Journal Article

Augmented Capacity Development Interventions (ACDI) Improved Data Quality Performance in the Routine Health Information System (RHIS): A Cluster Randomized Trial

Kassa, Dejene Hailu, Worku, Abebaw Gebeyehu, Doka, Bedilu Kucho, Negeri, Keneni Gutema

2025

Overview

Strengthening data quality in the routine health information system is vital for the performance of health service outcomes. However, implementation of the routine interventions to improve data quality in the existing health system has been found inadequate two in Ethiopia. This study was aimed to examine the effect of Augmented Capacity Development Interventions (ACDI) on the performance of data quality in the routine health information system. A arm, parallel group, cluster-randomized control trial was implemented from July 1, 2023 to February 29, 2024. Baseline data were collected from April 1–30, 2023, and end-line data from April 1–30, 2024. The cluster design was employed as it allows for minimizing information contamination. The study included 72 health institution clusters and 304 health workers (154 intervention and 150 control arms). The implemented interventions include training, supportive supervision, mentorship, and recognition. General Linear Mixed Model was applied for analysis. The mean score for data quality perception improved from 2.32 at baseline to 3.13 at end-line (95% CI: 3.05, 3.21; P < .001). The data quality practice has significantly improved after the implementation of the ACDI packages (β = .17; 95% CI: 0.05, 0.30; P = .007), ease of data management (β = .14; 95% CI: 0.07, 0.22; P < .001), information use (β = .15; 95% CI: 0.08, 0.23; P < .001), and the combined effects of encouragement and training (β = .44; 95% CI: 0.23, 0.65; P < .001) were significant predictors of the change in the data quality. The ACDI packages implemented in this study effectively influenced data quality improvement. Key predictors of data quality practices included an encouraging system, ease of data management, written guidelines, supportive supervision, and training. Therefore, the interventions are recommended to be adapted and scaled up. Trial registration ID: PACTR202212472091194.

• Publisher: SAGE Publications,SAGE PUBLICATIONS, INC,SAGE Publishing
• Subject: Accuracy / Augmentation / Capacity Building - methods / Capacity Building - organization & administration / Capacity building approach / Clinical trials / Data Accuracy / Data collection / Data quality / Decision making / Ethiopia / Female / Health / Health care / Health facilities / Health information / Health Information Systems - organization & administration / Health Information Systems - standards / Health Personnel - education / Health services / Health status / Humans / Information / Information sources / Information systems / Intervention / Male / Original Research / Public health / Quality Improvement / Quality management / Quality of care / Registration / Sample size / Sampling techniques / Supervision / Training