Essay --

World Health Organization (WHO) identified quality as crucial element in its framework for health system strengthening. Quality serves as a mediator between the six system building blocks (leadership, health care financing, health workforce, service delivery, information and medical products) and health outcomes. As such, enhancing quality of each building block could lead to improved health outcomes and efficiency. Several quality improvement (QI) approaches have been widely employed to strengthen the health systems globally. Decision making based on evidence is one of the important QI principles used by many QI models and frameworks such as the European Foundation for Quality Management (EFQM), International Organization for Standardization (ISO), the Baldrige Framework, etc. In order to make more informed decisions, it is necessary to have information about key processes, outputs, outcomes and results. Evidence is one key theme in managing health care quality. The adoption of evidence based practices in health care not only promote high standard of care but also increase client interest in quality of care. This will lead to continuous improvement of overall health system (Sax, 2014). In recent years, the results of many QI projects in developing countries are achieving widespread attention. Noticeable progress in quality could convince donors and governments that their resource are used efficiently and encourage further investment in health care (Leatherman et al., 2010). Thus, there has been growing interest on quality of these QI project results since policy makers, hospital leaders and clinicians make important decisions based on these information. Data Quality Audit (DQA) is one of the initiatives established... ...e clinics, community health centers and hospitals in three districts of the province. It is important to track every sequential steps of diagnostic and treatment services of PMTCT program. Effective monitoring could indicate the performance of the program in identifying HIV infected mothers and providing correct treatment. In South Africa, like many developing countries, health data collecting and reporting system was often stated unreliable (Garrib et al., 2008). As such, the PMTCT program introduced an intervention to improve the completeness and accuracy of the routine data collected in the DHIS. The flow of data begins at the service delivery points and the staffs at each primary care facilities combine these data monthly on paper and report to clinic supervisor. The data are transferred to electronic format by an information officer within the facility.