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. 2022 Dec;61(S 02):e64-e72.
doi: 10.1055/a-1860-8618. Epub 2022 May 24.

Development and Testing Requirements for an Integrated Maternal and Child Health Information System in Iran: A Design Thinking Case Study

Zahra Meidani  1   2 , Alireza Moravveji  3 , Shirin Gohari  2 , Hamideh Ghaffarian  4 , Sahar Zare  1   2 , Fatemeh Vaseghi  5 , Gholam Abbas Moosavi  6 , Ali Mohammad Nickfarjam  1   2 , Felix Holl  7   8
Affiliations

Development and Testing Requirements for an Integrated Maternal and Child Health Information System in Iran: A Design Thinking Case Study

Zahra Meidani et al. Methods Inf Med. 2022 Dec.

Abstract

Background: Management of child health care can be negatively affected by incomplete recording, low data quality, and lack of data integration of health management information systems to support decision making and public health program needs. Given the importance of identifying key determinants of child health via capturing and integrating accurate and high-quality information, we aim to address this gap through the development and testing requirements for an integrated child health information system.

Subjects and methods: A five-phase design thinking approach including empathizing, defining, ideation, prototyping, and testing was applied. We employed observations and interviews with the health workers at the primary health care network to identify end-users' challenges and needs using tools in human-centered design and focus group discussion. Then, a potential solution to the identified problems was developed as an integrated maternal and child health information system (IMCHIS) prototype and tested using Software Quality Requirements and Evaluation Model (SQuaRE) ISO/IEC 25000.

Results: IMCHIS was developed as a web-based system with 74 data elements and seven maternal and child health care requirements. The requirements of "child disease" with weight (0.26), "child nutrition" with weight (0.20), and "prenatal care" with weight (0.16) acquired the maximum weight coefficient. In the testing phase, the highest score with the weight coefficient of 0.48 and 0.73 was attributed to efficiency and functionality characteristics, focusing on software capability to fulfill the tasks that meet users' needs.

Conclusion: Implementing a successful child health care system integrates both maternal and child health care information systems to track the effect of maternal conditions on child health and support managing performance and optimizing service delivery. The highest quality score of IMCHIS in efficiency and functionality characteristics confirms that it owns the capability to identify key determinants of child health.

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Conflict of interest statement

None declared.

Figures

Fig. 1
Fig. 1
Determined problems for maternal child health information system using a mind map.
Fig. 2
Fig. 2
IMCHIS-generated simple queries and reports. IMCHIS, integrated maternal and child health information system.
See this image and copyright information in PMC

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