Can We Use Routine Data for Strategic Decision Making? A Time Trend Comparison Between Survey and Routine Data in Mali

Talata Sawadogo-Lewis; Youssouf Keita; Emily Wilson; Souleymane Sawadogo; Ibrahim Téréra; Hamadoun Sangho; Melinda Munos

doi:10.9745/GHSP-D-21-00281

Figures & Tables

Figures

Tables

Download figure
Open in new tab
Download powerpoint
FIGURE 1
Contraceptive Prevalence Rate Time Trends by Survey and Routine Data, at National and Regional Levels From 2001 to 2012, Mali
Download figure
Open in new tab
Download powerpoint
FIGURE 2
Diphtheria, Pertussis, and Tetanus Vaccine Coverage Time Trends at National and Regional Levels According to Routine and Survey Data From 2001 to 2012, Mali
Abbreviation: DPT, diphtheria, pertussis, tetanus.
Download figure
Open in new tab
Download powerpoint
FIGURE 3
Institutional Delivery Rate Time Trends at National and Regional Levels According to Routine and Survey Data From 2001 to 2012, Mali
Download figure
Open in new tab
Download powerpoint
FIGURE 4
Prediction of Routine Annual Average Change for 3 Indicators by Survey Data, Comparing 2 Time Intervals and at Regional and National Levels, Mali^a
^aEach dot represents the difference, from time 1 to time 2, in estimated proportion coverage, divided by the number of years in the time period.

Tables

Figures

View popup

TABLE 1.

Indicators Definition According to Routine and Survey Data, Mali 2012

Indicators	HIS (Routine)		DHS
Indicators	Numerator	Denominator	Numerator	Denominator
Contraceptive prevalence	Total number of women consulting family planning services in health facilities	Total number of women aged 15–49 years	Number of women aged 15–49 years at risk of getting pregnant that are using a method of contraception	Total number of women aged 15–49 years at risk of getting pregnant
Institutional delivery	Total number of births in community health facility and district hospital (public only)	Total number of births expected during the year	Number of children surveyed born in a health institution (private or public)	Total number of births
DPT3 vaccine	Number of children aged 0–11 months who received DPT3	Total number of children 0–11 months	Number of children aged 12–23 months who have received DPT3	Total number of children aged 12–23 months

Abbreviations: DHS, Demographic and Health Survey; DPT3, 3 doses of the diphtheria, pertussis, and tetanus vaccine; HIS, health information system.

View popup

TABLE 2.

Routine Indicator Availability and Definition Change Over Time, 2001–2012, Mali

Indicators and Years of Availability	Years
Indicators and Years of Availability	2001	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012
Contraceptive prevalence rate, 2001–2012	Same definition over time
Institutional delivery, 2007–2012	Same definition over time
DPT3 vaccine, 2001–2012	DTCP3							DTCP3+HiB3		Penta3

Abbreviations: DPT3, 3 doses of the diphtheria, pertussis, and tetanus vaccine; DTCP3, 3 doses of the diphtheria, tetanus pertussis, and poliomyelitis combined vaccine; HiB3, 3 doses of haemophilus influenzae type B vaccine; Penta3, 3 doses of pentavalent vaccine.

View popup

TABLE 3.

National Level Time Trend Change in Proportion Indicator Coverage According to DHS and Routine Data, 2001–2006, Mali

	Survey Data		Routine Data
Indicator	2006 Estimate Minus 2001 Estimate	SE	2006 Minus 2001	SE	Difference Between Survey and Routine	Z Score	P Value
CPR	0.0017	0.0043	0.0045	0.0002	0.0028	−0.6505	.52
DPT3	0.2867	0.0183	0.3089	0.0018	0.0222	−1.2073	.23
ID	0.0848	0.0097	0.1384	0.0013	0.0536	−5.4768	0^{^a}

Abbreviations: CPR, contraceptive prevalence rate; DHS, Demographic and Health Survey; DPT3, 3 doses of diphtheria, pertussis, and tetanus vaccine; ID, institutional delivery; SE, standard error.
↵a Statistically significant.

View popup

TABLE 4.

National Level Time Trend Change in Proportion Indicator Coverage According to DHS and Routine Data, 2006–2012, Mali

	Survey Data		Routine Data
Indicator	2012 Estimate Minus 2006 Estimate	SE	2012 Minus 2006	SE	Difference Between Survey and Routine	Z Score	P Value
CPR	0.021	0.0046	0.0226	0.0002	0.0016	−0.3475	.73
DPT3	−0.0524	0.018	−0.0156	0.0018	0.0368	−2.0343	.04^{^a}
ID	0.0867	0.0087	0.0123	0.0013	0.0744	8.4578	0^{^a}

Abbreviations: CPR, contraceptive prevalence rate; DHS, Demographic and Health Survey; DPT3, 3 doses of diphtheria, pertussis, and tetanus vaccine; ID, institutional delivery; SE, standard error.
↵a Statistically significant.

View popup

TABLE 5.

Regional Level Time Trend Change in Proportion Indicator Coverage According to DHS and Routine Data, 2001–2006, Mali

		Survey Data		Routine Data
Region	Indicator	2006 Estimate Minus 2001 Estimate	SE	2006 Minus 2001	SE	Difference Between Survey and Routine	Z Score	P Value
Bamako	CPR	-0.039	0.0169	-0.0134	0.0006	0.0256	−1.5138	.13
Gao	CPR	0.0326	0.0122	0.0051	0.0004	0.0275	2.2529	.02^{^a}
Kayes	CPR	0.001	0.0116	0.002	0.0004	0.001	-0.0862	.93
Kidal	CPR	0.0017	0.0346	−0.0076	0.0024	0.0093	0.2681	.79
Koulikoro	CPR	0.0189	0.0107	0.0243	0.0004	0.0054	−0.5043	.61
Mopti	CPR	−0.0135	0.0063	−0.022	0.0004	0.0085	1.3465	.18
Ségou	CPR	0.0213	0.0113	0.0185	0.0004	0.0028	0.2476	.80
Sikasso	CPR	0.00041	0.0096	0.0045	0.0004	0.0044	−0.4579	.65
Tombouctou	CPR	−0.0021	0.0141	0.0153	0.00045	0.0174	−1.2333	.28
Bamako	DPT3	0.0546	0.037	−0.1098	0.0063	0.1644	4.3802	0^{^a}
Gao	DPT3	0.2176	0.0704	0.6773	0.0083	0.4597	−6.4849	0^{^a}
Kayes	DPT3	0.2998	0.0427	0.61	0.0045	0.3102	−7.2246	0^{^a}
Kidal	DPT3	−0.1849	0.1364	−0.1794	0.0239	0.0055	−0.0397	.97
Koulikoro	DPT3	0.2985	0.0433	0.367	0.0045	0.0685	−1.5735	.12
Mopti	DPT3	0.4235	0.0735	−0.0707	0.0053	0.4942	6.7064	0^{^a}
Ségou	DPT3	0.3788	0.0423	0.3933	0.0044	0.0145	−0.341	.73
Sikasso	DPT3	0.2901	0.037	0.4244	0.0041	0.1343	−3.6076	3,00E-04^{^a}
Tombouctou	DPT3	0.261	0.0812	0.3495	0.007	0.0885	−1.0859	.28
Bamako	ID	−0.0036	0.0078	−0.1801	0.0058	0.1765	18.1583	0^{^a}
Gao	ID	0.1381	0.0506	0.1098	0.0039	0.0283	0.5576	.58
Kayes	ID	0.0321	0.0289	0.2046	0.0028	0.1725	−5.941	0^{^a}
Kidal	ID	−0.15	0.0886	0.1242	0.0119	0.2742	−3.0673	.002^{^a}
Koulikoro	ID	0.0279	0.0215	0.1922	0.0033	0.1643	−7.5534	0^{^a}
Mopti	ID	0.2076	0.0502	0.1354	0.0029	0.0722	1.4359	.15
Ségou	ID	0.3082	0.0252	0.206	0.0031	0.1022	4.0252	1,00E-04^{^a}
Sikasso	ID	0.0293	0.0211	0.1365	0.0032	0.1072	−5.0231	0^{^a}
Tombouctou	ID	0.1021	0.0463	0.1477	0.0039	0.0456	−0.9814	.33

Abbreviations: CPR, contraceptive prevalence rate; DHS, Demographic and Health Survey; DPT3, 3 doses of diphtheria, pertussis, and tetanus vaccine; ID, institutional delivery; SE, standard error.
↵a Statistically significant.

View popup

TABLE 6.

Regional Level Time Trend Change in Proportion Indicator Coverage According to DHS and Routine Data, 2006–2012, Mali

		Survey Data		Routine Data
Region	Indicator	2012 Estimate Minus 2006 Estimate	SE	2012 Minus 2006	SE	Difference Between Survey and Routine	Z Score	P Value
Bamako	CPR	0.0395	0.0166	0.0388	0.00045	7,00E-04	0.0421	.97
Kayes	CPR	0.0094	0.0109	0.0239	0.0004	0.0145	−1.3294	.18
Koulikoro	CPR	0.008	0.0115	0.0124	0.0005	0.0044	−0.3822	.70
Mopti	CPR	0.0096	0.0056	0.0125	0.0004	0.0029	−0.5165	.61
Ségou	CPR	0.0033	0.0117	0.0308	0.0005	0.0275	−2.3483	.019^{^a}
Sikasso	CPR	0.0452	0.0102	0.0275	0.0004	0.0177	1.734	.08
Bamako	DPT3	−0.0828	0.0366	−0.0011	0.0054	0.0817	−2.2083	.027^{^a}
Kayes	DPT3	0.1304	0.045	−0.0859	0.0049	0.2163	4.7784	0^{^a}
Koulikoro	DPT3	−0.0425	0.0401	0.02	0.0045	0.0625	−1.5489	.12
Mopti	DPT3	−0.1581	0.0761	0.1096	0.0049	0.2677	−3.5105	4,00E-04^{^a}
Ségou	DPT3	−0.1369	0.0397	0.0392	0.0046	0.1761	−4.4063	0^{^a}
Sikasso	DPT3	−0.0859	0.0342	0.0959	0.0044	0.1818	−5.2723	0^{^a}
Bamako	ID	0.0166	0.007	−0.0733	0.0047	0.0899	10.6624	0^{^a}
Kayes	ID	0.1584	0.0248	0.1152	0.0031	0.0432	1.7285	.08
Koulikoro	ID	0.0795	0.0186	0.0554	0.0033	0.0241	1.2758	.20
Mopti	ID	−0.0685	0.0482	0.0402	0.003	0.1087	−2.2508	.024^{^a}
Ségou	ID	0.0059	0.0232	0.0111	0.0031	0.0052	−0.2222	.82
Sikasso	ID	0.1719	0.017	0.0513	0.0031	0.1206	6.979	0^{^a}

Abbreviations: CPR, contraceptive prevalence rate; DHS, Demographic and Health Survey; DPT3, 3 doses of diphtheria, pertussis, and tetanus vaccine; ID, institutional delivery; SE, standard error.
↵a Statistically significant.