Improvements in obstetric and newborn health information documentation following the implementation of the safer births  bundle of care at 30 facilities in Tanzania

Kalabamu, Florence S.

Improvements in obstetric and newborn health information documentation following the implementation of the safer births bundle of care at 30 facilities in Tanzania

dc.contributor.author	Kalabamu, Florence S.
dc.date.accessioned	2024-04-05T11:23:03Z
dc.date.available	2024-04-05T11:23:03Z
dc.date.issued	2024-01-26
dc.description.abstract	Abstract: This paper examines changes in the completeness of documentation in clinical practice before and during the implementation of the Safer Births Bundle of Care (SBBC) project. This observational study enrolled parturient women with a gestation age of at least 28 weeks at the onset of labour. Data collectors extracted information from facility registers and then a central data manager summarised and reported weekly statistics. Variables of clinical significance for CQI were selected, and the proportion of non-documentation was analysed over time. A Pearson chi-square test was used to test for significant differences in non-documentation between the periods. Between 1 March 2021 and 31 July 2022, a total of 138,442 deliveries were recorded. Overall, 75% of all patient cases had at least one missing variable among the selected variables across both periods. A lack of variable documentation occurred more frequently at the district hospital level (81% of patient cases) and health centres (74%) than at regional referral hospitals (56%) (p < 0.001). Non-documentation decreased significantly from 79% to 70% after the introduction of the SBBC (p < 0.001). A tendency towards negative correlations was noted for most variables. We noted an increased attention to data quality and use which may have a positive impact on the completeness of documentation. However, halfway through the project’s implementation, the completeness of documentation was still low. Our Findings support the recommendation to establish short-spaced feedback loops of locally collected data using one data platform. Keywords: documentation; data missingness; data quality; Safer Births Bundle of Care; quality of care; mentorship; supervision	en_US
dc.identifier.citation	Kamala, B.A., Ersdal, H., Moshiro, R., Mduma, E., Baker, U., Guga, G., Kvaløy, J.T., Bishanga, D.R., Bundala, F., Marwa, B. and Rutachunzibwa, T., 2024. Improvements in Obstetric and Newborn Health Information Documentation following the Implementation of the Safer Births Bundle of Care at 30 Facilities in Tanzania. In Healthcare (Vol. 12, No. 3, p. 319). MDPI.	en_US
dc.identifier.issn	https://doi.org/10.3390/healthcare12030319
dc.identifier.uri	http://hdl.handle.net/123456789/1330
dc.language.iso	en	en_US
dc.publisher	Healthcare	en_US
dc.subject	Documentation	en_US
dc.subject	Data missingness	en_US
dc.subject	Data quality	en_US
dc.title	Improvements in obstetric and newborn health information documentation following the implementation of the safer births bundle of care at 30 facilities in Tanzania	en_US
dc.type	Article	en_US