Improvements in obstetric and newborn health information documentation following the implementation of the safer births bundle of care at 30 facilities in Tanzania
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Date
2024-01-26
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Healthcare
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
Description
Keywords
Documentation, Data missingness, Data quality
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.