Assessing community health information systems: Evidence from child health records in food insecure areas of the Ethiopian highlands

Objectives: This study assessed the completeness of child health records maintained and collected within community health information system in Ethiopia. Methods: A household listing was carried out in 221 enumeration areas in food insecure areas of Ethiopia to determine the presence of a child less...

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Autores principales: Hirvonen, Kalle, Berhane, Guush, Assefa, Thomas
Formato: Journal Article
Lenguaje:Inglés
Publicado: Springer 2020
Materias:
Acceso en línea:https://hdl.handle.net/10568/142799
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author Hirvonen, Kalle
Berhane, Guush
Assefa, Thomas
author_browse Assefa, Thomas
Berhane, Guush
Hirvonen, Kalle
author_facet Hirvonen, Kalle
Berhane, Guush
Assefa, Thomas
author_sort Hirvonen, Kalle
collection Repository of Agricultural Research Outputs (CGSpace)
description Objectives: This study assessed the completeness of child health records maintained and collected within community health information system in Ethiopia. Methods: A household listing was carried out in 221 enumeration areas in food insecure areas of Ethiopia to determine the presence of a child less than 24-months. This list of children was then compared against the information stored at the local health posts. A household survey was administered to a sample of 2155 households that had a child less than 24-months of age to assess determinants and consequences of exclusion from the health post registers. Results: Out of the 10,318 children identified during the listing, 36% were found from the health post records. Further analysis based on the household survey data indicated that health posts that had adopted nationally recommended recordkeeping practices had more complete records (p < 0.01) and that children residing farther from health posts were less likely to be found from the registers (p < 0.05). Mothers whose child was found from the registers were more likely to know a health extension worker (p < 0.01), had a contact with one (p < 0.01), and their child was more likely to have received growth monitoring (p < 0.05). Conclusions for Practice: The incompleteness of the data collected at the health posts poses a challenge for effective implementation of the national health extension program and various complementary programs in Ethiopia.
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spelling CGSpace1427992025-03-11T12:14:31Z Assessing community health information systems: Evidence from child health records in food insecure areas of the Ethiopian highlands Hirvonen, Kalle Berhane, Guush Assefa, Thomas health child health assessment health services food security information Objectives: This study assessed the completeness of child health records maintained and collected within community health information system in Ethiopia. Methods: A household listing was carried out in 221 enumeration areas in food insecure areas of Ethiopia to determine the presence of a child less than 24-months. This list of children was then compared against the information stored at the local health posts. A household survey was administered to a sample of 2155 households that had a child less than 24-months of age to assess determinants and consequences of exclusion from the health post registers. Results: Out of the 10,318 children identified during the listing, 36% were found from the health post records. Further analysis based on the household survey data indicated that health posts that had adopted nationally recommended recordkeeping practices had more complete records (p < 0.01) and that children residing farther from health posts were less likely to be found from the registers (p < 0.05). Mothers whose child was found from the registers were more likely to know a health extension worker (p < 0.01), had a contact with one (p < 0.01), and their child was more likely to have received growth monitoring (p < 0.05). Conclusions for Practice: The incompleteness of the data collected at the health posts poses a challenge for effective implementation of the national health extension program and various complementary programs in Ethiopia. 2020-05-01 2024-05-22T12:11:05Z 2024-05-22T12:11:05Z Journal Article https://hdl.handle.net/10568/142799 en Open Access Springer Hirvonen, Kalle; Berhane, Guush; and Assefa, Thomas. 2020. Assessing community health information systems: Evidence from child health records in food insecure areas of the Ethiopian highlands. Maternal and Child Health Journal 24(8): 1028–1037. https://doi.org/10.1007/s10995-020-02943-1
spellingShingle health
child health
assessment
health services
food security
information
Hirvonen, Kalle
Berhane, Guush
Assefa, Thomas
Assessing community health information systems: Evidence from child health records in food insecure areas of the Ethiopian highlands
title Assessing community health information systems: Evidence from child health records in food insecure areas of the Ethiopian highlands
title_full Assessing community health information systems: Evidence from child health records in food insecure areas of the Ethiopian highlands
title_fullStr Assessing community health information systems: Evidence from child health records in food insecure areas of the Ethiopian highlands
title_full_unstemmed Assessing community health information systems: Evidence from child health records in food insecure areas of the Ethiopian highlands
title_short Assessing community health information systems: Evidence from child health records in food insecure areas of the Ethiopian highlands
title_sort assessing community health information systems evidence from child health records in food insecure areas of the ethiopian highlands
topic health
child health
assessment
health services
food security
information
url https://hdl.handle.net/10568/142799
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