{"id":"https://openalex.org/W2167470445","doi":"https://doi.org/10.1186/1472-6947-14-40","title":"Strengthening district-based health reporting through the district health management information software system: the Ugandan experience","display_name":"Strengthening district-based health reporting through the district health management information software system: the Ugandan experience","publication_year":2014,"publication_date":"2014-05-13","ids":{"openalex":"https://openalex.org/W2167470445","doi":"https://doi.org/10.1186/1472-6947-14-40","mag":"2167470445","pmid":"https://pubmed.ncbi.nlm.nih.gov/24886567"},"language":"en","primary_location":{"id":"doi:10.1186/1472-6947-14-40","is_oa":true,"landing_page_url":"https://doi.org/10.1186/1472-6947-14-40","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/1472-6947-14-40","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/1472-6947-14-40","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5052560630","display_name":"Vincent Micheal Kiberu","orcid":"https://orcid.org/0000-0002-8612-3524"},"institutions":[{"id":"https://openalex.org/I72227227","display_name":"Makerere University","ror":"https://ror.org/03dmz0111","country_code":"UG","type":"education","lineage":["https://openalex.org/I72227227"]}],"countries":["UG"],"is_corresponding":true,"raw_author_name":"Vincent Micheal Kiberu","raw_affiliation_strings":["Makerere University School of Public Health-U,S, Centers for Diseases Control and Prevention (MakSPH-CDC) Fellowship Program, P,O, Box 7072 Kampala, Uganda. vmicheal@yahoo.com","Makerere University School of Public Health-U.S. Centers for Diseases Control and Prevention (MakSPH-CDC) Fellowship Program, P.O. Box 7072, Kampala, Uganda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Makerere University School of Public Health-U,S, Centers for Diseases Control and Prevention (MakSPH-CDC) Fellowship Program, P,O, Box 7072 Kampala, Uganda. vmicheal@yahoo.com","institution_ids":[]},{"raw_affiliation_string":"Makerere University School of Public Health-U.S. Centers for Diseases Control and Prevention (MakSPH-CDC) Fellowship Program, P.O. Box 7072, Kampala, Uganda","institution_ids":["https://openalex.org/I72227227"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045293289","display_name":"Joseph K. B. Matovu","orcid":"https://orcid.org/0000-0001-6480-2940"},"institutions":[{"id":"https://openalex.org/I72227227","display_name":"Makerere University","ror":"https://ror.org/03dmz0111","country_code":"UG","type":"education","lineage":["https://openalex.org/I72227227"]}],"countries":["UG"],"is_corresponding":false,"raw_author_name":"Joseph KB Matovu","raw_affiliation_strings":["Makerere University School of Public Health-U.S. Centers for Diseases Control and Prevention (MakSPH-CDC) Fellowship Program, P.O. Box 7072, Kampala, Uganda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Makerere University School of Public Health-U.S. Centers for Diseases Control and Prevention (MakSPH-CDC) Fellowship Program, P.O. Box 7072, Kampala, Uganda","institution_ids":["https://openalex.org/I72227227"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033745684","display_name":"Fredrick Makumbi","orcid":"https://orcid.org/0000-0002-6460-7325"},"institutions":[{"id":"https://openalex.org/I72227227","display_name":"Makerere University","ror":"https://ror.org/03dmz0111","country_code":"UG","type":"education","lineage":["https://openalex.org/I72227227"]}],"countries":["UG"],"is_corresponding":false,"raw_author_name":"Fredrick Makumbi","raw_affiliation_strings":["Department of Biostatistics and Epidemiology, Makerere University School of Public Health, Kampala, Uganda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biostatistics and Epidemiology, Makerere University School of Public Health, Kampala, Uganda","institution_ids":["https://openalex.org/I72227227"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011913324","display_name":"Carol Kyozira","orcid":null},"institutions":[{"id":"https://openalex.org/I4210092895","display_name":"Ministry of Health","ror":"https://ror.org/00hy3gq97","country_code":"UG","type":"government","lineage":["https://openalex.org/I4210092895"]}],"countries":["UG"],"is_corresponding":false,"raw_author_name":"Carol Kyozira","raw_affiliation_strings":["Ministry of Health, Resource Center, Kampala, Uganda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ministry of Health, Resource Center, Kampala, Uganda","institution_ids":["https://openalex.org/I4210092895"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024798382","display_name":"Eddie Mukooyo","orcid":null},"institutions":[{"id":"https://openalex.org/I4210092895","display_name":"Ministry of Health","ror":"https://ror.org/00hy3gq97","country_code":"UG","type":"government","lineage":["https://openalex.org/I4210092895"]}],"countries":["UG"],"is_corresponding":false,"raw_author_name":"Eddie Mukooyo","raw_affiliation_strings":["Ministry of Health, Resource Center, Kampala, Uganda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ministry of Health, Resource Center, Kampala, Uganda","institution_ids":["https://openalex.org/I4210092895"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5113934270","display_name":"Rhoda K. Wanyenze","orcid":null},"institutions":[{"id":"https://openalex.org/I72227227","display_name":"Makerere University","ror":"https://ror.org/03dmz0111","country_code":"UG","type":"education","lineage":["https://openalex.org/I72227227"]}],"countries":["UG"],"is_corresponding":false,"raw_author_name":"Rhoda K Wanyenze","raw_affiliation_strings":["Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda","institution_ids":["https://openalex.org/I72227227"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5052560630"],"corresponding_institution_ids":["https://openalex.org/I72227227"],"apc_list":{"value":1570,"currency":"GBP","value_usd":1925},"apc_paid":{"value":1570,"currency":"GBP","value_usd":1925},"fwci":14.8691,"has_fulltext":true,"cited_by_count":294,"citation_normalized_percentile":{"value":0.98890399,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":98,"max":100},"biblio":{"volume":"14","issue":"1","first_page":"40","last_page":"40"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.7111999988555908,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.7111999988555908,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":0.04529999941587448,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13194","display_name":"ICT in Developing Communities","score":0.03370000049471855,"subfield":{"id":"https://openalex.org/subfields/1710","display_name":"Information Systems"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-informatics","display_name":"Health informatics","score":0.8611093759536743},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.5675511360168457},{"id":"https://openalex.org/keywords/public-health-informatics","display_name":"Public health informatics","score":0.47691938281059265},{"id":"https://openalex.org/keywords/health-management-system","display_name":"Health management system","score":0.4508953094482422},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.36597126722335815},{"id":"https://openalex.org/keywords/hrhis","display_name":"HRHIS","score":0.3549809753894806},{"id":"https://openalex.org/keywords/environmental-health","display_name":"Environmental health","score":0.3462785482406616},{"id":"https://openalex.org/keywords/data-science","display_name":"Data science","score":0.3342614769935608},{"id":"https://openalex.org/keywords/health-policy","display_name":"Health policy","score":0.2952233850955963},{"id":"https://openalex.org/keywords/public-health","display_name":"Public health","score":0.23336341977119446},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.16864919662475586},{"id":"https://openalex.org/keywords/alternative-medicine","display_name":"Alternative medicine","score":0.14855986833572388}],"concepts":[{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.8611093759536743},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5675511360168457},{"id":"https://openalex.org/C106476913","wikidata":"https://www.wikidata.org/wiki/Q7257747","display_name":"Public health informatics","level":5,"score":0.47691938281059265},{"id":"https://openalex.org/C171265473","wikidata":"https://www.wikidata.org/wiki/Q5691117","display_name":"Health management system","level":3,"score":0.4508953094482422},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.36597126722335815},{"id":"https://openalex.org/C147268084","wikidata":"https://www.wikidata.org/wiki/Q5635796","display_name":"HRHIS","level":4,"score":0.3549809753894806},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3462785482406616},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.3342614769935608},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.2952233850955963},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.23336341977119446},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.16864919662475586},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.14855986833572388},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D006296","descriptor_name":"Health Services","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006296","descriptor_name":"Health Services","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006296","descriptor_name":"Health Services","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007297","descriptor_name":"Inpatients","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007297","descriptor_name":"Inpatients","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007297","descriptor_name":"Inpatients","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010045","descriptor_name":"Outpatients","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010045","descriptor_name":"Outpatients","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010045","descriptor_name":"Outpatients","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014454","descriptor_name":"Uganda","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014454","descriptor_name":"Uganda","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014454","descriptor_name":"Uganda","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D063005","descriptor_name":"Health Information Systems","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D063005","descriptor_name":"Health Information Systems","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D063005","descriptor_name":"Health Information Systems","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D063025","descriptor_name":"Health Information Management","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D063025","descriptor_name":"Health Information Management","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D063025","descriptor_name":"Health Information Management","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1186/1472-6947-14-40","is_oa":true,"landing_page_url":"https://doi.org/10.1186/1472-6947-14-40","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/1472-6947-14-40","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},{"id":"pmid:24886567","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/24886567","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC medical informatics and decision making","raw_type":null},{"id":"pmh:oai:europepmc.org:3005168","is_oa":true,"landing_page_url":"http://europepmc.org/articles/PMC4030005","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:4030005","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4030005","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Med Inform Decis Mak","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1186/1472-6947-14-40","is_oa":true,"landing_page_url":"https://doi.org/10.1186/1472-6947-14-40","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/1472-6947-14-40","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320332162","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2167470445.pdf","grobid_xml":"https://content.openalex.org/works/W2167470445.grobid-xml"},"referenced_works_count":7,"referenced_works":["https://openalex.org/W1924363875","https://openalex.org/W2115976637","https://openalex.org/W2127125660","https://openalex.org/W2145046355","https://openalex.org/W2155104559","https://openalex.org/W2310366232","https://openalex.org/W2342186624"],"related_works":["https://openalex.org/W2527397833","https://openalex.org/W3042421902","https://openalex.org/W2286787874","https://openalex.org/W3038714356","https://openalex.org/W273725244","https://openalex.org/W2993510912","https://openalex.org/W2289356748","https://openalex.org/W2794405134","https://openalex.org/W1570300194","https://openalex.org/W654257092"],"abstract_inverted_index":{"BACKGROUND:":[0],"Untimely,":[1],"incomplete":[2],"and":[3,12,18,125,142,146,154,180,184,277,284,297,305,321,323],"inaccurate":[4],"data":[5,35,139,163,309],"are":[6,330],"common":[7],"challenges":[8,183,271],"in":[9,22,31,59,67,134,200,204,264,268,294,299],"planning,":[10],"monitoring":[11],"evaluation":[13],"of":[14,40,85,144,159,167,194,208,218,228,248,258,291,301,337],"health":[15,19,34,127,135,169,178,242,306],"sector":[16],"performance,":[17],"service":[20,170,307],"delivery":[21],"many":[23],"sub-Saharan":[24],"African":[25],"settings.":[26],"We":[27,161],"document":[28],"Uganda's":[29],"experience":[30],"strengthening":[32],"routine":[33,302],"reporting":[36,148,166,196,210,220,230,239,247,300],"through":[37],"the":[38,41,56,77,86,98,150,157,165,188,246,311,314,335],"roll-out":[39,87,190],"District":[42,107,121],"Health":[43,108,112],"Management":[44,113],"Information":[45,114],"Software":[46],"System":[47,115],"version":[48],"2":[49],"(DHIS2).":[50],"METHODS:":[51],"DHIS2":[52,189,292],"was":[53,64,72,237],"adopted":[54],"at":[55],"national":[57,315],"level":[58],"January":[60],"2011.":[61],"The":[62],"system":[63],"initially":[65],"piloted":[66],"4":[68],"districts,":[69],"before":[70,152],"it":[71],"rolled":[73],"out":[74],"to":[75,202,214,224,234,266,275,313,332],"all":[76],"112":[78],"districts":[79],"by":[80],"July":[81],"2012.":[82],"As":[83],"part":[84],"process,":[88],"35":[89],"training":[90],"workshops":[91],"targeting":[92],"972":[93],"users":[94],"were":[95,253],"conducted":[96],"throughout":[97],"country.":[99],"Those":[100],"trained":[101],"included":[102,272],"Records":[103],"Assistants":[104],"(168,":[105],"17.3%),":[106],"Officers":[109],"(112,":[110,119],"11.5%),":[111,120],"Focal":[116],"Persons":[117],"(HMIS-FPs)":[118],"Biostatisticians":[122],"(107,":[123],"11%)":[124],"other":[126],"workers":[128],"(473,":[129],"48.7%).":[130],"To":[131],"assess":[132],"improvements":[133],"reporting,":[136,179],"we":[137],"compared":[138],"on":[140,164,240],"completeness":[141,217,298],"timeliness":[143,207,227,296],"outpatient":[145,195,209],"inpatient":[147,219,229,304],"for":[149,176],"period":[151],"(2011/12)":[153],"after":[155],"(2012/13)":[156],"introduction":[158],"DHIS2.":[160,338],"reviewed":[162],"selected":[168,241],"coverage":[171,243],"indicators":[172,244],"as":[173],"a":[174],"proxy":[175],"improved":[177,295],"documented":[181],"implementation":[182],"lessons":[185],"learned":[186],"during":[187],"process.":[191],"RESULTS:":[192],"Completeness":[193],"increased":[197,211,221,231,238,261],"from":[198,212,222,232,262,310],"36.3%":[199],"2011/12":[201,265],"85.3%":[203],"2012/13":[205],"while":[206,226],"22.4%":[213],"77.6%.":[215],"Similarly,":[216],"20.6%":[223],"57.9%":[225],"22.5%":[233],"75.6%.":[235],"There":[236],"(e.g.":[245],"one-year":[249],"old":[250],"children":[251],"who":[252],"immunized":[254],"with":[255],"three":[256],"doses":[257],"pentavelent":[259],"vaccine":[260],"57%":[263],"87%":[267],"2012/13).":[269],"Implementation":[270,290],"limited":[273,285],"access":[274],"computers":[276],"internet":[278,328],"(34%),":[279],"inadequate":[280],"technical":[281],"support":[282,319],"(23%)":[283],"worker":[286],"force":[287],"(18%).":[288],"CONCLUSION:":[289],"resulted":[293],"outpatient,":[303],"usage":[308],"district":[312],"level.":[316],"Continued":[317],"onsite":[318],"supervision":[320],"mentorship":[322],"additional":[324],"system/infrastructure":[325],"enhancements,":[326],"including":[327],"connectivity,":[329],"needed":[331],"further":[333],"enhance":[334],"performance":[336]},"counts_by_year":[{"year":2026,"cited_by_count":8},{"year":2025,"cited_by_count":21},{"year":2024,"cited_by_count":32},{"year":2023,"cited_by_count":27},{"year":2022,"cited_by_count":32},{"year":2021,"cited_by_count":45},{"year":2020,"cited_by_count":65},{"year":2019,"cited_by_count":24},{"year":2018,"cited_by_count":13},{"year":2017,"cited_by_count":15},{"year":2016,"cited_by_count":6},{"year":2015,"cited_by_count":6}],"updated_date":"2026-04-29T09:16:38.111599","created_date":"2025-10-10T00:00:00"}