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Table 4 Example of an ACE Tool assessment (adapted from [34])

From: Assessing unConventional Evidence (ACE) tool: development and content of a tool to assess the strengths and limitations of ‘unconventional’ source materials

Description of the document or source

Type of source material

Other [please describe]: press release [61]*

Pre-assessment questions

Is the source material based on, or does it include, empirical data?

Yes

ACE assessment criteria

Assessment

Justification for the assessment

1. Is the aim, objective or purpose for the source material described?

Unclear

No stated aim, but the source intends to describe a mHealth initiative

2. Is the source of the information reported?

Partial

Some sources are described but others are not described fully

3. Is there a description of the programme or intervention or policy or reform on which the source material focusses?

Yes

“Innovative mobile application designed to make birth registration of children smart, quick and reliable in Ghana” (p. 1).

“The automated birth registration system is an Android App which has been customized for Tigo Network only…[]… The tablets use the mobile app to collect data related to the child’s name, gender, date of birth and other family details, which are then sent to the central database managed by the Births and Deaths Registry. Once received, the data is stored and an automated response is sent to the Births and Deaths Registry official on the field, confirming that a certificate can be issued. Whereas data collected though the paper-based system takes six months to be registered in the central system, the mobile registration process achieves this in less than two minutes” (p. 2).

4. Is there a description of the context/s to which the information described in the source material relates?

Partial

Only some sub‐assessment criteria described, as the source notes only that the intervention was implemented in Ghana and does not provide information on the areas of Ghana that are covered by the intervention or how and by whom it was delivered

5. Is the information complete?

Unclear

The source does not describe efforts to ensure that the information is complete and accurate

6. Is the information accurate?

Unclear

The source includes some empirical data but insufficient information is provided to assess whether it is accurate (see response to Q8 below)

7. Is the evidence representative?

Unclear

The source does not provide sufficient detail to assess whether the information is complete and representative (see response to Q8 below)

8. Is information provided to support any findings or conclusions made?

Partial

The source describes implementation but includes very limited information or empirical data. The source notes that “According to analysis done by Births and Deaths Registry, UNICEF and Tigo, at the end of the one year pilot, over 670 800 new births will be registered on the new system by the end of May 2017. This would increase Ghana’s birth registration rate to 75 percent, from the previous 65 percent” (p. 2).

9. Are any limitations of the information and / or methods discussed in the source material?

No

Not described

10. Are relevant rights and ethics considerations described?

No

Not described

11. Are any interests declared and any potential conflicts of interest noted?

Partial

The organizations involved in producing the press release are described but there is no explicit declaration of interests or discussion of conflicts of interventions

Overall assessment of the limitations of the source material and explanation

Serious concerns

Concerns about limited information regarding the sources of information and the context/s described. In addition, the source material did not describe in sufficient details efforts to ensure that the information presented was complete and accurate and did not describe the limitations of the information or any relevant rights or ethics considerations

  1. *The source material used in this example was identified and assessed as part of a systematic review of documents examining: (1) the range of strategies used to implement birth and death notification via mobile devices; and (2) factors influencing the implementation of birth and death notification via mobile devices