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Article: Understanding the challenges associated with the use of data from routine health information systems in low- and middle-income countries: A systematic review

TitleUnderstanding the challenges associated with the use of data from routine health information systems in low- and middle-income countries: A systematic review
Authors
Keywordshealth information systems
developing countries
public health informatics
patient generated health data
public reporting of healthcare data
Issue Date2020
PublisherSage Publications Ltd. The Journal's web site is located at http://journals.sagepub.com/home/him
Citation
Health Information Management Journal, 2020, Epub 2020-06-30 How to Cite?
AbstractBackground: Routine health information systems (RHISs) are crucial to informing decision-making at all levels of the health system. However, the use of RHIS data in low- and middle-income countries (LMICs) is limited due to concerns regarding quality, accuracy, timeliness, completeness and representativeness. Objective: This study systematically reviewed technical, behavioural and organisational/environmental challenges that hinder the use of RHIS data in LMICs and strategies implemented to overcome these challenges. Method: Four electronic databases were searched for studies describing challenges associated with the use of RHIS data and/or strategies implemented to circumvent these challenges in LMICs. Identified articles were screened against inclusion and exclusion criteria by two independent reviewers. Results: Sixty studies met the inclusion criteria and were included in this review, 55 of which described challenges in using RHIS data and 20 of which focused on strategies to address these challenges. Identified challenges and strategies were organised by their technical, behavioural and organisational/environmental determinants and by the core steps of the data process. Organisational/environmental challenges were the most commonly reported barriers to data use, while technical challenges were the most commonly addressed with strategies. Conclusion: Despite the known benefits of RHIS data for health system strengthening, numerous challenges continue to impede their use in practice. Implications: Additional research is needed to identify effective strategies for addressing the determinants of RHIS use, particularly given the disconnect identified between the type of challenge most commonly described in the literature and the type of challenge most commonly targeted for interventions.
Persistent Identifierhttp://hdl.handle.net/10722/286052
ISSN
2023 Impact Factor: 2.7
2023 SCImago Journal Rankings: 0.833
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorHoxha, K-
dc.contributor.authorHung, YW-
dc.contributor.authorIrwin, BR-
dc.contributor.authorGrepin, KA-
dc.date.accessioned2020-08-31T06:58:24Z-
dc.date.available2020-08-31T06:58:24Z-
dc.date.issued2020-
dc.identifier.citationHealth Information Management Journal, 2020, Epub 2020-06-30-
dc.identifier.issn1833-3583-
dc.identifier.urihttp://hdl.handle.net/10722/286052-
dc.description.abstractBackground: Routine health information systems (RHISs) are crucial to informing decision-making at all levels of the health system. However, the use of RHIS data in low- and middle-income countries (LMICs) is limited due to concerns regarding quality, accuracy, timeliness, completeness and representativeness. Objective: This study systematically reviewed technical, behavioural and organisational/environmental challenges that hinder the use of RHIS data in LMICs and strategies implemented to overcome these challenges. Method: Four electronic databases were searched for studies describing challenges associated with the use of RHIS data and/or strategies implemented to circumvent these challenges in LMICs. Identified articles were screened against inclusion and exclusion criteria by two independent reviewers. Results: Sixty studies met the inclusion criteria and were included in this review, 55 of which described challenges in using RHIS data and 20 of which focused on strategies to address these challenges. Identified challenges and strategies were organised by their technical, behavioural and organisational/environmental determinants and by the core steps of the data process. Organisational/environmental challenges were the most commonly reported barriers to data use, while technical challenges were the most commonly addressed with strategies. Conclusion: Despite the known benefits of RHIS data for health system strengthening, numerous challenges continue to impede their use in practice. Implications: Additional research is needed to identify effective strategies for addressing the determinants of RHIS use, particularly given the disconnect identified between the type of challenge most commonly described in the literature and the type of challenge most commonly targeted for interventions.-
dc.languageeng-
dc.publisherSage Publications Ltd. The Journal's web site is located at http://journals.sagepub.com/home/him-
dc.relation.ispartofHealth Information Management Journal-
dc.rightsHoxha K, Hung YW, Irwin BR, Grepin KA Understanding the challenges associated with the use of data from routine health information systems in low- and middle-income countries: A systematic review, Topics in Health Information Management, 2020, v. Epub 2020-06-30. Copyright © 2020 Sage Publications Ltd. DOI: 10.1177/1833358320928729-
dc.subjecthealth information systems-
dc.subjectdeveloping countries-
dc.subjectpublic health informatics-
dc.subjectpatient generated health data-
dc.subjectpublic reporting of healthcare data-
dc.titleUnderstanding the challenges associated with the use of data from routine health information systems in low- and middle-income countries: A systematic review-
dc.typeArticle-
dc.identifier.emailGrepin, KA: kgrepin@hku.hk-
dc.identifier.authorityGrepin, KA=rp02646-
dc.description.naturepostprint-
dc.identifier.doi10.1177/1833358320928729-
dc.identifier.pmid32602368-
dc.identifier.scopuseid_2-s2.0-85087361866-
dc.identifier.hkuros313787-
dc.identifier.volumeEpub 2020-06-30-
dc.identifier.spage183335832092872-
dc.identifier.epage183335832092872-
dc.identifier.isiWOS:000544714400001-
dc.publisher.placeUnited Kingdom-
dc.identifier.issnl1833-3583-

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