Assessing immunization data quality from routine reports in Mozambique
- PMID: 16219104
- PMCID: PMC1266378
- DOI: 10.1186/1471-2458-5-108
Assessing immunization data quality from routine reports in Mozambique
Abstract
Background: Worldwide immunization coverage shows an increase in the past years but the validity of the official reports for measuring change over time has been questioned. Facing this problem, donor supported initiatives like the Global Alliance for Vaccine and Immunizations, have been putting a lot of effort into assessing the quality of data used, since accurate immunization information is essential for the Expanded Program on Immunization managers to track and improve program performance. The present article, discusses the practices on record keeping, reporting and the support mechanism to ensure data quality in Mozambique.
Methods: A process evaluation study was carried out in Mozambique in one district (Cuamba) in Niassa Province, between January and March 2003. The study was based on semi-structured interviews, participant observation and review of the data collection materials.
Results: Differences were found for all vaccine types when comparing facility reports with the tally sheets. The same applies when comparing facility reports with district reports. The study also showed that a routine practice during supervision visits was data quality assessment for the outpatient services but none related to data consistency between the tally sheets and the facility report. For the Expanded Program on Immunization, supervisors concentrated more on the consistency checks between data in the facility reports and the number of vaccines received during the same period. Meetings were based on criticism, for example, why health workers did not reach the target. Nothing in terms of data quality was addressed nor validation rules.
Conclusion: In this paper we have argued that the quality of data, and consequently of the information system, must be seen in a broader perspective not focusing only on technicalities (data collection tools and the reporting system) but also on support mechanisms. Implications of a poor data quality system will be reflected in the efficiency of health services facing increased demands, with stagnant or decreasing resources.
Figures
Similar articles
-
Prevention of influenza: recommendations for influenza immunization of children, 2007-2008.Pediatrics. 2008 Apr;121(4):e1016-31. doi: 10.1542/peds.2008-0160. Pediatrics. 2008. PMID: 18381500 Review.
-
Immunization coverage in Mozambique: from concepts to decision-making.Health Policy. 2006 Nov;79(1):92-100. doi: 10.1016/j.healthpol.2005.12.002. Epub 2006 Jan 6. Health Policy. 2006. PMID: 16406132
-
The immunization data quality audit: verifying the quality and consistency of immunization monitoring systems.Bull World Health Organ. 2005 Jul;83(7):503-10. Bull World Health Organ. 2005. PMID: 16175824 Free PMC article.
-
Pediatric immunization update 2002.Pediatr Nurs. 2002 Mar-Apr;28(2):173-81. Pediatr Nurs. 2002. PMID: 11962186 Review.
-
Improving the monitoring of immunization services in Kyrgyzstan.Health Policy Plan. 2000 Sep;15(3):279-86. doi: 10.1093/heapol/15.3.279. Health Policy Plan. 2000. PMID: 11012402
Cited by
-
Strengthening the WHO Regional Office for Africa (WHO AFRO) COVID-19 vaccination information system.BMJ Glob Health. 2024 Jan 30;9(1):e014097. doi: 10.1136/bmjgh-2023-014097. BMJ Glob Health. 2024. PMID: 38290787 Free PMC article.
-
Root Causes of Poor Immunisation Data Quality and Proven Interventions: A Systematic Literature Review.Ann Infect Dis Epidemiol. 2017 Feb 27;2(1):1-7. Ann Infect Dis Epidemiol. 2017. PMID: 38098515 Free PMC article.
-
Quality of routine data for monitoring nutrition and diarrhoea indicators of children under 5 in Mozambique: an ecological study over a 5-year period.BMJ Open. 2023 Jul 21;13(7):e073239. doi: 10.1136/bmjopen-2023-073239. BMJ Open. 2023. PMID: 37479521 Free PMC article.
-
Coverage and Drivers to Reaching the Last Child With Vaccination in Urban Settings: A Mixed-Methods Study in Kampala, Uganda.Glob Health Sci Pract. 2022 Aug 30;10(4):e2100663. doi: 10.9745/GHSP-D-21-00663. Print 2022 Aug 30. Glob Health Sci Pract. 2022. PMID: 36041847 Free PMC article.
-
Factors associated with routine vaccination card retention among children aged 0-59 months in Yaounde-Cameroon: A cross-sectional survey.PLoS One. 2022 Aug 26;17(8):e0273515. doi: 10.1371/journal.pone.0273515. eCollection 2022. PLoS One. 2022. PMID: 36026433 Free PMC article.
References
-
- Cutts FT. Advances and challenges for the expanded programme on immunization. Br Med Bull. 1998;54:445–461. - PubMed
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous