Volume 23, Supplement—December 2017
SUPPLEMENT ISSUE
Global Health Security Supplement
Prevent
Enhancing Workforce Capacity to Improve Vaccination Data Quality, Uganda
, Kevin Mugenyi, Amalia Benke, Henry Luzze, Carol Kyozira, Ampeire Immaculate, Patricia Tanifum, Annet Kisakye, Peter Bloland, and Adam MacNeil
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 |
NC |
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.