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Utilizing community health worker data for program management and evaluation: Systems for data quality assessments and baseline results from Rwanda

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  • Mitsunaga, Tisha
  • Hedt-Gauthier, Bethany
  • Ngizwenayo, Elias
  • Farmer, Didi Bertrand
  • Karamaga, Adolphe
  • Drobac, Peter
  • Basinga, Paulin
  • Hirschhorn, Lisa
  • Ngabo, Fidele
  • Mugeni, Cathy

Abstract

Community health workers (CHWs) have and continue to play a pivotal role in health services delivery in many resource-constrained environments. The data routinely generated through these programs are increasingly relied upon for providing information for program management, evaluation and quality assurance. However, there are few published results on the quality of CHW-generated data, and what information exists suggests quality is low. An ongoing challenge is the lack of routine systems for CHW data quality assessments (DQAs). In this paper, we describe a system developed for CHW DQAs and results of the first formal assessment in southern Kayonza, Rwanda, May–June 2011. We discuss considerations for other programs interested in adopting such systems. While the results identified gaps in the current data quality, the assessment also identified opportunities for strengthening the data to ensure suitable levels of quality for use in management and evaluation.

Suggested Citation

  • Mitsunaga, Tisha & Hedt-Gauthier, Bethany & Ngizwenayo, Elias & Farmer, Didi Bertrand & Karamaga, Adolphe & Drobac, Peter & Basinga, Paulin & Hirschhorn, Lisa & Ngabo, Fidele & Mugeni, Cathy, 2013. "Utilizing community health worker data for program management and evaluation: Systems for data quality assessments and baseline results from Rwanda," Social Science & Medicine, Elsevier, vol. 85(C), pages 87-92.
    • Handle: RePEc:eee:socmed:v:85:y:2013:i:c:p:87-92
    DOI: 10.1016/j.socscimed.2013.02.033
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    References listed on IDEAS

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    1. Berman, Peter A. & Gwatkin, Davidson R. & Burger, Susan E., 1987. "Community-based health workers: Head start or false start towards health for all?," Social Science & Medicine, Elsevier, vol. 25(5), pages 443-459, January.
    2. Robertson, Susan E. & Valadez, Joseph J., 2006. "Global review of health care surveys using lot quality assurance sampling (LQAS), 1984-2004," Social Science & Medicine, Elsevier, vol. 63(6), pages 1648-1660, September.
    3. Prata, Ndola & Quaiyum, Md. Abdul & Passano, Paige & Bell, Suzanne & Bohl, Daniel D. & Hossain, Shahed & Azmi, Ashrafi Jahan & Begum, Mohsina, 2012. "Training traditional birth attendants to use misoprostol and an absorbent delivery mat in home births," Social Science & Medicine, Elsevier, vol. 75(11), pages 2021-2027.
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    Cited by:

    1. Aoun, Nael & Matsuda, Hirotaka & Sekiyama, Makiko, 2015. "Geographical accessibility to healthcare and malnutrition in Rwanda," Social Science & Medicine, Elsevier, vol. 130(C), pages 135-145.
    2. Edward, Anbrasi & Branchini, Casey & Aitken, Iain & Roach, Melissa & Osei-Bonsu, Kojo & Arwal, Said Habib, 2015. "Toward universal coverage in Afghanistan: A multi-stakeholder assessment of capacity investments in the community health worker system," Social Science & Medicine, Elsevier, vol. 145(C), pages 173-183.

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