Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Reproductive Health
Published in: Reproductive Health 2/2015

Open Access 01-12-2015 | Research

Data quality monitoring and performance metrics of a prospective, population-based observational study of maternal and newborn health in low resource settings

Authors: Shivaprasad S Goudar, Kristen B Stolka, Marion Koso-Thomas, Narayan V Honnungar, Shivanand C Mastiholi, Umesh Y Ramadurg, Sangappa M Dhaded, Omrana Pasha, Archana Patel, Fabian Esamai, Elwyn Chomba, Ana Garces, Fernando Althabe, Waldemar A Carlo, Robert L Goldenberg, Patricia L Hibberd, Edward A Liechty, Nancy F Krebs, Michael K Hambidge, Janet L Moore, Dennis D Wallace, Richard J Derman, Kodkany S Bhalachandra, Carl L Bose

Published in: Reproductive Health | Special Issue 2/2015

Login to get access

Abstract

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.

Trial registration number

NCT01073475
Appendix
Available only for authorised users
Literature
1.
2.
3.
Målqvist M, Eriksson L, Nguyen TN, Fagerland LI, Dinh PH, Wallin L, Ewald U, Persson L-A: Unreported births and deaths, a severe obstacle for improved neonatal survival in low-income countries; a population based study. BMC Int Health Hum Rights. 2008, 8: 4-10.1186/1472-698X-8-4.CrossRefPubMedPubMedCentral
4.
Hill K, Choi Y: Neonatal mortality in the developing world. Demogr Res. 2006, 14: 429-452.CrossRef
5.
Irgens LM: The Medical Birth Registry of Norway. Epidemiological research and surveillance throughout 30 years. Acta Obstet Gynecol Scand. 2000, 79: 435-439. 10.1080/j.1600-0412.2000.079006435.x.CrossRefPubMed
6.
Goudar SS, Carlo Wa, McClure EM, Pasha O, Patel A, Esamai F, Chomba E, Garces A, Althabe F, Kodkany B, Sami N, Derman RJ, Hibberd PL, Liechty Ea, Krebs NF, Hambidge KM, Buekens P, Moore J, Wallace D, Jobe AH, Koso-Thomas M, Wright LL, Goldenberg RL: The Maternal and Newborn Health Registry Study of the Global Network for Women’s and Children's Health Research. Int J Gynaecol Obstet. 2012, 118: 190-3. 10.1016/j.ijgo.2012.04.022.CrossRefPubMedPubMedCentral
7.
Bergsjo P, Irgens LM, Lie RT: Registry based perinatal research. Acta Obs Gynecol Scand. 2000, 79: 433-434.CrossRef
8.
Vaktskjold A, Talykova L, Chashchin V, Nieboer E, Odland JO: The Kola Birth Registry and perinatal mortality in Moncegorsk, Russia. Acta Obs Gynecol Scand. 2004, 83:
9.
Anda EE, Nieboer E, Voitov AV, Kovalenko AA, Lapina YM, Voitova EA, Kovalenko LF, Odland JO: Implementation, quality control and selected pregnancy outcomes of the Murmansk County Birth Registry in Russia. Int J Circumpolar Health. 2008, 67: 318-334.CrossRefPubMed
10.
Chiba Y, Oguttu MA, Nakayama T: Quantitative and qualitative verification of data quality in the childbirth registers of two rural district hospitals in Western Kenya. Midwifery. 2012, 28: 329-39. 10.1016/j.midw.2011.05.005.CrossRefPubMed
11.
Bray F, Parkin DM: Evaluation of data quality in the cancer registry: principles and methods. Part I: comparability, validity and timeliness. Eur J Cancer. 2009, 45: 747-55. 10.1016/j.ejca.2008.11.032.CrossRefPubMed
12.
Parkin DM, Bray F: Evaluation of data quality in the cancer registry: principles and methods Part II. Completeness. Eur J Cancer. 2009, 45: 756-64. 10.1016/j.ejca.2008.11.033.CrossRefPubMed
13.
Larsen IK, Småstuen M, Johannesen TB, Langmark F, Parkin DM, Bray F, Møller B: Data quality at the Cancer Registry of Norway: an overview of comparability, completeness, validity and timeliness. Eur J Cancer. 2009, 45: 1218-31. 10.1016/j.ejca.2008.10.037.CrossRefPubMed
14.
Bose C, Bausserman M, Goldenberg R, McClure E: The Global Network Maternal Newborn Health Registry: An Overview. BMC Reprod Heal. 2015.
15.
Pasha O, McClure EM, Wright LL, Saleem S, Goudar SS, Chomba E, Patel A, Esamai F, Garces A, Althabe F, Kodkany B, Mabeya H, Manasyan A, Carlo WA, Derman RJ, Hibberd PL, Liechty EK, Krebs N, Hambidge KM, Buekens P, Moore J, Jobe AH, Koso-Thomas M, Wallace DD, Stalls S, Goldenberg RL: A combined community- and facility-based approach to improve pregnancy outcomes in low-resource settings: a Global Network cluster randomized trial. BMC Med. 2013, 11: 12-10.1186/1741-7015-11-12.CrossRef
16.
Althabe F, Belizán JM, Mcclure EM, Hemingway-foday J, Berrueta M, Mazzoni A, Ciganda A, Goldenberg RL, Esamai F, Nyongesa P, Ayunga S, Liechty EA, Garces AL, Figueroa L, Hambidge KM, Chiwila M, Manasyan A, Pineda S, Meleth S, Thorsten V, Stolka K, Wallace DD, Koso-thomas M, Jobe AH, Buekens PM: A population-based, multifaceted strategy to implement antenatal corticosteroid treatment versus standard care for the reduction of neonatal mortality due to preterm birth in low-income and middle-income countries: the ACT cluster- randomised trial. Lancet. 2014, 6736: 1-11.
17.
Bang A, Bellad R, Gisore P, Hibberd P, Patel A, Goudar S, Esamai F, Goco N, Meleth S, Derman RJ, Liechty Ea, McClure E, Carlo Wa, Wright LL: Implementation and evaluation of the Helping Babies Breathe curriculum in three resource limited settings: does Helping Babies Breathe save lives? A study protocol. BMC Pregnancy Childbirth. 2014, 14: 116-10.1186/1471-2393-14-116.CrossRefPubMedPubMedCentral
18.
Pasha O, Goudar S, Patel A, Garces A, Esamai F, et al: Postpartum contraceptive use and unmet need for family planning in five low-income countries. Reprod Health.
19.
Mahapatra P, Shibuya K, Lopez AD, Coullare F, Notzon FC, Rao C, Szreter S: Civil registration systems and vital statistics: successes and missed opportunities. Lancet. 2007, 370: 1653-63. 10.1016/S0140-6736(07)61308-7.CrossRefPubMed
20.
Mathers CD, Fat DM, Inoue M, Rao C, Lopez AD: Counting the dead and what they died from: an assessment of the global status of cause of death data. Bull World Health Organ. 2005, 015784:
21.
Cousens S, Blencowe H, Stanton C, Chou D, Ahmed S, Steinhardt L, Creanga Aa, Tunçalp O, Balsara ZP, Gupta S, Say L, Lawn JE: National, regional, and worldwide estimates of stillbirth rates in 2009 with trends since 1995: a systematic analysis. Lancet. 2011, 377: 1319-30. 10.1016/S0140-6736(10)62310-0.CrossRefPubMed
22.
Oestergaard MZ, Inoue M, Yoshida S, Mahanani WR, Gore FM, Cousens S, Lawn JE, Mathers CD: Neonatal mortality levels for 193 countries in 2009 with trends since 1990: a systematic analysis of progress, projections, and priorities. PLoS Med. 2011, 8: e1001080-10.1371/journal.pmed.1001080.CrossRefPubMedPubMedCentral
23.
Glinianaia SV, Rankin J, Pless-Mulloli T, Pearce MS, Charlton M, Parker L: Temporal changes in key maternal and fetal factors affecting birth outcomes: a 32-year population-based study in an industrial city. BMC Pregnancy Childbirth. 2008, 8: 39-10.1186/1471-2393-8-39.CrossRefPubMedPubMedCentral
24.
Aqil A, Lippeveld T, Hozumi D: PRISM framework: a paradigm shift for designing, strengthening and evaluating routine health information systems. Health Policy Plan. 2009, 24: 217-28. 10.1093/heapol/czp010.CrossRefPubMedPubMedCentral
25.
Registrar General: SRS BULLETIN: Sample Registration System India. 2013, 48:
Metadata
Title
Data quality monitoring and performance metrics of a prospective, population-based observational study of maternal and newborn health in low resource settings
Authors
Shivaprasad S Goudar
Kristen B Stolka
Marion Koso-Thomas
Narayan V Honnungar
Shivanand C Mastiholi
Umesh Y Ramadurg
Sangappa M Dhaded
Omrana Pasha
Archana Patel
Fabian Esamai
Elwyn Chomba
Ana Garces
Fernando Althabe
Waldemar A Carlo
Robert L Goldenberg
Patricia L Hibberd
Edward A Liechty
Nancy F Krebs
Michael K Hambidge
Janet L Moore
Dennis D Wallace
Richard J Derman
Kodkany S Bhalachandra
Carl L Bose
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Reproductive Health / Issue Special Issue 2/2015
Electronic ISSN: 1742-4755
DOI
https://doi.org/10.1186/1742-4755-12-S2-S2

Other articles of this Special Issue 2/2015

Reproductive Health 2/2015 Go to the issue

Research

Institutional deliveries and perinatal and neonatal mortality in Southern and Central India

Research

Trends in perinatal deaths from 2010 to 2013 in the Guatemalan Western Highlands

Research

Risk factors for maternal death and trends in maternal mortality in low- and middle-income countries: a prospective longitudinal cohort analysis

Research

A prospective observational description of frequency and timing of antenatal care attendance and coverage of selected interventions from sites in Argentina, Guatemala, India, Kenya, Pakistan and Zambia

Research

Lost to follow-up among pregnant women in a multi-site community based maternal and newborn health registry: a prospective study

Research

Rates and determinants of early initiation of breastfeeding and exclusive breast feeding at 42 days postnatal in six low and middle-income countries: A prospective cohort study