Labour and delivery ward register data availability, quality, and utility - Every Newborn - birth indicators research tracking in hospitals (EN-BIRTH) study baseline analysis in three countries.

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  • Additional Information
    • Affiliation:
      Maternal, Adolescent, Reproductive & Child Health (MARCH) Centre, London School of Hygiene and Tropical Medicine, London, UK
      Maternal and Child Health Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh
      Golden Community, Lalitpur, Nepal
      Department of Health Systems, Impact Evaluation and Policy, Ifakara Health Institute, Dar es Salaam, Tanzania
      Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden
      Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania
      Institute of Population Health Sciences, Queen Mary University of London, Mile End Road, E1 4NS, London, UK
    • Abstract:
      Background: Countries with the highest burden of maternal and newborn deaths and stillbirths often have little information on these deaths. Since over 81% of births worldwide now occur in facilities, using routine facility data could reduce this data gap. We assessed the availability, quality, and utility of routine labour and delivery ward register data in five hospitals in Bangladesh, Nepal, and Tanzania. This paper forms the baseline register assessment for the Every Newborn-Birth Indicators Research Tracking in Hospitals (EN-BIRTH) study.Methods: We extracted 21 data elements from routine hospital labour ward registers, useful to calculate selected maternal and newborn health (MNH) indicators. The study sites were five public hospitals during a one-year period (2016-17). We measured 1) availability: completeness of data elements by register design, 2) data quality: implausibility, internal consistency, and heaping of birthweight and explored 3) utility by calculating selected MNH indicators using the available data.Results: Data were extracted for 20,075 births. Register design was different between the five hospitals with 10-17 of the 21 selected MNH data elements available. More data were available for health outcomes than interventions. Nearly all available data elements were > 95% complete in four of the five hospitals and implausible values were rare. Data elements captured in specific columns were 85.2% highly complete compared to 25.0% captured in non-specific columns. Birthweight data were less complete for stillbirths than live births at two hospitals, and significant heaping was found in all sites, especially at 2500g and 3000g. All five hospitals recorded count data required to calculate impact indicators including; stillbirth rate, low birthweight rate, Caesarean section rate, and mortality rates.Conclusions: Data needed to calculate MNH indicators are mostly available and highly complete in EN-BIRTH study hospital routine labour ward registers in Bangladesh, Nepal and Tanzania. Register designs need to include interventions for coverage measurement. There is potential to improve data quality if Health Management Information Systems utilization with feedback loops can be strengthened. Routine health facility data could contribute to reduce the coverage and impact data gap around the time of birth.
    • Journal Subset:
      Biomedical; Europe; Peer Reviewed; UK & Ireland
    • ISSN:
      1472-6963
    • MEDLINE Info:
      PMID: NLM32787852 NLM UID: 101088677
    • Publication Date:
      In Process
    • Publication Date:
      20200925
    • DOI:
      10.1186/s12913-020-5028-7
    • Accession Number:
      145107780
  • Citations
    • ABNT:
      DAY, L. T. et al. Labour and delivery ward register data availability, quality, and utility - Every Newborn - birth indicators research tracking in hospitals (EN-BIRTH) study baseline analysis in three countries. BMC Health Services Research, [s. l.], v. 20, n. 1, p. 1–14, 2020. DOI 10.1186/s12913-020-5028-7. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=145107780. Acesso em: 24 out. 2020.
    • AMA:
      Day LT, Gore-Langton GR, Rahman AE, et al. Labour and delivery ward register data availability, quality, and utility - Every Newborn - birth indicators research tracking in hospitals (EN-BIRTH) study baseline analysis in three countries. BMC Health Services Research. 2020;20(1):1-14. doi:10.1186/s12913-020-5028-7
    • APA:
      Day, L. T., Gore-Langton, G. R., Rahman, A. E., Basnet, O., Shabani, J., Tahsina, T., Poudel, A., Shirima, K., Ameen, S., K.C., A., Salim, N., Zaman, S. B., Shamba, D., Blencowe, H., Ruysen, H., El Arifeen, S., Boggs, D., Gordeev, V. S., Rahman, Q. S., & Hossain, T. (2020). Labour and delivery ward register data availability, quality, and utility - Every Newborn - birth indicators research tracking in hospitals (EN-BIRTH) study baseline analysis in three countries. BMC Health Services Research, 20(1), 1–14. https://doi.org/10.1186/s12913-020-5028-7
    • Chicago/Turabian: Author-Date:
      Day, Louise Tina, Georgia R. Gore-Langton, Ahmed Ehsanur Rahman, Omkar Basnet, Josephine Shabani, Tazeen Tahsina, Asmita Poudel, et al. 2020. “Labour and Delivery Ward Register Data Availability, Quality, and Utility - Every Newborn - Birth Indicators Research Tracking in Hospitals (EN-BIRTH) Study Baseline Analysis in Three Countries.” BMC Health Services Research 20 (1): 1–14. doi:10.1186/s12913-020-5028-7.
    • Harvard:
      Day, L. T. et al. (2020) ‘Labour and delivery ward register data availability, quality, and utility - Every Newborn - birth indicators research tracking in hospitals (EN-BIRTH) study baseline analysis in three countries’, BMC Health Services Research, 20(1), pp. 1–14. doi: 10.1186/s12913-020-5028-7.
    • Harvard: Australian:
      Day, LT, Gore-Langton, GR, Rahman, AE, Basnet, O, Shabani, J, Tahsina, T, Poudel, A, Shirima, K, Ameen, S, K.C., A, Salim, N, Zaman, SB, Shamba, D, Blencowe, H, Ruysen, H, El Arifeen, S, Boggs, D, Gordeev, VS, Rahman, QS & Hossain, T 2020, ‘Labour and delivery ward register data availability, quality, and utility - Every Newborn - birth indicators research tracking in hospitals (EN-BIRTH) study baseline analysis in three countries’, BMC Health Services Research, vol. 20, no. 1, pp. 1–14, viewed 24 October 2020, .
    • MLA:
      Day, Louise Tina, et al. “Labour and Delivery Ward Register Data Availability, Quality, and Utility - Every Newborn - Birth Indicators Research Tracking in Hospitals (EN-BIRTH) Study Baseline Analysis in Three Countries.” BMC Health Services Research, vol. 20, no. 1, Aug. 2020, pp. 1–14. EBSCOhost, doi:10.1186/s12913-020-5028-7.
    • Chicago/Turabian: Humanities:
      Day, Louise Tina, Georgia R. Gore-Langton, Ahmed Ehsanur Rahman, Omkar Basnet, Josephine Shabani, Tazeen Tahsina, Asmita Poudel, et al. “Labour and Delivery Ward Register Data Availability, Quality, and Utility - Every Newborn - Birth Indicators Research Tracking in Hospitals (EN-BIRTH) Study Baseline Analysis in Three Countries.” BMC Health Services Research 20, no. 1 (August 12, 2020): 1–14. doi:10.1186/s12913-020-5028-7.
    • Vancouver/ICMJE:
      Day LT, Gore-Langton GR, Rahman AE, Basnet O, Shabani J, Tahsina T, et al. Labour and delivery ward register data availability, quality, and utility - Every Newborn - birth indicators research tracking in hospitals (EN-BIRTH) study baseline analysis in three countries. BMC Health Services Research [Internet]. 2020 Aug 12 [cited 2020 Oct 24];20(1):1–14. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=145107780