{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T06:51:31Z","timestamp":1784875891055,"version":"3.55.0"},"reference-count":48,"publisher":"Public Library of Science (PLoS)","issue":"4","license":[{"start":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T00:00:00Z","timestamp":1711929600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Introduction<\/jats:title>\n<jats:p>Health-facility data serves as a primary source for monitoring service provision and guiding the attainment of health targets. District Health Information Software (DHIS2) is a free open software predominantly used in low and middle-income countries to manage the facility-based data and monitor program wise service delivery. Evidence suggests the lack of quality in the routine maternal and child health information, however there is no robust analysis to evaluate the extent of its inaccuracy. We aim to bridge this gap by accessing the quality of DHIS2 data reported by health facilities to monitor priority maternal, newborn and child health indicators in Lumbini Province, Nepal.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>A facility-based descriptive study design involving desk review of Maternal, Neonatal and Child Health (MNCH) data was used. In 2021\/22, DHIS2 contained a total of 12873 reports in safe motherhood, 12182 reports in immunization, 12673 reports in nutrition and 12568 reports in IMNCI program in Lumbini Province. Of those, monthly aggregated DHIS2 data were downloaded at one time and included 23 priority maternal and child health related data items. Of these 23 items, nine were chosen to assess consistency over time and identify outliers in reference years. Twelve items were selected to examine consistency between related data, while five items were chosen to assess the external consistency of coverage rates. We reviewed the completeness, timeliness and consistency of these data items and considered the prospects for improvement.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>The overall completeness of facility reporting was found within 98% to 100% while timeliness of facility reporting ranged from 94% to 96% in each Maternal, Newborn and Child Health (MNCH) datasets. DHIS2 reported data for all 9 MNCH data items are consistent over time in 4 of 12 districts as all the selected data items are within \u00b133% difference from the provincial ratio. Of the eight MNCH data items assessed, four districts reported \u22655% monthly values that were moderate outliers in a reference year with no extreme outliers in any districts. Consistency between six-pairs of data items that are expected to show similar patterns are compared and found that three pairs are within \u00b110% of each other in all 12 districts. Comparison between the coverage rates of selected tracer indicators fall within \u00b133% of the DHS survey result.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Given the WHO data quality guidance and national benchmark, facilities in the Lumbini province well maintained the completeness and timeliness of MNCH datasets. Nevertheless, there is room for improvement in maintaining consistency over time, plausibility and predicted relationship of reported data. Encouraging the promotion of data review through the data management committee, strengthening the system inbuilt data validation mechanism in DHIS2, and promoting routine data quality assessment systems should be greatly encouraged.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0298101","type":"journal-article","created":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T17:35:33Z","timestamp":1711992933000},"page":"e0298101","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":6,"title":["Quality of routine health facility data for monitoring maternal, newborn and child health indicators: A desk review of DHIS2 data in Lumbini Province, Nepal"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2424-665X","authenticated-orcid":true,"given":"Keshab","family":"Sanjel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiv Lal","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swadesh","family":"Gurung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Man Bahadur","family":"Oli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samikshya","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tuk Prasad","family":"Pokhrel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,4,1]]},"reference":[{"key":"pone.0298101.ref001","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1108\/S1474-8231(2012)0000012006","article-title":"How can routine health information systems improve health systems functioning in low-and middle-income countries? Assessing the evidence base","volume":"12","author":"DR Hotchkiss","year":"2012","journal-title":"Adv Health Care Manag"},{"key":"pone.0298101.ref002","author":"T Lippeveld","year":"2000","journal-title":"Design and implementation of health information systems"},{"key":"pone.0298101.ref003","volume-title":"Framework and standards for country health information systems","author":"World Health Organization","year":"2008"},{"key":"pone.0298101.ref004","first-page":"578","article-title":"Health information systems: the foundations of public health","volume":"83","author":"C AbouZahr","year":"2005","journal-title":"Bulletin of the World Health Organization"},{"issue":"1_suppl","key":"pone.0298101.ref005","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1177\/0141076814531750","article-title":"Health information systems in Africa: descriptive analysis of data sources, information products and health statistics","volume":"107","author":"PE Mbondji","year":"2014","journal-title":"Journal of the Royal Society of Medicine"},{"issue":"2","key":"pone.0298101.ref006","first-page":"1","article-title":"Improving health information systems for decision making across five sub-Saharan African countries: Implementation strategies from the African Health Initiative.","volume":"13","author":"W Mutale","year":"2013","journal-title":"BMC health services research."},{"issue":"6","key":"pone.0298101.ref007","doi-asserted-by":"crossref","first-page":"971","DOI":"10.4269\/ajtmh.2009.80.971","article-title":"Potential of integrated continuous surveys and quality management to support monitoring, evaluation, and the scale-up of health interventions in developing countries","volume":"80","author":"AK Rowe","year":"2009","journal-title":"The American journal of tropical medicine and hygiene"},{"key":"pone.0298101.ref008","first-page":"53","article-title":"Improving the availability, quality and use of health information, research evidence and knowledge to strengthen health systems.","volume":"12","author":"D Kebede","year":"2010","journal-title":"The African Health Monitor"},{"issue":"10","key":"pone.0298101.ref009","doi-asserted-by":"crossref","first-page":"683","DOI":"10.2471\/BLT.17.194399","article-title":"Using health-facility data to assess subnational coverage of maternal and child health indicators, Kenya","volume":"95","author":"I Maina","year":"2017","journal-title":"Bulletin of the World Health Organization"},{"issue":"2","key":"pone.0298101.ref010","doi-asserted-by":"crossref","first-page":"e0148449","DOI":"10.1371\/journal.pone.0148449","article-title":"Quality of health management information system for maternal & child health care in Haryana state, India.","volume":"11","author":"A Sharma","year":"2016","journal-title":"PLoS One"},{"issue":"10129","key":"pone.0298101.ref011","doi-asserted-by":"crossref","first-page":"1538","DOI":"10.1016\/S0140-6736(18)30104-1","article-title":"Countdown to 2030: tracking progress towards universal coverage for reproductive, maternal, newborn, and child health","volume":"391","author":"T Boerma","year":"2018","journal-title":"The Lancet"},{"key":"pone.0298101.ref012","article-title":"Transforming our world: The 2030 agenda for sustainable development","author":"UNited Nations","year":"2015","journal-title":"General Assembley 70 session."},{"issue":"11","key":"pone.0298101.ref013","doi-asserted-by":"crossref","first-page":"e775","DOI":"10.1016\/S2214-109X(16)30204-2","article-title":"Countdown to 2030 for reproductive, maternal, newborn, child, and adolescent health and nutrition","volume":"4","author":"C Victora","year":"2016","journal-title":"The Lancet Global Health"},{"key":"pone.0298101.ref014","volume-title":"Nisulka nawajaat sishu upachar karyakram karyabidhi nirdeshika 2074","author":"Child Health Division","year":"2017"},{"key":"pone.0298101.ref015","volume-title":"Nepal\u2019s every newborn action plan 2016","author":"Ministry of Health","year":"2016"},{"key":"pone.0298101.ref016","author":"District Health Information System","journal-title":"District Health Information System (Version 2) Overview"},{"key":"pone.0298101.ref017","volume-title":"Improving Accuracy of District Coverage Estimates of Health Management Information System by Annealing it with Lot Quality Assurance Sampling Community Survey Data in Nepal","author":"Department of Health Services (DoHS), Ministry of Health and Population (MoHP), Nepal; and Nepal Health Sector Programme 3\/Monitoring, Evaluation and Operational Research (MEOR).","year":"2019"},{"key":"pone.0298101.ref018","author":"Collaborative UNCsFaHD","year":"2022","journal-title":"Assessing partner alignment in support of the health information system in Nepal"},{"key":"pone.0298101.ref019","article-title":"Nepal Demographic and Health Survey 2022: Key Indicators Report","author":"Ministry of Health and Population","journal-title":"Ministry of Health and Population NNEaIN"},{"key":"pone.0298101.ref020","volume-title":"Progress of Health and Population Sector 2021\/22 (2078\/79 BS).","author":"Ministry of Health and Population","year":"2022"},{"key":"pone.0298101.ref021","volume-title":"Preliminary Report of National Population Census 2021","author":"Centeral Bureau of Statistics","year":"2021"},{"key":"pone.0298101.ref022","article-title":"Data quality review: a toolkit for facility data quality assessment. Module 1","author":"World Health Organization","journal-title":"Framework and metrics. Geneva1027"},{"key":"pone.0298101.ref023","volume-title":"Nepal Health Sector Strategic Plan 2023\u20132030","author":"Ministry of Health and Population","year":"2023"},{"key":"pone.0298101.ref024","volume-title":"Provincial health sector strategic implementation plan 2023\u20132030","author":"Ministry of Health and Population","year":"2023"},{"key":"pone.0298101.ref025","volume-title":"Nepal Safe Motherhood and Newborn Health Roadmap 2030","author":"Family Welfare Division","year":"2019"},{"key":"pone.0298101.ref026","author":"World Health Organization","year":"2014","journal-title":"Guide to the health facility data quality report card [Internet]."},{"issue":"5","key":"pone.0298101.ref027","doi-asserted-by":"crossref","first-page":"e001849","DOI":"10.1136\/bmjgh-2019-001849","article-title":"Generating statistics from health facility data: the state of routine health information systems in eastern and southern Africa","volume":"4","author":"A Ma\u00efga","year":"2019","journal-title":"BMJ Global Health"},{"issue":"1","key":"pone.0298101.ref028","doi-asserted-by":"crossref","first-page":"21424","DOI":"10.3402\/gha.v6i0.21424","article-title":"Where is information quality lost at clinical level? A mixed-method study on information systems and data quality in three urban Kenyan ANC clinics","volume":"6","author":"D Hahn","year":"2013","journal-title":"Global health action."},{"issue":"1","key":"pone.0298101.ref029","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1472-6947-14-40","article-title":"Strengthening district-based health reporting through the district health management information software system: the Ugandan experience.","volume":"14","author":"VM Kiberu","year":"2014","journal-title":"BMC medical informatics and decision making."},{"key":"pone.0298101.ref030","first-page":"20","author":"O Makinde","year":"2012"},{"issue":"7","key":"pone.0298101.ref031","first-page":"503","article-title":"The immunization data quality audit: verifying the quality and consistency of immunization monitoring systems","volume":"83","author":"O Ronveaux","year":"2005","journal-title":"Bulletin of the World Health Organization"},{"issue":"6","key":"pone.0298101.ref032","first-page":"69","article-title":"Data quality and information use: A systematic review to improve evidence.","volume":"3","author":"M Gebrekidan","year":"2012","journal-title":"Ethiopia Int J Intell Inf Syst"},{"issue":"1","key":"pone.0298101.ref033","article-title":"Reporting practices and data quality in health information systems in developing countries: an exploratory case study in Kenya","volume":"10","author":"A Manya","year":"2016","journal-title":"Journal of Health Informatics in Developing Countries"},{"key":"pone.0298101.ref034","author":"I Karengera","year":"2016","journal-title":"Quality and use of routine healthcare data in selected districts of eastern province of Rwanda"},{"issue":"3","key":"pone.0298101.ref035","doi-asserted-by":"crossref","first-page":"e0213600","DOI":"10.1371\/journal.pone.0213600","article-title":"A quality assessment of health management information system (HMIS) data for maternal and child health in Jimma zone, Ethiopia.","volume":"14","author":"M Ouedraogo","year":"2019","journal-title":"PloS one"},{"key":"pone.0298101.ref036","year":"2023","journal-title":"District Health Management Software (Version 2) [Internet]"},{"issue":"1","key":"pone.0298101.ref037","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13104-015-1058-3","article-title":"Completeness and accuracy of data transfer of routine maternal health services data in the greater Accra region.","volume":"8","author":"M Amoakoh-Coleman","year":"2015","journal-title":"BMC research notes."},{"key":"pone.0298101.ref038","article-title":"Annual Health Progress Report of FY 2078\/79.","author":"Health Directorate","journal-title":"Health Directorate MoH, Lumbini Province, Nepal, 2079."},{"issue":"1","key":"pone.0298101.ref039","doi-asserted-by":"crossref","first-page":"e0211265","DOI":"10.1371\/journal.pone.0211265","article-title":"Quality of routine facility data for monitoring priority maternal and newborn indicators in DHIS2: a case study from Gombe state, Nigeria","volume":"14","author":"AA Bhattacharya","year":"2019","journal-title":"PloS one"},{"issue":"1","key":"pone.0298101.ref040","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12913-022-08449-6","article-title":"Maternal and child health data quality in health care facilities at the Cape Coast Metropolis, Ghana.","volume":"22","author":"OU Lasim","year":"2022","journal-title":"BMC Health Services Research"},{"key":"pone.0298101.ref041","volume-title":"Family Welfare Division, Department of Health Services, Ministry of Health and Population","author":"Department of Health Services","year":"2030"},{"issue":"1","key":"pone.0298101.ref042","doi-asserted-by":"crossref","first-page":"1868961","DOI":"10.1080\/16549716.2020.1868961","article-title":"Routine health management information system data in Ethiopia: consistency, trends, and challenges.","volume":"14","author":"A Adane","year":"2021","journal-title":"Global health action."},{"issue":"1","key":"pone.0298101.ref043","doi-asserted-by":"crossref","first-page":"25829","DOI":"10.3402\/gha.v7.25829","article-title":"Toward utilization of data for program management and evaluation: quality assessment of five years of health management information system data in Rwanda.","volume":"7","author":"MP Nisingizwe","year":"2014","journal-title":"Global health action."},{"issue":"12","key":"pone.0298101.ref044","doi-asserted-by":"crossref","first-page":"e038174","DOI":"10.1136\/bmjopen-2020-038174","article-title":"Improving the quality of routine maternal and newborn data captured in primary health facilities in Gombe State, Northeastern Nigeria: a before-and-after study","volume":"10","author":"AA Bhattacharya","year":"2020","journal-title":"BMJ open"},{"issue":"1","key":"pone.0298101.ref045","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1478-7954-9-12","article-title":"An assessment of routine primary care health information system data quality in Sofala Province, Mozambique.","volume":"9","author":"S Gimbel","year":"2011","journal-title":"Population health metrics."},{"issue":"1","key":"pone.0298101.ref046","first-page":"1","article-title":"Prevention of Mother-to-Child Transmission of HIV data completeness and accuracy assessment in health facilities of the Nkangala District.","volume":"19","author":"MG Mlambo","year":"2014","journal-title":"Health SA Gesondheid (Online)."},{"key":"pone.0298101.ref047","doi-asserted-by":"crossref","DOI":"10.11604\/pamj.2017.27.239.11875","article-title":"A pilot study of routine immunization data quality in Bunza Local Government area: causes and possible remedies.","volume":"27","author":"SA Omoleke","year":"2017","journal-title":"The Pan African Medical Journal"},{"issue":"5","key":"pone.0298101.ref048","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1093\/fampra\/cml040","article-title":"Data quality improvement in 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