Monitoring Results in Routine Immunization: Development of Routine Immunization Dashboard in Selected African Countries in the Context of the Polio Eradication Endgame Strategic Plan.

Autor:	Poy A; World Health Organization, Regional Office for Africa, Brazzaville, Congo., van den Ent MMVX; United Nations Children's Fund, New York, New York., Sosler S; GAVI, The Vaccine Alliance, Geneva, Switzerland., Hinman AR; Task Force for Global Health, Decatur, Georgia., Brown S; Bill and Melinda Gates Foundation, Seattle, Washington., Sodha S; United States Centers for Disease Control and Prevention, Atlanta, Georgia., Ehlman DC; United States Centers for Disease Control and Prevention, Atlanta, Georgia., Wallace AS; United States Centers for Disease Control and Prevention, Atlanta, Georgia., Mihigo R; World Health Organization, Regional Office for Africa, Brazzaville, Congo.
Jazyk:	angličtina
Zdroj:	The Journal of infectious diseases [J Infect Dis] 2017 Jul 01; Vol. 216 (suppl_1), pp. S226-S236.
DOI:	10.1093/infdis/jiw635
Abstrakt:	Background: To monitor immunization-system strengthening in the Polio Eradication Endgame Strategic Plan 2013-2018 (PEESP), the Global Polio Eradication Initiative identified 1 indicator: 10% annual improvement in third dose of diphtheria- tetanus-pertussis-containing vaccine (DTP3) coverage in polio high-risk districts of 10 polio focus countries. Methods: A multiagency team, including staff from the African Region, developed a comprehensive list of outcome and process indicators measuring various aspects of the performance of an immunization system. Results: The development and implementation of the dashboard to assess immunization system performance allowed national program managers to monitor the key immunization indicators and stratify by high-risk and non-high-risk districts. Discussion: Although only a single outcome indicator goal (at least 10% annual increase in DTP3 coverage achieved in 80% of high-risk districts) initially existed in the endgame strategy, we successfully added additional outcome indicators (eg, decreasing the number of DTP3-unvaccinated children) as well as program process indicators focusing on cold chain, stock availability, and vaccination sessions to better describe progress on the pathway to raising immunization coverage. Conclusion: When measuring progress toward improving immunization systems, it is helpful to use a comprehensive approach that allows for measuring multiple dimensions of the system. (© The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America.)
Databáze:	MEDLINE
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