TechNet-21 - Forum

This forum provides a place for members to ask questions, share experiences, coordinate activities, and discuss recent developments in immunization.

Discussions tagged Home-based records

Stemming the Tide of Counterfeit Proof of Vaccination

Recent reports [1] of counterfeit yellow fever vaccination certificates in Zambia follow reports of falsified proof of vaccination documents being used in other countries, including Ethiopia [2], India [3], Nigeria [4], Pakistan [5], Sudan [6], Uganda [7], Tanzania [8] and Zimbabwe [9]. While the World Health Organization (WHO) published guidelines in 1999 [10] to support countries in developing measures to combat counterfeit pharmaceutical products and issued a report in 2017 [11] highlighti...

Positive Role of HBR in Immunization Programme: EuVac Baby award

Dear viewers,

On behalf of the KVG team, I wish to share the PPT on Eu-Vac Baby presented during the regular Academic Society Meeting today.

Laasya, D/O Chaitra C.G is the indexed Eu-Vaccinee who timely graduated as a fully immunized child (FIC) before first birthday and “complete” immunization in the 17th month.

As agreed among local stakeholders, babies and their parents will receive the Eu-Vac Baby award next 14th Nov 2018, which is “Children’s day” in India, hoping...

New WHO guidelines released on home-based records

Dear Colleagues,

WHO guidelines for home-based records were just recently released - WHO recommendations on home-based records for maternal, newborn and child health. Geneva: World Health Organization; 2018.

The recommendations, rationale and remarks below are abstracted from the document, which has been uploaded to the

A true story of an "EuVac" Baby in positive role.

Dear colleagues

We feel proud to share a true story of an “EuVac” bay in positive role. Three days back we shared the story of an “ANISOTIC” Baby in negative role. These illustrations highlight the need for an appropriate Home Based Record [HBR] as recommended by WHO. Both the illustrations are qualitative and hence single “story” is the story of millions.

Unique bottom up approach of learning by doing & working together is the methodology used in 4 studies: viz. IRI simulatio...


Dear viewers

In India, an estimated 90 lakhs children are either partially vaccinated or unvaccinated and the GOI aims to attain >90% Full Immunization Coverage by 2018 through Intensified Mission Indradhanush [IMI] – an ambitious flagship programme of the country with utmost commitment. We are left with 5 months more from now. Constraints and problems are innumerable with rural urban differentiation. One such ubiquitous grievous problem is dissimilarity [ANISOSIS] of vaccination card...

Understanding a Parent’s View of Their Child’s Vaccination Card

In our work, we often focus on how health care workers and program managers use immunization data and less about how parents use data. Through JSI's recent activities to strengthen the availability and use of home-based records or vaccination cards, we have also explored how cards are used and valued by parents and caregivers. A new blog post on The Pump summarizes what we learned about parents' perspective on these important documents. 


Recording errors in homemade home-based records to record vaccination services: results from the 2016 Kenya Missed Opportunities for Vaccination Assessment

As many are aware, homemade home-based records (HBRs) are often used to replace official HBRs during stock-outs or situations where the official HBR was damaged or lost. By their nature, homemade HBRs are often ad hoc in form and lack structure which may lead to immunization service delivery recording errors. In a report uplodaed to the TechNet resource library entitled "Recording errors in homemade home-based recoords to record vaccination...

Is there a place for home-based records alongside electronic health records and/or electronic registries?

In some communities, electronic health information systems (a topic discussed here in TechNet periodically and within the Immunization Information Systems Group), including electronic nominal immunization registries, are being implemented. Some believe that electronic health information systems and electronic health records will replace the idea of keeping a physical, paper copy of t...

Home-based record stock-outs: updated data

A new report has been released that updates information on the occurrence of home-based record (e.g, vaccination cards, child health books) stock-outs. The open access article can be accessed online, and is also attached here.

Similar to vaccine stock-outs, disruptions in the supply chain of home-based records (HBRs) are avoidable events that create inefficiencies...

Standardising vaccination (immunization) cards

Dear all

Please find the attached example, illustrating the grievous impact of using vaccination cards that are not compatible with the current National Immunization Schedule (NIS). As per the study conducted recently, >10% beneficiaries avail vaccination services from the private sector ranging from clinics to Medical Colleges even in the rural area. Field supervisors / monitors have easy access to such vaccination cards both at the facility level and in the field.

Negative i...

A new homepage for home-based records (HBRs) within TechNet

A new area focused on home-based records (HBRs) has been added to TechNet! This new HBR topic area, which can be accessed at or, further builds on prior sites aimed at raising awareness of HBRs as critical tool within immunization service delivery and facilitating the exchange of information on HBR design.

Presently, ar...

Acting locally for achieving globally – HBR for the private sector – INDIA

Dear viewers 

For some long standing problems, solution can be very siimple - we have to just do it.

For saving the children from the lethal Vaccine Preventable Diseases (VPDs), they are to be vaccinated timely, with all the vaccines included in the National Immunization Schedule (NIS) and also optional vaccines applicable to the country.

In India, for attaining Full Immunization (FIC), a child has to receive one dose of BCG, 3 doses of DPT (now included in Pentavalent...

Immunization data quality and use - learning from the field

Greetings, colleagues.

With increasing importance on user-focused improvements in routine, administrative immunization data quality and use, it is useful to have some experience-sharing from country learning and implementation. Linked below are a few recent blog posts and an article on in-country review meetings that may be of interest. These include experiences from Zimbabwe, Tanzania, Kenya, Ethiopia, Madagascar and Uganda.

1) Zimbabwe defaulter tracking: http://thepump.j...

Home-based record revitalization workshop in Africa: report summary

by Dr Blanche ANYA and Dr David BROWN

During 21-24 February 2017, representatives from Cameroon, Ethiopia, Liberia, Nigeria, Rwanda and Uganda gathered in Kampala, Uganda to rethink and improve their country’s current home-based record design and functionality as well as the broader system that supports the home-based record to address issues such as stock-outs described previously

Consideration of further refining exisiting SOPs for imaging home-based records during vaccination coverage surveys

Some may be aware that the revised WHO vaccination coverage cluster survey manual encourages consideration of imaging (whether through photographing or handheld scanner) home-based records as part of vaccination coverage survey field work. Within the TechNet resource library there is a standard operating procedure(SOP) that has naturally evolved out of practical needs for survey staff guidance in one...

Nation friendly "Combo" schedule to strengthen national immunization programme

Dear members and viewers of technet For the successful implementation of routine immunization, country should have a specific IMMUNIZATION SCHEDULE. Members of National Technical Advisory Group on Immunization periodically meet and review the progress involving the collaborative development partners and major stakeholders. Generally, there will be one National Immunization Schedule (NIS) so that all the beneficiaries will get the vaccines as per schedule even if they move out of regular resid...

Home-based record stock-outs — a quiet problem challenging immunization programmes that needs attention. Is bundling with other vaccine delivery supplies a reasonable solution?

Posting by:

David W Brown, Brown Consulting Group International, LLC, North Carolina, USA

Marta Gacic-Dobo, World Health Organization, Geneva, Switzerland

The WHO and UNICEF recommend that immunization programmes order and supply vaccines bundled with safe-injection equipment (e.g., diluents, auto-disable syringes, reconstitution syringes and safety boxes) to better ensure that AD syringes along with other safe-injection equipment are available together with vaccines i...

Annotated bibliography on home-based records

The function and importance of home-based records (HBRs) in immunization service delivery has been described and practical guidelines for HBR design released by the WHO ( The annotated bibliography attached here attempted to bring together available literature on home-based records as a form of personal health ...

Immunization card - "A Template" for private practitioners.

A week before (on 28-05-2015) when a couple came with an immunization card developed in a tertiary care centre which created confusion as to what all vaccines thier child should receive made Sampaje team to evolve a user frindly immunization card. This card is evolved considering National Immunization Schedule of India, Karntaka specific, also keeping in mind the candidate vaccines anounced by the Govt (Rotavirus vaccine and Injectable Polio Vaccine one dose with third dose of OPV/Pentavalent...

Help us develop a thesaurus of terms used for Home-based Records around the world.

A home-based vaccination record is a document (more often physical rather than electronic) --- issued by an official authority (may be sub-national or national) to an individual person and maintained in the household by an individual or individual’s caregiver (e.g., mother, father, grandparent, etc) --- on which an individual’s vaccination history (vaccine received, date vaccine received) or status is recorded by a health worker. In some places, the home-based record is referred to by the fol...

Leveraging delivery of immunization services through schools to motivate improved current ownership of home-based records – an opportunity to further explore

Current ownership of home-based records for recording vaccinations is far too low in many countries. One possible means towards motivating caregivers to retain home-based records through the first year of a child’s life and beyond is to link documentation of a child’s vaccination history to school entry. Using data from 35 countries that conducted a Demographic and Health Survey during 2010–2013, we observed that countries delivering immunization services through schools had a higher median c...

Home-based records and market shaping opportunities moving forward

Home-base records constitute an inexpensive yet effective instrument for systematically documenting the immunization services received by an individual. A revitalized discussion of home-based records is taking place against the backdrop of a dynamic environment with new vaccine introductions that is also dealing with increasingly scarce health resources (human and financial), demographic shifts and calls for improved data quality including more frequent independent validation of immunization cov...

Home-based vaccination records

Posted by: David Brown UNICEF / Marta Gacic Dobo WHO All too often overlooked, the home-based vaccination record maintains a central role in documenting immunization services received across the lifespan. WHO and UNICEF are working to heighten awareness of the importance of the home-based vaccination record as a means to foster coordination and continuity across service providers, facilitate communication between service providers and parents, empower parents in their child’s healthcare, and to...
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