TY - JOUR
T1 - Data quality monitoring and performance metrics of a prospective, population-based observational study of maternal and newborn health in low resource settings
AU - Goudar, Shivaprasad S.
AU - Stolka, Kristen B.
AU - Koso-Thomas, Marion
AU - Honnungar, Narayan V.
AU - Mastiholi, Shivanand C.
AU - Ramadurg, Umesh Y.
AU - Dhaded, Sangappa M.
AU - Pasha, Omrana
AU - Patel, Archana
AU - Esamai, Fabian
AU - Chomba, Elwyn
AU - Garces, Ana
AU - Althabe, Fernando
AU - Carlo, Waldemar A.
AU - Goldenberg, Robert L.
AU - Hibberd, Patricia L.
AU - Liechty, Edward A.
AU - Krebs, Nancy F.
AU - Hambidge, Michael K.
AU - Moore, Janet L.
AU - Wallace, Dennis D.
AU - Derman, Richard J.
AU - Bhalachandra, Kodkany S.
AU - Bose, Carl L.
N1 - Funding Information:
The MNHR is a prospective, population-based observational study funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) [6]. Key study variables include stillbirths, early and 28-day neonatal mortality, maternal mortality, rates of pre-eclampsia/ eclampsia, obstructed labor, hemorrhage, and infection. Additional variables obtained include antenatal care and delivery care, including Cesarean section, and neonatal resuscitation [6].
Funding Information:
The project was funded by grants (U01 HD040477, U01 HD043475, U01 HD043464, U01 HD040657, U01 HD042372, U01 HD040607, U01HD040636, U01 HD040574, U01 HD40636) from the Eunice Kennedy Shriver National Institute of Child Health and Human Development of the US National Institutes of Health.
Publisher Copyright:
© 2015 Goudar et al; licensee BioMed Central Ltd.
PY - 2015/6/8
Y1 - 2015/6/8
N2 - Background: To describe quantitative data quality monitoring and performance metrics adopted by the Global Network's (GN) Maternal Newborn Health Registry (MNHR), a maternal and perinatal population-based registry (MPPBR) based in low and middle income countries (LMICs). Methods: Ongoing prospective, population-based data on all pregnancy outcomes within defined geographical locations participating in the GN have been collected since 2008. Data quality metrics were defined and are implemented at the cluster, site and the central level to ensure data quality. Quantitative performance metrics are described for data collected between 2010 and 2013. Results: Delivery outcome rates over 95% illustrate that all sites are successful in following patients from pregnancy through delivery. Examples of specific performance metric reports illustrate how both the metrics and reporting process are used to identify cluster-level and site-level quality issues and illustrate how those metrics track over time. Other summary reports (e.g. the increasing proportion of measured birth weight compared to estimated and missing birth weight) illustrate how a site has improved quality over time. Conclusion: High quality MPPBRs such as the MNHR provide key information on pregnancy outcomes to local and international health officials where civil registration systems are lacking. The MNHR has measures in place to monitor data collection procedures and improve the quality of data collected. Sites have increasingly achieved acceptable values of performance metrics over time, indicating improvements in data quality, but the quality control program must continue to evolve to optimize the use of the MNHR to assess the impact of community interventions in research protocols in pregnancy and perinatal health.
AB - Background: To describe quantitative data quality monitoring and performance metrics adopted by the Global Network's (GN) Maternal Newborn Health Registry (MNHR), a maternal and perinatal population-based registry (MPPBR) based in low and middle income countries (LMICs). Methods: Ongoing prospective, population-based data on all pregnancy outcomes within defined geographical locations participating in the GN have been collected since 2008. Data quality metrics were defined and are implemented at the cluster, site and the central level to ensure data quality. Quantitative performance metrics are described for data collected between 2010 and 2013. Results: Delivery outcome rates over 95% illustrate that all sites are successful in following patients from pregnancy through delivery. Examples of specific performance metric reports illustrate how both the metrics and reporting process are used to identify cluster-level and site-level quality issues and illustrate how those metrics track over time. Other summary reports (e.g. the increasing proportion of measured birth weight compared to estimated and missing birth weight) illustrate how a site has improved quality over time. Conclusion: High quality MPPBRs such as the MNHR provide key information on pregnancy outcomes to local and international health officials where civil registration systems are lacking. The MNHR has measures in place to monitor data collection procedures and improve the quality of data collected. Sites have increasingly achieved acceptable values of performance metrics over time, indicating improvements in data quality, but the quality control program must continue to evolve to optimize the use of the MNHR to assess the impact of community interventions in research protocols in pregnancy and perinatal health.
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U2 - 10.1186/1742-4755-12-S2-S2
DO - 10.1186/1742-4755-12-S2-S2
M3 - Article
C2 - 26062714
AN - SCOPUS:84977493600
SN - 1742-4755
VL - 12
JO - Reproductive Health
JF - Reproductive Health
IS - 2
M1 - S2
ER -