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Service environment link and false discovery rate correction: Methodological considerations in population and health facility surveys

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  • Teketo Kassaw Tegegne
  • Catherine Chojenta
  • Theodros Getachew
  • Roger Smith
  • Deborah Loxton

Abstract

Background: Geospatial data are important in monitoring many aspects of healthcare development. Geographically linking health facility data with population data is an important area of public health research. Examining healthcare problems spatially and hierarchically assists with efficient resource allocation and the monitoring and evaluation of service efficacy at different levels. This paper explored methodological issues associated with geographic data linkage, and the spatial and multilevel analyses that could be considered in analysing maternal health service data. Methods: The 2016 Ethiopia Demographic and Health Survey and the 2014 Ethiopia Service Provision Assessment data were used. Two geographic data linking methods were used to link these two datasets. Administrative boundary link was used to link a sample of health facilities data with population survey data for analysing three areas of maternal health service use. Euclidean buffer link was used for a census of hospitals to analyse caesarean delivery use in Ethiopia. The Global Moran’s I and the Getis-Ord Gi* statistics need to be carried out for identifying hot spots of maternal health service use in ArcGIS software. In addition to this, since the two datasets contain hierarchical data, a multilevel analysis was carried out to identify key determinants of maternal health service use in Ethiopia. Results: Administrative boundary link gave more types of health facilities and more maternal health services as compared to the Euclidean buffer link. Administrative boundary link is the method of choice in case of sampled health facilities. However, for a census of health facilities, the Euclidean buffer link is the appropriate choice as this provides cluster level service environment estimates, which the administrative boundary link does not. Applying a False Discovery Rate correction enables the identification of true spatial clusters of maternal health service use. Conclusions: A service environment link minimizes the methodological issues associated with geographic data linkage. A False Discovery Rate correction needs to be used to account for multiple and dependent testing while carrying out local spatial statistics. Examining maternal health service use both spatially and hierarchically has tremendous importance for identifying geographic areas that need special emphasis and for intervention purposes.

Suggested Citation

  • Teketo Kassaw Tegegne & Catherine Chojenta & Theodros Getachew & Roger Smith & Deborah Loxton, 2019. "Service environment link and false discovery rate correction: Methodological considerations in population and health facility surveys," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-17, July.
    • Handle: RePEc:plo:pone00:0219860
    DOI: 10.1371/journal.pone.0219860
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    References listed on IDEAS

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    1. Luc Anselin & Sanjeev Sridharan & Susan Gholston, 2007. "Using Exploratory Spatial Data Analysis to Leverage Social Indicator Databases: The Discovery of Interesting Patterns," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 82(2), pages 287-309, June.
    2. Barbara Entwisle & Ronald Rindfuss & Stephen Walsh & Tom Evans & Sara Curran, 1997. "Geographic information systems, spatial network analysis, and contraceptive choice," Demography, Springer;Population Association of America (PAA), vol. 34(2), pages 171-187, May.
    3. Teketo Kassaw Tegegne & Catherine Chojenta & Deborah Loxton & Roger Smith & Kelemu Tilahun Kibret, 2018. "The impact of geographic access on institutional delivery care use in low and middle-income countries: Systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-16, August.
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