Understanding health worker data use in a South African antiretroviral therapy register

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Authors

Jobson, Geoffrey A.
Murphy, Joshua
Van Huyssteen, Mea
Myburgh, Hanlie
Hurter, Theunis
Grobbelaar, Cornelis J.
Struthers, Helen E.
McIntyre, James A.
Peters, Remco P.H.

Journal Title

Journal ISSN

Volume Title

Publisher

Wiley

Abstract

OBJECTIVE : To evaluate how electronic data management systems affect data use practices in antiretroviral therapy (ART) programs within local health districts, and individual health facilities. METHODS : We used a data quality audit to establish a baseline of the quality of data in the electronic register alongside in‐depth interviews with health workers and managers, to understand perceptions of data quality, data use by facility staff and challenges affecting data use. RESULTS : The findings provide a four‐level continuum of data use that can be applied to other settings and recommendations for optimising facility‐level data use. CONCLUSION : By defining four levels of data use our findings suggest the potential to encourage a structured process of moving from passive data use, to more active and engaged data use, where data could be used to anticipate patient behaviour and link that behaviour to differentiated care plans.

Description

Keywords

Antiretroviral therapy (ART), Electronic data management systems, Data use practices, Local health districts, Individual health facilities, Data audits, Data quality, Electronic register, Human immunodeficiency virus (HIV), Monitoring, Evaluation, Health care personnel, Perception, Staff

Sustainable Development Goals

Citation

Jobson, G., Murphy, J., Van Huyssteen, M. et al. 2018, 'Understanding health worker data use in a South African antiretroviral therapy register', Tropical Medicine and International Health, NYP.