Use of reported immunisation performance data in monitoring UIP
Bansal, R.D.; Bachani, D.
Indian Journal of Public Health 34(4): 215-219
1990
ISSN/ISBN: 0019-557X PMID: 2133574 Document Number: 377435
Immunization performance data (1985-89) from a district health office in a state of India were analyzed to demonstrate various means to make the data more useful in monitoring the universal immunization program (UIP). The proposed system was community based. Ideally it should be computerized. Considerable differences in immunization coverage existed between the eligible population and actual number immunized. It was proposed that sustainability of immunization performance by evaluated by having district authorities review reports monthly and quarterly. In this district, immunization activities increased in the December-March period for al vaccines. It is pointed out that the best results would be obtained when sustained quality activities are provided year round. The UIP should redesign forms to report vaccines given to infants only. Narrow class intervals (e.g., 6 months for BCG, DPT3, and OPV3) would be most helpful. In the district, 82.1-99.7% of immunized infants received a vaccine in the 1st year. UIP monitoring should separate data by area to see where improvements are needed. Immunization coverage was greater in urban areas of the district than at rural primary health centers (PHC) and subcenters. It is also suggested that data from each PHC be separated out to determine the quality of coverage/vaccine. For example, a plus sign equaled 80% coverage. Using data to constantly monitor immunization activities will improve vaccine coverage and control target diseases.