Key factors in the provision of quality maternal and neonatal health services include universal health coverage and a continuum of care, ensuring skilled care at every birth. With an estimated 42,000 deliveries across AKDN health facilities each year, paper-based data collection and management pose to be a challenge in the provision of quality care, keeping health care staff preoccupied with paperwork.
In an effort to standardise data collection, AKDN dHRC developed and implemented the AKDN Delivery Tool, a standard electronic data collection tool. The tool was developed to facilitate health workers with the data collection of deliveries across AKDN health agencies. The tool offers a comprehensible design with robust functionality that equips health care professionals with a digital data collection platform. The tool was developed by customising and digitising the CEmONC tool, developed by the World Health Organization and the Royal College of Obstetricians and Gynaecologists.
The AKDN Delivery Tool consists of a web portal and a mobile application. A unique feature of the tool is that it provides a single platform for the entire data collection and management process for the deliveries across the AKDN. The tool supports data entry in offline mode, allowing synchronisation of data with the server upon availability of the internet connectivity.
Currently, the tool is being used by physicians and nurses and has successfully been implemented in phases across AKDN health facilities in Bamyan, Faizabad and Kabul in Afghanistan; Gilgit and Booni in Pakistan; Kisumu and Mombasa in Kenya; and Dar es Salaam in Tanzania.
From December 2017 to November 2018, the tool has helped record 4694 maternal admissions, which resulted in 3463 deliveries.
The AKDN Delivery Tool brings uniformity in the data collection process and aims to bring access to aggregated data on deliveries, which can be used for implementation research and collaboration with policy makers, in efforts to improve maternal and newborn outcomes in underserved regions.
AKDN dHRC plans to implement the tool in Karachi and Hyderabad in Pakistan; Nairobi in Kenya; and Mwanza in Tanzania by the end 2019.