Journal article

Monitoring vaccination coverage: Defining the role of surveys

Vaccination coverage is a widely used indicator of programme performance, measured by registries, routine administrative reports or household surveys. Because the population denominator and the reported number of vaccinations used in administrative estimates are often inaccurate, survey data are often considered to be more reliable. Many countries obtain survey data on vaccination coverage every 3-5years from large-scale multi-purpose survey programs. Additional surveys may be needed to evaluate coverage in Supplemental Immunization Activities such as measles or polio campaigns, or after major changes have occurred in the vaccination programme or its context. When a coverage survey is undertaken, rigorous statistical principles and field protocols should be followed to avoid selection bias and information bias. This requires substantial time, expertise and resources hence the role of vaccination coverage surveys in programme monitoring needs to be carefully defined. At times, programmatic monitoring may be more appropriate and provides data to guide program improvement. Practical field methods such as health facility-based assessments can evaluate multiple aspects of service provision, costs, coverage (among clinic attendees) and data quality. Similarly, purposeful sampling or censuses of specific populations can help local health workers evaluate their own performance and understand community attitudes, without trying to claim that the results are representative of the entire population. Administrative reports enable programme managers to do real-time monitoring, investigate potential problems and take timely remedial action, thus improvement of administrative estimates is of high priority. Most importantly, investment in collecting data needs to be complemented by investment in acting on results to improve performance.

Languages

  • English

Journal

Vaccine

Volume

Jul 29;34(35):4103-9. doi: 10.1016/j.vaccine.2016.06.053. Epub 2016 Jun 24.

Type

Journal article

Categories

  • Data

Topic references

COV-METH-PUB

TitleAuthorYearTypeLanguage
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Comments on ‘‘Monitoring vaccination coverage: Defining the role of surveys”Robert Pond, Sandra Mounier-JackJournal articleEnglish
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Evaluating Confidence Interval Methods for Binomial Proportions in Clustered SurveysMarcello Pagano, Natalie DeanJournal articleEnglish
Immunization Coverage Surveys and Linked Biomarker Serosurveys in Three Regions in Ethiopia Jaya Goswami, Amha Kebede, Berhane Beyene, Inna Ruslanova, James D Campbell, Jenny Sequeira, Lisa Oot, Marcela F. Pasetti, Mardi Reymann, Mark A Travassos, Myron M Levine, Nigisti Mulholland, Robert Steinglass, Samba O Sow, Seydou S Diarra, Tassew Kassa, William C. Blackwelder, Yukun Wu, Zenaw AdamJournal articleEnglish
Issues and considerations in the use of serologic biomarkers for classifying vaccination history in household surveysAdam MacNeil, Chung-won Lee, Vance Dietz1960Journal articleEnglish
Lot Quality Assurance Sampling to Monitor Supplemental Immunization Activity Quality: An Essential Tool for Improving Performance in Polio Endemic CountriesAlexandra E. Brown, Arshad Quddus, George Walker, Guillaume Chabot-Couture, Hiromasa Okayasu, Michael M. Nzioki, Mufti Z. Wadood, Roland W. SutterJournal articleEnglish
LQAS: User BewareDale A. Rhoda, David J. Fitch, Soledad A. Fernandez, Stanley LemeshowJournal articleEnglish
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Measuring Coverage in MNCH: A Validation Study Linking Population Survey Derived Coverage to Maternal, Newborn, and Child Health Care Records in Rural ChinaBiqin Tan, Harry Campbell, Jennifer Bryce, Li Liu, Li Yang, Lirong Ju, Mengying Li, Neff Walker, Robert E. Black, Yan Guo2013Journal articleEnglish
Measuring coverage in MNCH: total survey error and the interpretation of intervention coverage estimates from household surveys.Aluisio J D Barros, Dale A. Rhoda, Felicity T Cutts, Fred Arnold, Joseph Keating, Ruilin Ren, Thomas P. EiseleJournal articleEnglish
Measuring Coverage in MNCH: Tracking Progress in Health for Women and Children Using DHS and MICS Household SurveysAttila Hancioglu, Fred ArnoldJournal articleEnglish
Measuring populations to improve vaccination coverageAli Djibo, Andrew J. Tatem, Bryan T. Grenfell, Matthew J. Ferrari, Nita Bharti2016Journal articleEnglish
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Monitoring vaccination coverage: Defining the role of surveysDale A. Rhoda, Felicity T Cutts, M. Carolina Danovaro-Holliday, Pierre ClaquinJournal articleEnglish
Reply to comments on Monitoring vaccination coverage: Defining the role of surveys.Dale A. Rhoda, Felicity T Cutts, M. Carolina Danovaro-Holliday, Pierre ClaquinJournal articleEnglish
Seroepidemiology: an underused tool for designing and monitoring vaccination programmes in low- and middleincome countriesFelicity T Cutts, Matt HansonJournal articleEnglish
Use and abuse of rapid monitoring to assess coverage during mass vaccination campaigns.Elizabeth T. Luman, K. Lisa Cairns, Robert Perry, Vance DietzGuidanceEnglish
Validity of reported vaccination coverage in 45 countries.Christopher J. L. Murray, Bakhuti Shengelia, Neeru Gupta, Saba Moussavi, Ajay Tandon, Michel Thieren2003Journal articleEnglish
Validity of vaccination cards and parental recall to estimate vaccination coverage: a systematic review of the literature.Elizabeth T. Luman, Elizabeth Zell, Melody Miles, Tove K. Ryman, Vance DietzJournal articleEnglish

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