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Volume 23, Supplement—December 2017
Global Health Security Supplement

Enhancing Workforce Capacity to Improve Vaccination Data Quality, Uganda

Kirsten WardComments to Author , Kevin Mugenyi, Amalia Benke, Henry Luzze, Carol Kyozira, Ampeire Immaculate, Patricia Tanifum, Annet Kisakye, Peter Bloland, and Adam MacNeil
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (K. Ward, A. Benke, P. Tanifum, P. Bloland, A. MacNeil); African Field Epidemiology Network Secretariat, Kampala, Uganda (K. Mugenyi); Ministry of Health, Kampala (H. Luzze, C. Kyozira, A. Immaculate); World Health Organization, Kampala (A. Kisakye)

Main Article

Table 1

Reach and key observations in district and health facilities from the first phase of the data improvement team strategy to improve vaccination data quality in Uganda*

Data quality domain Description Districts, no. (%) Health facilities, no. (%)
DIT strategy reach District and health subdistrict staff trained 454 (NC) NC
District and health subdistrict staff deployed as DIT members 441 (NC) NC
Districts reached 116 (100)* NA
Districts where harmonization of monthly report and DHIS2 data conducted 48 (56)* NA

Health facilities (that provided immunization services) reached
3,443 (89)†
Knowledge and practices
Collection Process for incorporating late HMIS monthly reports (HMIS105) into the DHIS2 98 (84)‡ NC
Known (documented) target population <1 y of age NC 1,797 (53)§
Demonstrated use of immunization data recording and reporting tool
Child register NC 2,713 (78)§
Tally sheet NC 2,847 (84)§
HMIS monthly report forms NC 3,086 (91)§
Vaccine control books NC 1,980 (58)§
Analysis Monthly immunization coverage for Penta3 charted on a monitoring chart NC 1,099 (32)§
Monitoring chart of immunization coverage for Penta3 displayed NC 1,153 (34)§
Use Demonstrated use of immunization data to inform action 79 (68)‡ 1,503 (44)¶
Management Old copies of immunization data are archived in an organized and easy-to-locate manner
Child register NC 2,367 (70)§
Tally sheet NC 2,239 (66)§
HMIS monthly report forms 87 (75)‡ 2,455 (72)§
External factors
Collection + 
analysis + use Inability to access the DHIS2 in >1 month in the 3 months before DIT visit 56 (48)‡ NC
Management + collection + 
analysis + use Presence of specific roles# responsible for immunization data management and reporting 107 (92)‡ 1,399 (41)¶
Collection Blank copies of immunization data collection tools available at time of DIT visit
Child register NC 1704 (50)§
Tally sheet NC 2,459 (72)§
HMIS monthly report forms NC 1,706 (50)§
Vaccine control books NC 1,806 (53)§

*A total of 112 districts plus the 5 Kampala divisions each were considered a separate district for DIT strategy operational purposes. Total DIT strategy operational districts = 116. Data from Ugandan Ministry of Health, November 2014. DHIS, District Health Information System; DIT, data improvement team; HMIS, Health Management Information System; NA, not applicable; NC, not calculated; Penta3, diphtheria/tetanus/pertussis/Haemophilus influenzae type b/hepatitis B vaccine, third dose.
†Of 3,856 health facilities that provide immunization services, identified by the DITs at time of visit.
‡Of 116 DIT strategy districts where the DIT district checklist was completed during deployment.
§Of 3,392 health facilities where the data quality improvement tool was completed by DITs.
¶Of 3,443 health facilities where the health facility checklist was completed by DITs.
#At district, these roles included an HMIS focal person or biostatistician. At health facility, roles included health records assistant or health information assistant.

Main Article

Page created: November 29, 2017
Page updated: November 29, 2017
Page reviewed: November 29, 2017
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