Factors Associated with Incomplete Reporting of HIV and AIDS by Uganda's Surveillance System

Autor/in	Akankunda, Denis B.
Titel	Factors Associated with Incomplete Reporting of HIV and AIDS by Uganda's Surveillance System
Quelle	(2014), (80 Seiten) PDF als Volltext Verfügbarkeit Dr.P.H. Dissertation, State University of New York at Albany
Sprache	englisch
Dokumenttyp	gedruckt; online; Monographie
ISBN	978-1-3039-3506-0
Schlagwörter	Hochschulschrift; Dissertation; Foreign Countries; Public Health; Acquired Immunodeficiency Syndrome (AIDS); Communicable Diseases; Information Management; Data Collection; Public Policy; Clinics; Patients; Nongovernmental Organizations; Health Services; Geographic Regions; Reports; Uganda + Suchen Sie Ihr Suchwort? Thesis; Dissertations; Academic thesis; Ausland; Gesundheitswesen; Contagious disease; Contagious diseases; Communicable disease; Infektionskrankheit; Procurement of information; Informationsbeschaffung; Data capture; Datensammlung; Öffentliche Ordnung; Patient; Health service; Gesundheitsdienst; Abschlussbericht; Berichten
Abstract	Background: Over the last 20 years, Uganda has piloted and implemented various management information systems (MIS) for better surveillance of HIV/AIDS. With support from the United States Government, Uganda introduced the District Health Information Software 2 (DHIS2) in 2012. However, districts have yet to fully adapt to this system given a 70.2% reporting completeness achieved nationally between April-June 2013. Objectives: To examine factors associated with districts' incomplete reporting of HIV/AIDS data through DHIS2 and suggest policy recommendations. Methods: The study has one dependent variable: Districts' reporting completeness and four independent variables. 1.) Number of client visits; 2.) number of district health units; 3.) number of NGOs delivering HIV and AIDS services; and 4.) regional location of districts. These variables constituted overall study of reporting completeness obtained from "inpatient," "outpatient," and "maternal newborn health" by districts. Results: Districts that recorded the lowest number of client visits (under 2500) achieved the highest mean reporting completeness (81.6%), whereas a range of 2501-5000, or over 5001 client visits recorded 72.4% and 51.7% respectively. The higher the number of client visits the lower the reporting completeness (p < 0.0005). Districts that were receiving support from only one NGO recorded a mere 56.7% whereas those from two recorded 67.2%. Districts supported by over three NGOs had the highest (80.6%) mean reporting completeness score. The number of NGOs was statistically associated with reporting completeness p < 0.0005). The number of health units operated by a district was also significantly associated with reporting completeness (p < 0.0005). A consistent increase in the number of health units was associated with a consistent decrease in mean reporting completeness. The regional location of a district was not associated with reporting completeness (p = 0.674). Conclusion: The study recommended: districts with higher patient volume for HIV and AIDS services should be identified and targeted with additional NGO support; future NGOs support should be directed to districts that are operating over 40 health units. Incomplete reporting undermines evidence-based planning and service delivery for HIV prevention and antiretroviral therapy for all eligible population. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.] (As Provided).
Anmerkungen	ProQuest LLC. 789 East Eisenhower Parkway, P.O. Box 1346, Ann Arbor, MI 48106. Tel: 800-521-0600; Web site: http://www.proquest.com/en-US/products/dissertations/individuals.shtml
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01