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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Local use of geographic information systems to improve data utilisation and health services: Mapping caesarean section coverage in rural Rwanda
Tropical Medicine and International Health, Volume 18, No. 1, Year 2013
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Description
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. © 2012 Blackwell Publishing Ltd.
Authors & Co-Authors
Sudhof, Leanna S.
United States, Providence
Women and Infants Hospital of Rhode Island
Amoroso, Cheryl L.
United States, Boston
Partners in Health
Barebwanuwe, Peter
United States, Boston
Partners in Health
Munyaneza, Fabien
United States, Boston
Partners in Health
Karamaga, Adolphe
Rwanda, Kigali
Ministry of Health
Zambotti, Giovanni
United States, Cambridge
Harvard University
Drobac, Peter C.
United States, Boston
Partners in Health
United States, Boston
Brigham and Women's Hospital
Hirschhorn, Lisa Ruth
United States, Boston
Harvard Medical School
United States, Boston
Partners in Health
Statistics
Citations: 30
Authors: 8
Affiliations: 6
Identifiers
Doi:
10.1111/tmi.12016
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cross Sectional Study
Cohort Study
Study Locations
Rwanda