title: Data quality monitoring and performance metrics of a prospective, population-based observational study of maternal and newborn health in low resource settings.
abstract: BACKGROUND
  To describe quantitative data quality monitoring and performance metrics adopted by the Global Network's (GN) Maternal Newborn Health Registry (MNHR), a maternal and perinatal population-based registry (MPPBR) based in low and middle income countries (LMICs).
  
  
  METHODS
  Ongoing prospective, population-based data on all pregnancy outcomes within defined geographical locations participating in the GN have been collected since 2008. Data quality metrics were defined and are implemented at the cluster, site and the central level to ensure data quality. Quantitative performance metrics are described for data collected between 2010 and 2013.
  
  
  RESULTS
  Delivery outcome rates over 95% illustrate that all sites are successful in following patients from pregnancy through delivery. Examples of specific performance metric reports illustrate how both the metrics and reporting process are used to identify cluster-level and site-level quality issues and illustrate how those metrics track over time. Other summary reports (e.g. the increasing proportion of measured birth weight compared to estimated and missing birth weight) illustrate how a site has improved quality over time.
  
  
  CONCLUSIONS
  High quality MPPBRs such as the MNHR provide key information on pregnancy outcomes to local and international health officials where civil registration systems are lacking. The MNHR has measures in place to monitor data collection procedures and improve the quality of data collected. Sites have increasingly achieved acceptable values of performance metrics over time, indicating improvements in data quality, but the quality control program must continue to evolve to optimize the use of the MNHR to assess the impact of community interventions in research protocols in pregnancy and perinatal health.
  
  
  BACKGROUND
  NCT01073475.
authors.forename: Shivaprasad S
authors.initials: SS
authors.lastname: Goudar
authors.forename: Kristen B
authors.initials: KB
authors.lastname: Stolka
authors.forename: Marion
authors.initials: M
authors.lastname: Koso-Thomas
authors.forename: Narayan V
authors.initials: NV
authors.lastname: Honnungar
authors.forename: Shivanand C
authors.initials: SC
authors.lastname: Mastiholi
authors.forename: Umesh Y
authors.initials: UY
authors.lastname: Ramadurg
authors.forename: Sangappa M
authors.initials: SM
authors.lastname: Dhaded
authors.forename: Omrana
authors.initials: O
authors.lastname: Pasha
authors.forename: Archana
authors.initials: A
authors.lastname: Patel
authors.forename: Fabian
authors.initials: F
authors.lastname: Esamai
authors.forename: Elwyn
authors.initials: E
authors.lastname: Chomba
authors.forename: Ana
authors.initials: A
authors.lastname: Garces
authors.forename: Fernando
authors.initials: F
authors.lastname: Althabe
authors.forename: Waldemar A
authors.initials: WA
authors.lastname: Carlo
authors.forename: Robert L
authors.initials: RL
authors.lastname: Goldenberg
authors.forename: Patricia L
authors.initials: PL
authors.lastname: Hibberd
authors.forename: Edward A
authors.initials: EA
authors.lastname: Liechty
authors.forename: Nancy F
authors.initials: NF
authors.lastname: Krebs
authors.forename: Michael K
authors.initials: MK
authors.lastname: Hambidge
authors.forename: Janet L
authors.initials: JL
authors.lastname: Moore
authors.forename: Dennis D
authors.initials: DD
authors.lastname: Wallace
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Derman
authors.forename: Kodkany S
authors.initials: KS
authors.lastname: Bhalachandra
authors.forename: Carl L
authors.initials: CL
authors.lastname: Bose
mesh_terms: D000068598:Data Accuracy; D003906:Developing Countries; D005260:Female; D006801:Humans; D007223:Infant; D000068104:Infant Health / Q000706:statistics & numerical data*; D007231:Infant, Newborn; D000068097:Maternal Health / Q000706:statistics & numerical data*; D008428:Maternal Mortality; D008507:Medically Underserved Area; D054238:Perinatal Mortality; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D011446:Prospective Studies; D012042:Registries / Q000592:standards