This trial randomizes 120 health centers in Palestine and aims to assess the effect of the introduction of eRegistries with interactive checklists and clinical decision support on the quality of antenatal care.
eRegistries: Electronic registries with interactive checklist and clinical decision support to improve quality of antenatal care in Palestine
Better data on health status and quality of healthcare are crucial to address bottlenecks in achieving universal health coverage and producing better policies for health.
eRegistries are designed to increase the availability and timely use of routine maternal and child health (MCH) data, as data is consistently captured and the eRegistries are strategically designed to inform decision-making. They therefore enable care providers to perform interventions based on the client’s actual health needs, and allow for better-informed planning. Thus, eRegistries serve the dual purpose of patient management and public health monitoring.
The Palestinian National Institute of Public Health (PNIPH)/WHO is, in close collaboration with the Ministry of Health in Palestine, currently rolling out a nationwide MCH eRegistry. The national implementation of the MCH eRegistry includes cluster randomized controlled trials led by the Norwegian Institute of Public Health, designed and monitored in collaboration with CISMAC. The first ongoing trial will assess if the MCH eRegistry with interactive checklists and clinical decision support can improve the quality of antenatal care. The trial includes 120 health centres (clusters). The US Institute of Medicine’s domains of quality of care, namely: safety, effectiveness, patient-centeredness, timeliness, efficiency and equity will be used to evaluate quality of care.
J. Frederik Frøen, Norwegian Institute of Public Health, Norway
Buthaina Ghanem, Palestinian National Institute of Public Health, Palestine