Table 2 VPASS Assessment tool pilot in six sites using three MNCH data collection -summarized information from interviews
Assessment tool domain | MNCH DATA COLLECTION SYSTEM | |||||
|---|---|---|---|---|---|---|
DHIS-2 Purpose: Clinical Care | INDEPTH Purpose: Clinical Care | GNMNHR Purpose: Research | ||||
Geographical location | Rwanda | Uganda | Burkina Faso | Mozambique | Zambia | India |
Scale of implementation | National Level | National Level | District level (Nanoro) | District level (Manhica Health Research Center) | Province level (Lusaka) | Village level (Belagavi) |
MNCH variables under surveillance | See Supplementary Material | |||||
Data capture place | Health facilities and community level | Health facilities and community level | Community level only | Health facilities and community level | Mainly at health facilities | Health facilities and community level |
Level of data disaggregation | Individual data | Only aggregated data | Only aggregated data | Individual data | Individual data | Individual data |
Methods and frequency of data collection | Prospectively and regularly | Prospectively and regularly | Retrospectively and regularly | Retrospectively and regularly | Prospectively but only for research purposes | Prospectively but only for research purposes |
Data capture format | Mainly electronic | Electronic and paper based | Mainly paper based (Electronic only during specific projects) | Mainly paper based (Electronic only during specific projects) | Switching from paper based to electronic format (through REDCap) | Switching from paper based to electronic format (through REDCap) |
Data standardization on MNCH variables | Yes. Based on ICD 10 standard code | Yes. Based on ICD 10 standard code | Yes. Based on ICD 10 standard code | Yes. Based on ICD 10 standard code | Not based on ICD or MedDRA standard codes | Not based on ICD or MedDRA standard codes |
Newborn’s follow up | Routine follow-up of newborns for 6 months postpartum | Newborn’s individual information is not routinely collected after delivery | Newborn’s individual information is not routinely collected after delivery | Routine follow-up of newborns for 6 months postpartum. (Childs followed up on regular rounds every six months) | Routine follow-up of newborns for 6 weeks postpartum | Routine follow-up of newborns for 6 weeks postpartum |
Data management policies | All sites comply with applicable data management national regulations | |||||
Data confidentiality | All sites use encryption of personal data | |||||
Data quality monitoring | All sites perform internal and external monitoring for data quality | |||||
Representativeness | In all sites no specific pregnant population is systematically excluded | |||||
Reliability | Possible to link Mother ID with newborn ID | It is not yet possible to link Mother ID with newborn ID | Possible to link Mother ID with newborn ID | Possible to link Mother ID with newborn ID | Possible to link Mother ID with newborn ID | Possible to link Mother ID with newborn ID |
Integration with other registers | Yes. It is possible to integrate MNCH individual data with electronic immunization registries [22] | Not yet possible for MNCH data | Not yet possible for MNCH data | Yes. It is possible to integrate MNCH individual data with local medical registries at health facilities | Not routinely (it requires permission from RTI) | Not routinely (it requires permission from RTI) |
Feasibility of adding new MNCH variables | Yes, it is possible | Yes, it is possible | Not enough information | Yes, it is possible | Yes, it is possible | Yes, it is possible |
Staff training | Yes. All sites provide continuous training to their staff | |||||
Experience in MNCH individual data collection | It collects MNCH individual data since 2017 (previously, only aggregate data were collected) | Not applicable since it only collects aggregated information | Not applicable since it only collects aggregated information | It collects MNCH individual data since 2016 | It collects MNCH individual data since 2008, when the Maternal Newborn Health Registry (MNHR) was created | |
Baseline data available | Yes, for all the variables collected | Yes, but only aggregated information for maternal and neonatal deaths | Yes, but only aggregated information for maternal and neonatal deaths | Yes, for all the variables collected | Yes, for all the variables collected | Yes, for all the variables collected |
Previous experience in MNCH active safety surveillance | No previous experience | No previous experience | No previous experience | No previous experience | Yes, but only within research context | Yes, but only within research context |