The abstract is read at the publisher; the summary is JClub's.
In Sankhuwasabha district, Nepal, DHIS2 internal-consistency checks show a persistent immunization anomaly: BCG is below Penta-1 in 8 of 10 local levels despite completeness ≥90.6% and timeliness gaps.
- Why it matters: Routine DHIS2 data quality in mountainous districts is under-assessed, and WHO DQR internal-consistency tests can misread rule-governed indicator pairs when DHIS2 validation rules shape agreement.
- What they did: A WHO DQR Module 1 desk review analyzed aggregated DHIS2 data from all 132 facilities, using 7 datasets for completeness/timeliness and 17 tracer indicators for internal consistency for FY 2081/82 (2024/25) versus 2021/22–2023/24, plus NDHS 2022 comparisons for Koshi Province.
- The result: Completeness stayed ≥90.6% in every dataset and unit, timeliness dropped below 90% in 22 of 70 unit-dataset combinations, and rule-governed pairs behaved differently (iron/deworming 1.42 to 1.00; two never agreed), implying DHIS2 rule configuration affects interpretation.
The findingWhy it mattersWhat they didThe result
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