This document summarizes an assessment of data sources and quality used in South Africa's District Health Barometer. It finds that census and vital statistics data are generally adequate, while population surveys, health records, service records, and resource records are only present but not adequate. Health records in particular have problems of being burdensome, incomplete, of poor quality, and having inadequate staffing. The document reviews challenges with health data management and discusses specific issues with HIV prevalence data sources and vital statistics reporting.
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Assessment & adjustment for data quality used in the South African DISTRICT HEALTH BAROMETER
1. Assessment &
adjustment for data
quality used in the
South African
DISTRICT
HEALTH
BAROMETERCandy Day
21 September 2009
2. Assessment of data sources
Data Source Contents
Capacity &
Practices
Dissemination Integration and use Total
Census
Highly adequate
100%
Highly adequate
75%
Adequate
71%
Adequate
56%
Highly adequate
75%
Vital statistics
Highly adequate
89%
Adequate
67%
Highly adequate
100%
Highly Adequate
83%
Highly adequate
85%
Population-based
surveys
Adequate
57%
Highly Adequate
88%
Highly adequate
100%
Present but not
adequate
33%
Adequate
70%
Health and disease
records (incl.
surveillance)
Adequate
56%
Adequate
59%
Present but not
adequate
44%
Present but not
adequate
28%
Present but not
adequate
47%
Health service records
Not adequate at all
12%
Present but not
adequate
41%
Highly adequate
78%
Adequate
50%
Present but not
adequate
45%
Resource records
Adequate
63%
Present but not
adequate
40%
Present but not
adequate
33%
Present but not
adequate
31%
Present but not
adequate
42%
Total
Adequate
63%
Adequate
62%
Adequate
71%
Present but not
Adequate
47%
Adequate
61%
3. Problems of health records
Range from burdensome paper-records
to high-tech paperless EMRs
In general these systems do not function
well
Incomplete, poor quality, time delays
Inadequate staffing and resourcing
Poor feedback, dissemination and use
Poor integration
4. Record review
Challenges for routine health system data
management in a large public programme to
prevent mother-to-child HIV transmission in
South Africa.
Kedar S Mate, Brandon Bennett, Wendy
Mphatswe, Pierre Barker, Nigel Rollins (2009)
PloS one 4 (5) p. e5483
An evaluation of the District Health
Information System in rural South Africa.
A Garrib, N Stoops, A McKenzie, L Dlamini, T
Govender, J Rohde, K Herbst (2008)
South African medical journal 98 (7) p. 549-52
10. Vital statistics
Malaria deaths notification and vital registration - South Africa
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1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
SA
SA (VR)