RT Journal Article
SR Electronic
T1 Maternal Service Coverage and Its Relationship To Health Information System Performance: A Linked Facility and Population-Based Survey in Ethiopia
JF Global Health: Science and Practice
JO GLOB HEALTH SCI PRACT
FD Johns Hopkins University- Global Health. Bloomberg School of Public Health, Center for Communication Programs
SP e2100688
DO 10.9745/GHSP-D-21-00688
VO 10
IS Supplement 1
A1 Abebaw Gebeyehu Worku
A1 Hibret Alemu Tilahun
A1 Hiwot Belay
A1 Afrah Mohammedsanni
A1 Naod Wendrad
A1 Biruk Abate
A1 Mesoud Mohammed
A1 Mohammed Ahmed
A1 Yakob Wondarad
A1 Meskerem Abebaw
A1 Wubshet Denboba
A1 Frehiwot Mulugeta
A1 Shemsedin Oumer
A1 Amanuel Biru
YR 2022
UL http://www.ghspjournal.org/content/10/Supplement_1/e2100688.abstract
AB Key FindingsMost of the maternal health care service coverage indicators, including 4 antenatal care visits, skilled birth attendance, cesarean delivery, and postnatal care, showed promising performance.Health information system (HIS) performance (data quality and data use) indicators had suboptimal performance compared with the national target.HIS-related variables including data accuracy and availability of digital tools were significantly associated with maternal service uptake.Key ImplicationsInvesting in a health information system is one of the key strategies to improve maternal service uptake. Interventions including the establishment of functional digital systems, availing guidelines, need-based trainings, and strengthening data quality control practices are crucial for better HIS.Addressing variations in terms of maternal service (access or quality) among health facilities is essential to maintain the current coverage and progressive trends of maternal service coverage indicators.Background:Studies in Ethiopia show an increasing trend in maternal health service use, such as having at least 4 visits of antenatal care (ANC4+) and skilled birth attendance (SBA). Improving the health information system (HIS) is an intervention that can improve service uptake and quality. We conducted a baseline study to measure current maternal service coverage, HIS performance status, and their relationship.Methods:We conducted a linked health facility-level and population-based survey from September 2020 to October 2020. The study covers all regions of Ethiopia. For the population-based survey, 3,016 mothers were included. Overall, 81 health posts, 71 health centers, and 15 hospitals were selected for the facility survey. A two-stage sampling procedure was applied to select target households. The study used modified Performance of Routine Information System Management tools for the facility survey and a structured questionnaire for the household survey. Multilevel logistic regression was employed to account for clustering and control for likely confounders.Results:Maternal service indicators, ANC4+ visits (54.0%), SBA (75.8%), postnatal care (70.6%), and cesarean delivery (9%) showed good service uptake. All data quality and use indicators showed lower performance compared to the national target of 90%. Maternal education and higher levels of wealth index were significantly and positively associated with all selected maternal service indicators. Longer distance from health facilities was significantly and negatively associated with SBA and the maternal care composite indicator. Among HIS-related indicators, availability of electronic HIS tools was significantly associated with maternal care composite indicator and ANC4+.Conclusions:Maternal service indicators showed promising performance. However, current HIS performance is suboptimal. Both service user and HIS-related factors were associated with maternal service uptake. Conducting similar research outside of the project sites will be helpful to have a wider understanding and better coverage.