Optimizing data collection for obstetrical ultrasound research at the primary health care level in rural Uganda

Background Neonatal and maternal mortality remains high in low- and middle-income countries (LMIC), especially in sub-Saharan Africa. Quality data collection is crucial to understand the magnitude of these problems and to measure the impact of interventions aimed at improving neonatal and maternal m...

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Main Authors: Renny Ssembatya, Abimbola Leslie, Kristen DeStigter, Erika M. Edwards, Joyce Nayiga, Samalie Nakibirango, Julian P. Arapa, Nicholas Bahati, Blandina Busingye, Thomas Eremu, Mary Nakafeero, Micheal F. Ssenoga, Frank B. Williams, Delia Horn
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Global Health Action
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Online Access:http://dx.doi.org/10.1080/16549716.2024.2436715
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author Renny Ssembatya
Abimbola Leslie
Kristen DeStigter
Erika M. Edwards
Joyce Nayiga
Samalie Nakibirango
Julian P. Arapa
Nicholas Bahati
Blandina Busingye
Thomas Eremu
Mary Nakafeero
Micheal F. Ssenoga
Frank B. Williams
Delia Horn
author_facet Renny Ssembatya
Abimbola Leslie
Kristen DeStigter
Erika M. Edwards
Joyce Nayiga
Samalie Nakibirango
Julian P. Arapa
Nicholas Bahati
Blandina Busingye
Thomas Eremu
Mary Nakafeero
Micheal F. Ssenoga
Frank B. Williams
Delia Horn
author_sort Renny Ssembatya
collection DOAJ
description Background Neonatal and maternal mortality remains high in low- and middle-income countries (LMIC), especially in sub-Saharan Africa. Quality data collection is crucial to understand the magnitude of these problems and to measure the impact of interventions aimed at improving neonatal and maternal mortality. However, data collection in the low-income country setting, especially in rural areas, has been a challenge for researchers, policy makers, and public health officials. Here, we describe the methodology, experience and lessons learned while collecting data at lower-level primary health care facilities in rural Uganda. Methods Data collection was performed at Health Center III sites in rural Uganda, in partnership with Imaging the World and its affiliate Imaging the World Africa. The primary purpose of the data collection was to study the efficacy and clinical effect of introducing prenatal ultrasound services at these sites. Local data clerks were hired to perform the data collection through a combination of intensive training and on-the-ground support. Frequent oversight was used to support data collection. Results Of 2,397 enrolled pregnant women, 1,977 (82.5%) had complete outcome data. Upon independent expert audit, the data were >80% accurate for 10/11 variables and >90% accurate for 6/11 variables. Overall, the data collected at the rural HCs were 90% accurate. Discussion Accurate and complete data collection is possible in an LMIC setting if appropriate training and oversight are employed.
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spelling doaj-art-fb674375bf264dc6954869c46d4f924b2025-02-05T12:46:14ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.24367152436715Optimizing data collection for obstetrical ultrasound research at the primary health care level in rural UgandaRenny Ssembatya0Abimbola Leslie1Kristen DeStigter2Erika M. Edwards3Joyce Nayiga4Samalie Nakibirango5Julian P. Arapa6Nicholas Bahati7Blandina Busingye8Thomas Eremu9Mary Nakafeero10Micheal F. Ssenoga11Frank B. Williams12Delia Horn13Imaging the World AfricaUniversity of Vermont Medical CenterThe University of VermontThe University of VermontMakerere University College of Health SciencesImaging the World Consortium for Health LimitedData ClerkData ClerkData ClerkData ClerkMakerere UniversityImaging the World Center for Health and InnovationOchsner Baptist Medical CenterThe University of Vermont, University of Vermont Medical CenterBackground Neonatal and maternal mortality remains high in low- and middle-income countries (LMIC), especially in sub-Saharan Africa. Quality data collection is crucial to understand the magnitude of these problems and to measure the impact of interventions aimed at improving neonatal and maternal mortality. However, data collection in the low-income country setting, especially in rural areas, has been a challenge for researchers, policy makers, and public health officials. Here, we describe the methodology, experience and lessons learned while collecting data at lower-level primary health care facilities in rural Uganda. Methods Data collection was performed at Health Center III sites in rural Uganda, in partnership with Imaging the World and its affiliate Imaging the World Africa. The primary purpose of the data collection was to study the efficacy and clinical effect of introducing prenatal ultrasound services at these sites. Local data clerks were hired to perform the data collection through a combination of intensive training and on-the-ground support. Frequent oversight was used to support data collection. Results Of 2,397 enrolled pregnant women, 1,977 (82.5%) had complete outcome data. Upon independent expert audit, the data were >80% accurate for 10/11 variables and >90% accurate for 6/11 variables. Overall, the data collected at the rural HCs were 90% accurate. Discussion Accurate and complete data collection is possible in an LMIC setting if appropriate training and oversight are employed.http://dx.doi.org/10.1080/16549716.2024.2436715imaging the worldimaging the world africalow- and middle-income countriesprenatal ultrasoundneonatal mortalitymaternal mortalitydata accuracydata completeness
spellingShingle Renny Ssembatya
Abimbola Leslie
Kristen DeStigter
Erika M. Edwards
Joyce Nayiga
Samalie Nakibirango
Julian P. Arapa
Nicholas Bahati
Blandina Busingye
Thomas Eremu
Mary Nakafeero
Micheal F. Ssenoga
Frank B. Williams
Delia Horn
Optimizing data collection for obstetrical ultrasound research at the primary health care level in rural Uganda
Global Health Action
imaging the world
imaging the world africa
low- and middle-income countries
prenatal ultrasound
neonatal mortality
maternal mortality
data accuracy
data completeness
title Optimizing data collection for obstetrical ultrasound research at the primary health care level in rural Uganda
title_full Optimizing data collection for obstetrical ultrasound research at the primary health care level in rural Uganda
title_fullStr Optimizing data collection for obstetrical ultrasound research at the primary health care level in rural Uganda
title_full_unstemmed Optimizing data collection for obstetrical ultrasound research at the primary health care level in rural Uganda
title_short Optimizing data collection for obstetrical ultrasound research at the primary health care level in rural Uganda
title_sort optimizing data collection for obstetrical ultrasound research at the primary health care level in rural uganda
topic imaging the world
imaging the world africa
low- and middle-income countries
prenatal ultrasound
neonatal mortality
maternal mortality
data accuracy
data completeness
url http://dx.doi.org/10.1080/16549716.2024.2436715
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