Your browser doesn't support javascript.
loading
Factors that affect immunization data quality in Kabarole District, Uganda.
Nsubuga, Fred; Luzze, Henry; Ampeire, Immaculate; Kasasa, Simon; Toliva, Opar Bernard; Riolexus, Alex Ario.
Afiliación
  • Nsubuga F; Public Health Fellowship Program, Kampala, Uganda.
  • Luzze H; Uganda National Expanded Program on Immunization, Ministry of Health, Kampala, Uganda.
  • Ampeire I; Uganda National Expanded Program on Immunization, Ministry of Health, Kampala, Uganda.
  • Kasasa S; Makerere University School of Public Health, Kampala, Uganda.
  • Toliva OB; Uganda National Expanded Program on Immunization, Ministry of Health, Kampala, Uganda.
  • Riolexus AA; Public Health Fellowship Program, Kampala, Uganda.
PLoS One ; 13(9): e0203747, 2018.
Article en En | MEDLINE | ID: mdl-30240400
INTRODUCTION: Reliable and timely immunization data is vital at all levels of health care to inform decisions and improve program performance. Inadequate data quality may impair our understanding of the true vaccination coverage and also hinder our capability to meet the program objectives. It's therefore important to regularly assess immunization data quality to ensure good performance, sound decision making and efficient use of resources. METHODS: We conducted an immunization data quality audit between July and August 2016. The verification factor was estimated by dividing the recounted diphtheria, pertussis and tetanus third dose vaccination for children under 1 year (DPT3<1 year) by reported DPT3<1 year. The quality of data collection processes was measured using quality indices for the 3 different components: recording practices, storage/reporting, monitoring and evaluation. These indices were applied to the different levels of the health care service delivery system. Quality index score was estimated by dividing the total question or observation correctly answered by the total number of answers/ observations for a particular component. RESULTS: The mean health center verification factor was 87%. Sixty five percent (32/49) of the health centers had consistent data, 27% (13/49) over reported and 4% (2/49) under-reported. Health center 11s and 111s contributed to over-reporting and under-reporting. All the health centers' reports were complete and timely between January and June and from November to December. The mean quality indices for the 3 different componets assessed were; recording practices 66%, storing/reporting 75%, monitoring and evaluation 43%. There was a weak positive correlation between the health center verifaction factor and quality index though this was not statistically significant (r = 0.014; p = 0.92). CONCLUSION: Lower level health centers contributed significantly to the inconsistencies in immunization data; there were wide variation between the quality indices of recording practices, storage/reporting, monitoring and evaluation. We recommended that District Local Governments and Ministry of Health focus on improving data quality at lower levels of health service delivery.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Cobertura de Vacunación / Exactitud de los Datos Tipo de estudio: Prognostic_studies Límite: Humans País/Región como asunto: Africa Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2018 Tipo del documento: Article País de afiliación: Uganda

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Cobertura de Vacunación / Exactitud de los Datos Tipo de estudio: Prognostic_studies Límite: Humans País/Región como asunto: Africa Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2018 Tipo del documento: Article País de afiliación: Uganda