Assessing data quality in survey with healthcare providers on COVID-19 and the measures for improving

Background: Social surveys have also been transformed with the advancements in research methods. However, only through appropriate methods, proper planning and procedures the data quality can be ensured.Aim: The aim of the current research is to present the measures taken up in doing survey with healthcare providers of primary health care facilities during the time of COVID-19 and to assess the data quality.Method: The survey was conducted with all 280 medical and paramedical staff in 24 primary healthcare centers of government to understand the preparedness of primary health care facilities in terms of providing a safe working environment to healthcare providers and to prevent the spread of infection while discharging duties during COVID-19. The study used mix mode of data collection by administering telephonic and self-administered questionnaire.  It is a descriptive study based on review of secondary literature and the different measures adopted in the survey to ensure data quality.Result: The variation found in responses to questions related to training, personal fears, challenges and coping mechanism was low, when asked differently in telephonic and self-administered questionnaire. It shows that the measures taken in conducting survey through mix mode of data collection at the time of COVID-19 were effective in overcoming the data quality challenges of COVID-19 to conduct face-to-face study and maintaining data quality of the survey.Conclusion: It can be concluded that proper planning, preparations and precautions were effective in ascertaining the data quality

Utilisation of rural primary health centers for outpatient services - a study based on Rajasthan, India

Abstract Introduction Outpatient services are crucial for strengthening primary healthcare and reducing out-of-pocket spending, which has been one of the major causes of impoverishment. So it is also critical to comprehend the people’s preferences in accessing primary healthcare facilities, as government primary healthcare facilities in India are underutilized. The current paper explores the factors that construct the individual’s decision to seek outpatient care in primary healthcare facilities in India’s largest state Rajasthan. Methods It was a cross-sectional survey conducted in 72 primary sample units of 24 primary health centers in 11 districts of Rajasthan, India, from November 2019 to January 2020. The study selected 368 households through purposive sampling. Out of 368 households, 460 people reported any illness and 326 reported outpatient visit to any health facility in the last 30 days from the date of the survey. Analysis The focus was on analyzing the data in the context of public and private health facilities to understand the factors influencing people’s choice to access outpatient services. The principal component analysis is used to understand the relationship between facility preparedness and OPD uptake. Also, multivariate logistic regression is applied to assess the significant predictors in using primary health facility services. Result Except for the 29% of patients who received no care, the proportion of patients attended public health facilities was 35%, and the rest were utilizing private health facilities. Those who sought care at PHCs were mostly over 45 years age, non-literate, and from the lowest wealth quintile. Logistic regression suggests that people belong to upper wealth quintile (OR = 0.298; 95% 0.118–0.753) are less likely to visit PHCs for treatment. Also, increase in distance of PHC (OR = 0.203; 95% CI 0.076–0.539) reduces the likelihood of their visit outpatient care. People are 9.7 times (OR = 9.740; 95% CI 2.856–33.217) more likely to visit a PHCs that are better equipped in terms of human resources, equipment, and medicine. Conclusion The uptake of PHCs depends on several factors, which should be considered to ensure that all segments of society have equitable access to them. Through improved accessibility and quality of service, PHCs can be made more appealing to the larger population