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Assessing Maternal and Child health Service Continuity Using Routine Health Information System Data: A Sub-National Analysis from Zambia


Authors : Gabriel Phiri; Keegan Shamisale; Mathews Ngambi

Volume/Issue : Volume 11 - 2026, Issue 6 - June


Google Scholar : https://tinyurl.com/24pj4t4p

Scribd : https://tinyurl.com/2sy9utm6

DOI : https://doi.org/10.38124/ijisrt/26jun2037

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Abstract : Background Routine Health Management Information Systems (HMIS) generate extensive maternal and child health (MCH) data but remain under-utilized for sub-national performance analysis and supervisory decision-making, particularly in low- and middle-income countries (LMICs) (Ramadan et al., 2023; World Health Organization, 2023). Applying a continuum-of-care lens to routine data may reveal structural service delivery gaps that are not visible in survey-based evidence (Grewal et al., 2024).  Methods We conducted a desk-based secondary analysis of routine DHIS2 data for eight MCH indicators across all 15 districts in Eastern Province, Zambia, covering the period 2023–2025. Indicators represented antenatal, intrapartum, postnatal, and child preventive stages of the MCH continuum of care, consistent with WHO guidance on routine health facility data use (World Health Organization, 2023).

Keywords : Health Management Information System; Continuum of Care; Maternal and Child Health; Supportive Supervision; Sub-National Analysis.

References :

  1. Countdown to 2030 (2024) Zambia RMNCAH Chartbook 2024: Analysis of reproductive, maternal, newborn, child and adolescent health indicators using routine facility data. Kigali: Countdown to 2030.
  2. Grewal, G., Fuller, S.S., Rababeh, A., Maina, M., English, M. and Paton, C. (2024) ‘Scoping review of interventions to improve continuity of post‑discharge care for newborns in low‑ and middle‑income countries’, BMJ Global Health, 9(1), e012894.
  3. Ministry of Health Zambia (2023) National Health Strategic Plan 2022–2026: Towards attainment of quality universal health coverage through decentralisation. Lusaka: Ministry of Health.
  4. Ramadan, M., Gutierrez, J.C., Feil, C., Bolongaita, S., Bernal, O. and Villar Uribe, M. (2023) ‘Capacity and quality of maternal and child health services delivery at the subnational primary healthcare level in relation to intermediate health outputs’, BMJ Open, 13(1), e065223.
  5. Sitrin, D., Brunie, A., Rosenberg, R., Wilson, L., Lebetkin, E. and Kagimu, R. (2025) ‘Assessing the availability and scope of routine data on post‑pregnancy family planning in low‑ and middle‑income countries’, PLOS Global Public Health, 5(10), e0005205.
  6. World Health Organization (2022) WHO recommendations on maternal and newborn care for a positive postnatal experience. Geneva: WHO.
  7. World Health Organization (2023) Analysis and use of health facility data: guidance for maternal, newborn, child, and adolescent health programme managers. Geneva: WHO.
  8. World Health Organization AFRO (2024) Zambia–WHO Country Cooperation Strategy 2024–2027. Brazzaville: WHO Regional Office for Africa.

Background Routine Health Management Information Systems (HMIS) generate extensive maternal and child health (MCH) data but remain under-utilized for sub-national performance analysis and supervisory decision-making, particularly in low- and middle-income countries (LMICs) (Ramadan et al., 2023; World Health Organization, 2023). Applying a continuum-of-care lens to routine data may reveal structural service delivery gaps that are not visible in survey-based evidence (Grewal et al., 2024).  Methods We conducted a desk-based secondary analysis of routine DHIS2 data for eight MCH indicators across all 15 districts in Eastern Province, Zambia, covering the period 2023–2025. Indicators represented antenatal, intrapartum, postnatal, and child preventive stages of the MCH continuum of care, consistent with WHO guidance on routine health facility data use (World Health Organization, 2023).

Keywords : Health Management Information System; Continuum of Care; Maternal and Child Health; Supportive Supervision; Sub-National Analysis.

Paper Submission Last Date
31 - August - 2026

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