| Local use of geographic information systems to improve data utilisation and health services: mapping caesarean section coverage in rural Rwanda. | |
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MedLine Citation:
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PMID: 23279379 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVES: To show the utility of combining routinely collected data with geographic location using a Geographic Information System (GIS) in order to facilitate a data-driven approach to identifying potential gaps in access to emergency obstetric care within a rural Rwandan health district. METHODS: Total expected births in 2009 at sub-district levels were estimated using community health worker collected population data. Clinical data were extracted from birth registries at eight health centres (HCs) and the district hospital (DH). C-section rates as a proportion of total expected births were mapped by cell. Peri-partum foetal mortality rates per facility-based births, as well as the rate of uterine rupture as an indication for C-section, were compared between areas of low and high C-section rates. RESULTS: The lowest C-section rates were found in the more remote part of the hospital catchment area. The sector with significantly lower C-section rates had significantly higher facility-based peri-partum foetal mortality and incidence of uterine rupture than the sector with the highest C-section rates (P < 0.034). CONCLUSIONS: This simple approach for geographic monitoring and evaluation leveraging existing health service and GIS data facilitated evidence-based decision making and represents a feasible approach to further strengthen local data-driven decisions for resource allocation and quality improvement. |
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Authors:
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Leanna Sudhof; Cheryl Amoroso; Peter Barebwanuwe; Fabien Munyaneza; Adolphe Karamaga; Giovanni Zambotti; Peter Drobac; Lisa R Hirschhorn |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Tropical medicine & international health : TM & IH Volume: 18 ISSN: 1365-3156 ISO Abbreviation: Trop. Med. Int. Health Publication Date: 2013 Jan |
Date Detail:
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Created Date: 2013-01-02 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9610576 Medline TA: Trop Med Int Health Country: England |
Other Details:
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Languages: eng Pagination: 18-26 Citation Subset: IM |
Copyright Information:
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© 2012 Blackwell Publishing Ltd. |
Affiliation:
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Women and Infants Hospital, Providence, RI, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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