Measuring what matters: Context-specific indicators for assessing immunisation performance in Pacific Island Countries and Areas.

Autor:	Patel C; National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australian Capital Territory, Australia., Sargent GM; National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australian Capital Territory, Australia., Tinessia A; Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia., Mayfield H; UQ Centre for Clinical Research, The University of Queensland, Brisbane, Queensland, Australia., Chateau D; National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australian Capital Territory, Australia., Ali A; World Health Organization, Seoul, Republic of Korea., Tuibeqa I; Department of Paediatrics, Colonial War Memorial Hospital, Suva, Fiji., Sheel M; National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australian Capital Territory, Australia.; Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia.; Sydney Institute for Infectious Diseases, Faculty of Medicine and Health, The University of Sydney, Westmead, New South Wales, Australia.
Jazyk:	angličtina
Zdroj:	PLOS global public health [PLOS Glob Public Health] 2024 Jul 25; Vol. 4 (7), pp. e0003068. Date of Electronic Publication: 2024 Jul 25 (Print Publication: 2024).
DOI:	10.1371/journal.pgph.0003068
Abstrakt:	Increasing countries' access to data can improve immunisation coverage through evidence-based decision-making. However, data collection and reporting is resource-intensive, so needs to be pragmatic, especially in low-and-middle-income countries. We aimed to identify which indicators are most important for measuring, and improving, national immunisation performance in Pacific Island Countries (PICs). We conducted an expert elicitation study, asking 13 experts involved in delivering immunisation programs, decision-makers, health information specialists, and global development partners across PICs to rate 41 indicators based on their knowledge of the feasibility and relevance of each indicator. We also asked experts their preferences for indicators to be retained or removed from a list of indicators for PICs. Experts participated in two rating rounds, with a discussion on the reasons for ratings before the second round. We calculated mean scores for feasibility and relevance, and ranked indicators based on experts' preferences and mean scores. We used framework analysis to identify reasons for selecting indicators. Experts agreed that certain indicators were essential to measure (e.g. data use in program planning and measles vaccination coverage), but preferences varied for most indicators. Preferences to include indicators in a set of indicators for PICs moderately correlated with scores for relevance (r = 0.68) and feasibility (r = 0.56). In discussions, experts highlighted usefulness for decision-making and ease of data collection, reporting and interpretation as the main reasons driving indicator selection. Country-specific factors such as health system factors, roles and influence of various immunisation actors, and macro-level factors (namely population size, distribution and mobility) affected relevance and feasibility, leading us to conclude that a single set of indicators for all PICs is inappropriate. Rather than having a strict set of indicators that all countries must measure and report against, performance indicators should be flexible, country-specific, and selected in consultation with immunisation actors who collect and use the data. Competing Interests: The authors have declared that no competing interests exist. (Copyright: © 2024 Patel et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu