Evaluating the vaccination coverage: validity of household-hold vaccination booklet and caregiver’s recall

Autor: Yu Hu, Hu Liang, Fuxing Chen, Linzhi Shen, Xuejiao Pan, Ying Wang, Yaping Chen, Huakun Lv
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Human Vaccines & Immunotherapeutics, Vol 17, Iss 9, Pp 3034-3041 (2021)
Druh dokumentu: article
ISSN: 2164-5515
2164-554X
21645515
DOI: 10.1080/21645515.2021.1906151
Popis: Background We compared results from household data sources to medical record sources by using data from a vaccination coverage survey. Methods Vaccination coverage (VC) was calculated based on parental recall, household vaccination booklet, and Zhejiang provincial immunization information system (ZJIIS). We evaluated the accuracy of VC based on household sources (vaccination booklet and recall) assuming the medical record was accurate. Concordance, sensitivity, specificity, positive predictive value, and negative predictive value were estimated as well as the Kappa statistic was also used to evaluate the agreement between data sources. Results Among the 1,800 children identified in the household survey, all were registered in ZJIIS. VC estimated using the vaccination booklet alone was substantially lower than that based on medical records (net bias 3.4–16.7% in different age groups). VC based on parental recall ranged from 2.5% below (among children aged 1 year) to 16.7% points above (among children aged 6 years) than those based on medical records. Concordance was lowest for card estimates (32.5–45.5%). Sensitivity was 75%, while negative predictive value was
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