Introducing a digital emergency obstetric and newborn care register for indoor obstetric patient management: An implementation research in selected public health care facilities of Bangladesh

Digital health records have emerged as vital tools for improving health care delivery and patient data management. Acknowledging the gaps in data recording by a paper-based register, the emergency obstetric and newborn care (EmONC) register used in the labour ward was digitised. In this study, we ai...

Full description

Saved in:

Bibliographic Details
Published in:	Journal of global health Vol. 14; p. 04075
Main Authors:	Jabeen, Sabrina, Rahman, Mahiur, Siddique, Abu Bakkar, Hasan, Mehedi, Matin, Rubaiya, Rahman, Qazi Sadeq-Ur, Akm, Tanvir Hossain, Alim, Azizul, Nadia, Nuzhat, Mahmud, Mustufa, Islam, Jahurul, Islam, Muhammad Shariful, Haider, Mohammad Sabbir, Dewan, Farhana, Begum, Ferdousi, Barua, Uchchash, Anam, Mohammad Toriqul, Islam, Abirul, Razzak, Khandaker Sabit Bin, Ameen, Shafiqul, Hossain, Aniqa Tasnim, Nahar, Quamrun, Ahmed, Anisuddin, El Arifeen, Shams, Rahman, Ahmed Ehsanur
Format:	Journal Article
Language:	English
Published:	Scotland Edinburgh University Global Health Society 10-05-2024
Subjects:	Bangladesh Collaboration Data management Electronic Health Records Emergency Medical Services - organization & administration Female Health care Health Facilities Health services Humans Infant, Newborn Maternal & child health Meetings Midwifery Obstetrics Planning Portable computers Pregnancy Public health Registries Stakeholders Workshops Bangladesh
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Digital health records have emerged as vital tools for improving health care delivery and patient data management. Acknowledging the gaps in data recording by a paper-based register, the emergency obstetric and newborn care (EmONC) register used in the labour ward was digitised. In this study, we aimed to assess the implementation outcome of the digital register in selected public health care facilities in Bangladesh. Extensive collaboration with stakeholders facilitated the development of an android-based electronic register from the paper-based register in the labour rooms of the selected district and sub-district level public health facilities of Bangladesh. We conducted a study to assess the implementation outcome of introducing the digital EmONC register in the labour ward. The digital register demonstrated high usability with a score of 83.7 according to the system usability scale, and health care providers found it highly acceptable, with an average score exceeding 95% using the technology acceptance model. The adoption rate reached an impressive 98% (95% confidence interval (CI) = 98-99), and fidelity stood at 90% (95% CI = 88-91) in the digital register, encompassing more than 80% of data elements. Notably, fidelity increased significantly over the implementation period of six months. The digital system proved a high utility rate of 89% (95% CI = 88-91), and all outcome variables exceeded the predefined benchmark. The implementation outcome assessment underscores the potential of the digital register to enhance maternal and newborn health care in Bangladesh. Its user-friendliness, improved data completeness, and high adoption rates indicate its capacity to streamline health care data management and improve the quality of care.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2047-2978 2047-2986
DOI:	10.7189/jogh.14.04075