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Objective To explore the feasibility of building a primary care performance dashboard using DHIS2 data from Ethiopia's largest urban (Addis Ababa), agrarian (Oromia) and pastoral (Somali) regions. Methods We extracted 26 data elements reported by 12 062 health facilities to DHIS2 for the period 1 July 2022 to 30 June 2023. Focusing on indicators of effectiveness, safety and user experience, we built 14 indicators of primary care performance covering reproductive, maternal and child health, human immunodeficiency virus, tuberculosis, noncommunicable disease care and antibiotic prescription. We assessed data completeness by calculating the proportion of facilities reporting each month, and examined the presence of extreme outliers and assessed external validity. Findings At the regional level, average completeness across all data elements was highest in Addis Ababa (82.9%), followed by Oromia (66.2%) and Somali (52.6%). Private clinics across regions had low completeness, ranging from 38.6% in Somali to 58.7% in Addis Ababa. We found only a few outliers (334 of 816 578 observations) and noted that external validity was high for 11 of 14 indicators of primary care performance. However, the 12-month antiretroviral treatment retention rate and proportions of patients with controlled diabetes or hypertension exhibited poor external validity. Conclusion The Ethiopian DHIS2 contains information for measuring primary care performance, using simple analytical methods, at national and regional levels and by facility type. Despite remaining data quality issues, the health management information system is an important data source for generating health system performance assessment measures on a national scale. [phrase omitted] [phrase omitted] Objectif Determiner s'il est possible de creer un tableau de bord des performances de soins de sante primaires en utilisant les donnees du DHIS2 issues des plus grandes regions urbaines (Addis-Abeba), agricoles (Oromia) et pastorales (Somali) d'Ethiopie. Methodes Nous avons extrait 26 elements de donnees transmis au DHIS2 par 12 062 etablissements de sante pour la periode allant du 1er juillet 2022 au 30 juin 2023. En nous focalisant sur l'efficacite, la securite et l'experience vecue par les patients, nous avons defini 14 indicateurs de performances pour les soins de sante primaires, couvrant des domaines tels que la sante reproductive, maternelle et infantile, le virus de l'immunodeficience humaine, la tuberculose, la prise en charge des maladies non transmissibles et la prescription d'antibiotiques. Nous avons evalue l'exhaustivite des donnees en calculant le pourcentage d'etablissements produisant un rapport mensuel, avant d'examiner la presence de valeurs aberrantes extremes et la validite externe. Resultats A l'echelle regionale, c'est a Addis-Abeba (82,9 %) que l'exhaustivite moyenne pour l'ensemble des elements de donnees etait la plus elevee, suivie d'Oromia (66,2 %) et de Somali (52,6 %). Dans toutes les regions, les cliniques privees affichaient un faible taux d'exhaustivite compris entre 38,6 % au Somali et 58,7 % a Addis-Abeba. Nous n'avons trouve que quelques valeurs aberrantes (334 sur 816 578 observations) et avons constate un haut degre de validite externe pour 11 des 14 indicateurs de performances des soins de sante primaires. Toutefois, le degre de validite du taux de maintien du traitement antiretro viral sur 12 mois ainsi que de la proportion de patients avec une hypertension ou un diabete sous controle s'est revele moindre. Conclusion Le DHIS2 ethiopien contient des informations utiles pour mesurer les performances des soins de sante primaires a l'aide de methodes analytiques simples, tant au niveau national que regional et selon les types d'etablissements. Malgre les quelques problemes qui subsistent en termes de qualite, ce dispositif de gestion des informations sanitaires represente une precieuse source de donnees pour elaborer des outils permettant d'evaluer les performances du systeme de sante a l'echelle nationale. [phrase omitted] Objetivo Explorar la viabilidad de crear un tablero de rendimiento de la atencion primaria utilizando datos DHIS2 de las principales regiones urbanas (Addis Abeba), agrarias (Oromia) y pastorales (Somali) de Etiopia. Metodos Se extrajeron 26 elementos de datos notificados por 12 062 centros sanitarios a DHIS2 para el periodo comprendido entre el 1 de julio de 2022 y el 30 de junio de 2023. A partir de indicadores de eficacia, seguridad y experiencia de los usuarios, se elaboraron 14 indicadores del rendimiento de la atencion primaria que abarcan la salud reproductiva, materna e infantil, el virus de la inmunodeficiencia humana, la tuberculosis, la atencion de enfermedades no transmisibles y la prescripcion de antibioticos. Se evaluo la exhaustividad de los datos al calcular el porcentaje de centros que informaban cada mes y se examino la presencia de valores atipicos y de la validez externa. Resultados A nivel regional, el nivel medio de exhaustividad de todos los datos fue mas alto en Addis Abeba (82,9%), seguida de Oromia (66,2%) y Somalia (52,6%). Las clinicas privadas de todas las regiones presentaban un bajo nivel de exhaustividad, que oscilaba entre el 38,6% en Somalia y el 58,7% en Addis Abeba. Solo se encontraron unos pocos valores atipicos (334 de 816 578 observaciones) y se observo que la validez externa era alta para 11 de los 14 indicadores de rendimiento de la atencion primaria. Sin embargo, la tasa de retencion del tratamiento antirretroviral a los 12 meses y los porcentajes de pacientes con diabetes o hipertension controladas mostraron una escasa validez externa. Conclusion El DHIS2 etiope contiene informacion para medir el rendimiento de la atencion primaria, utilizando metodos analiticos sencillos, a escala nacional y regional y por tipo de centro. A pesar de los problemas de calidad de los datos que aun persisten, el sistema de informacion sobre la gestion sanitaria es una fuente de datos importante para generar medidas de evaluacion del rendimiento del sistema sanitario a escala nacional., Introduction Functioning primary care is essential for improving population health. A greater emphasis on primary care in the health-care system can reduce costs, improve access and reduce inequities in population [...]

Background: Women roll beedis from a young age and expose continuously to unburnt tobacco dust for many years. Due to poverty, ignorance, and lack of literacy, women and young individuals engage in less profitable occupation. The study was conducted in a large sample to know the occupational health morbidities in rural women. Materials and Methods: Women beedi rollers and nonbeedi rollers living in villages of Jagitial and Nizamabad districts were selected for the study. Individuals who signed consent are interviewed about their health profile using a predesigned standard questionnaire. Result: A high frequency of general health problems was observed in the present study. Hypertension, body pains, and headache are the most prevalent health issues observed in more than half of beedi rollers. Conclusion: Awareness programs must be implemented to decrease the health hazards and provide alternate job opportunities for better health. Keywords: Beedi rolling, joint pains, headache, hypertension, tobacco, women, Author(s): Penagaluru Pardhanandana Reddy (corresponding author) [1,2]; Baluka Vanitha [1]; Lakkampelly Madhuri [1]; Shehnaz Sultana [1]; Busarapu Manideep [1]; Ch. Prashanth [1,3] INTRODUCTION In Telangana, Beedi rolling is a home-based [...]