Digital monitoring of anemia control measures in a district using Anemia Mukt Bharat Health Management Information System indicators
Background and objectives: Anemia is a severe public health problem in India affecting more than fifty percent individuals across most age groups. Anemia Mukt Bharat (AMB) programme, with target of 3-point reduction in anemia prevalence per year, developed a monitoring mechanism based on a set of 18...
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Veröffentlicht in: | Annals of nutrition and metabolism 2023-08, Vol.79, p.1153 |
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Zusammenfassung: | Background and objectives: Anemia is a severe public health problem in India affecting more than fifty percent individuals across most age groups. Anemia Mukt Bharat (AMB) programme, with target of 3-point reduction in anemia prevalence per year, developed a monitoring mechanism based on a set of 18 indicators and 6 key performance indicators (KPIs) derived from routine reporting in Health Management Information System (HMIS). Objective of the study was to assess status of anemia control measures in district Faridabad, Haryana using AMB HMIS indicators for the period of April 2018 – March 2019. Methods: A cross sectional study was conducted in district Faridabad, Haryana from May 1 to June 15, 2019 (Reference period - April 2018 – March 2019). Status of existing activities for anemia control was assessed by documentation of HMIS indicators identified by AMB programme to be used for routine monitoring. Sources of data were HMIS, programme reports and district annual reports. Denominators provided by AMB programme were used for ascertaining proportions. Critical review of the generated data was done along with description of collection and reporting process. Results: Activities in place to control anemia were prophylactic iron and folic acid (IFA) supplementation and deworming to 6 – 59 months children, adolescents, and pregnant and lactating women. For children 5 – 9 years of age, IFA was not provided in the district but deworming was done. Coverage of IFA prophylaxis in children 6 – 59 months was 22.5%, in adolescents was 50.7 %. The 180 days IFA supplementation in pregnant women was 33.8 %. IFA stock status was not being captured in the district. AMB index for district Faridabad (April 2018 – March 2019) was 26.8. Gaps in understanding of data elements, and mismatch between AMB denominator data and census forecasts limited the data accuracy. Conclusions: Overall, the status of anemia control measures as assessed by HMIS indicators was not satisfactory in the study district. Number based reporting and issues with data quality limited the use of data for decision making. Periodic evaluations of anemia control measures at district level maybe required to achieve the targets set by Anemia Mukt Bharat programme. |
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ISSN: | 0250-6807 1421-9697 |
DOI: | 10.1159/000530786 |