quality improvement of malaria services aims to ensure that more patients receive accurate diagnosis, appropriate treatment, and referral. The Outreach Training and Supportive Supervision Plus (OTSS+) approach seeks to improve health facility readiness and provider competency through onsite supportive supervision, troubleshooting, and on-the-job training. As part of a multicomponent evaluation, qualitative research was conducted to understand the value of the OTSS+ approach for malaria quality improvement. Semistructured key informant interviews, focus group discussions, and structured health facility-based interviews were used to gather stakeholder perspectives at subnational, national, and global levels. Data were collected globally and in 11 countries implementing OTSS+; in-depth data collection was done in four: Cameroon, Ghana, Niger, and Zambia. Study sites and participants were selected purposively. Verbatim transcripts were analyzed thematically, following the Framework approach. A total of 262 participants were included in the analysis; 98 (37.4%) were supervisees, 99 (37.8%) were supervisors, and 65 (24.8%) were other stakeholders. The OTSS+ approach was perceived to improve provider knowledge and skills in malaria service delivery and to improve data and supply management indirectly. Improvements were attributed to a combination of factors. Participants valued the relevance, adaptation, and digitization of supervision checklists; the quality and amount of contact with problem-solving supervisors; and the joint identification of problems and solutions, and development of action plans. Opportunities for improvement were digitized checklist refinement, assurance of a sufficient pool of supervisors, prioritization of health facilities, action plan dissemination and follow-up, and data review and use. The OTSS+ approach was perceived to be a useful quality improvement approach for malaria services.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | - Joshua Yukich
- Tropical Health, New Orleans, Louisiana
- Tulane School of Public Health and Tropical Medicine, New Orleans, Louisiana
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Ibikunle OO, Afape AO, Bakare CA, Ipinnimo TM, Ibirongbe DO, Ajidahun EO, Ibikunle AI, Seluwa AG, Akinleye SA, Filani O. Effect of integrated supportive supervision on availability of resources for health care service delivery and uptake of services in Ekiti State, Southwest Nigeria, evidence from the Saving One Million Lives program for result supported facilities. Pan Afr Med J 2024; 47:45. [PMID: 38681113 PMCID: PMC11055192 DOI: 10.11604/pamj.2024.47.45.34291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Accepted: 01/17/2024] [Indexed: 05/01/2024] Open
Abstract
Introduction a world bank performance-based financing program. The Saving One Million Lives program for results supported integrated supportive supervision (ISS) in selected primary health facilities (PHF) in Ekiti State, Nigeria. The study assessed the impact of ISS on health service outputs and outcomes such as infrastructure, basic equipment, human resources for health (HRH), essential drugs, number of children receiving immunization, number of mothers who gave birth in the facility, number of new and continuing users of modern family planning and the number of pregnant women screened for HIV (human immunodeficiency virus). Methods a cross-sectional survey of 70 SOME-supported facilities was used for the study. Parametric and non-parametric method of analysis was employed to compare the mean values of study indicators gathered over the 4 rounds of ISS visits from January 2018 to August 2020. Results the study demonstrated that ISS approach has a positive effect on PHC service outputs and outcomes such as infrastructure, basic equipment, health human resources (HRH), essential drugs, contraceptives prevalence rate, skilled birth attendant as well as postnatal care. However, there was no significant impact on HIV screening for pregnant women. Conclusion integrated supportive supervision approach has a positive effect on the quality of health care delivery in PHCs in Ekiti State, Nigeria. It is therefore recommended that periodic ISS visits should be routinely carried out in all PHCs across the State in the country and can be further extended to secondary and tertiary facilities.
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Affiliation(s)
| | | | | | | | | | - Esther Opeyemi Ajidahun
- Department of Pediatrics, Wesley Guild Hospital Unit of Obafemi Awolowo University Teaching Hospital Complex, Ilesha, Nigeria
| | | | | | | | - Oyebanji Filani
- Ekiti State Ministry of Health and Human Services, Ado-Ekiti, Nigeria
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Scott K, Ummer O, Chamberlain S, Sharma M, Gharai D, Mishra B, Choudhury N, Mohan D, LeFevre AE. At the frontlines of digitisation: a qualitative study on the challenges and opportunities in maintaining accurate, complete and timely digital health records in India's government health system. BMJ Open 2022; 12:e051193. [PMID: 35140145 PMCID: PMC8830249 DOI: 10.1136/bmjopen-2021-051193] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVES To understand factors underpinning the accuracy and timeliness of mobile phone numbers and other health information captured in India's government registry for pregnant and postpartum women. Accurate and timely registration of mobile phone numbers is necessary for beneficiaries to receive mobile health services. SETTING Madhya Pradesh and Rajasthan states in India at the community, clinical, and administrative levels of the health system. PARTICIPANTS Interviews (n=59) with frontline health workers (FLHWs), data entry operators, and higher level officials. Focus group discussions (n=12) with pregnant women to discuss experiences with sharing data in the health system. Observations (n=9) of the process of digitization and of interactions between stakeholders for data collection. PRIMARY AND SECONDARY OUTCOME MEASURES Thematic analysis identified how key actors experienced the data collection and digitisation process, reasons for late or inaccurate data, and mechanisms that can bolster timeliness and accuracy. RESULTS Pregnant women were comfortable sharing mobile numbers with health workers, but many were unaware that their data moved beyond their FLHW. FLHWs valued knowing up-to-date beneficiary mobile numbers, but felt little incentive to ensure accuracy in the digital record system. Delays in registering pregnant women in the online portal were attributed to slow movement of paper records into the digital system and difficulties in gathering required documents from beneficiaries. Data, including women's phone numbers, were handwritten and copied multiple times by beneficiaries and health workers with variable literacy. Supervision tended to focus on completeness rather than accuracy. Health system actors noted challenges with the digital system but valued the broader project of digitisation. CONCLUSIONS Increased focus on training, supportive supervision, and user-friendly data processes that prioritise accuracy and timeliness should be considered. These inputs can build on existing positive patient-provider relationships and health system actors' enthusiasm for digitisation.
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Affiliation(s)
- Kerry Scott
- Department of International Health, International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Osama Ummer
- Oxford Policy Management, New Delhi, Delhi, India
| | | | | | | | - Bibha Mishra
- Oxford Policy Management, New Delhi, Delhi, India
| | - Namrata Choudhury
- Centre for the Study of Law and Governance, Jawaharlal Nehru University, New Delhi, Delhi, India
| | - Diwakar Mohan
- Department of International Health, International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Amnesty Elizabeth LeFevre
- School of Public Health and Family Medicine, University of Cape Town, Cape Town, Western Cape, South Africa
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