Journal article
Quality and usability of home-based record photos to assess vaccine coverage: A case study from the 2022 Democratic Republic of the Congo Vaccine Coverage Survey
Home-based records (HBRs) are often considered the "gold-standard" for determining vaccination status - especially for vaccination coverage surveys (VCS). However, data on the quality and usability of HBRs when collected at the source (household) as opposed to photos for recording at a central level is scarce. This study explores the usability of HBR photographs taken during the 2022 VCS of the Democratic Republic of the Congo (DRC). It compares results from analyses of HBR transcribed in the field and those entered from corresponding photos sent to a central server in the assessment of vaccine coverage. This analysis included a random sample of 2768 children aged 12-23 months who had both HBR data entered at the time of the survey and a corresponding photo. Using the card photo, a team of 6 independent researchers transcribed the cards and assessed HBR characteristics based on a predefined set of criteria related to data quality, entry and HBR quality. Data were summarized using proportions; agreement was assessed using concordance and Kappa-Cohen statistics. Over 90 % of selected children had photos considered adequate. Most HBRs met the set quality criteria in terms of physical condition and legibility. The majority (84.6 %) included the Ministry of Health logo and listed all the vaccines in the routine immunization schedule. Concordance and the Kappa-Cohen statistic showed high levels of variability of agreement by vaccine between the two sources of data. This study illustrates that entering vaccine data using photos of HBR at a central level versus at the time of survey is feasible and can provide accurate results with moderate agreement. Further, this approach can also reduce the time per survey in the field, if interviewers are only required to take a photograph. Additionally, having an HBR photo available can be useful for secondary analyses and further training.
Authors
- Dorcas M. Kibeti
- Nicole A. Hoff
- Sydney Merritt
- Aimée M. Lulebo
- Jean-Bosco N. Kasonga
- Nono M. Mvuama
- Christophe L. Luhata
- Dalau M. Nkamba
- John Samuel Otomba
- Amine El Mourid
- Aimé M. W. Cikomola
- Jean-Crispin Mukendi
- Marcellin Mengouo Nimpa
- Daniel K. Ishoso
- Adèle N. Mudipanu
- Deo Manirakiza
- Anne W. Rimoin
- Didine K. Kaba
- Jean K. Nyandwe
-
M. Carolina Danovaro-Holliday
View profile | More articles - Paul-Samson D. Lusamba
- Eric M. Mafuta
Languages
- English
Publication year
2025
Journal
Vaccine
Volume
59
Type
Journal article
Categories
- Data
Countries
- Democratic Republic Of The Congo
Tags
- Coverage monitoring
- Home-based records
WHO Regions
- African Region
hbr-journal
| Title | Author | Year | Type | Language |
|---|---|---|---|---|
| Quality and Use of Recording Fields in Home-Based Records Collected through a Missed Opportunities for Vaccination Assessment in Mozambique, 2017 | Nina Gerlach, Bvudzai Priscilla Magadzire, Gabriel Joao, Carlos Abel Funzamo, Ikechukwu Udo OGBUANU, Laura Nic Lochlainn | 2025 | Journal article | English |
| Quality and usability of home-based record photos to assess vaccine coverage: A case study from the 2022 Democratic Republic of the Congo Vaccine Coverage Survey | Dorcas M. Kibeti, Nicole A. Hoff, Sydney Merritt, Aimée M. Lulebo, Jean-Bosco N. Kasonga, Nono M. Mvuama, Christophe L. Luhata, Dalau M. Nkamba, John Samuel Otomba, Amine El Mourid, Aimé M. W. Cikomola, Jean-Crispin Mukendi, Marcellin Mengouo Nimpa, Daniel K. Ishoso, Adèle N. Mudipanu, Deo Manirakiza, Anne W. Rimoin, Didine K. Kaba, Jean K. Nyandwe, M. Carolina Danovaro-Holliday, Paul-Samson D. Lusamba, Eric M. Mafuta | 2025 | Journal article | English |
| A vintage childhood vaccination card | S. K. Chuang | 2025 | Journal article | English |
| Use and filling out of the child health booklet among beneficiaries of the Bolsa Família Program in Salvador-Bahia, Brazil: a cross-sectional study, 2023 | Claudia Nery Teixeira Palombo, Márcia Maria Carneiro Oliveira, Maria Carolina Ortiz Whitaker, Ráren Paulo da Silva Araújo, Carolina de Jesus Santos, Mariana Cavalcante Brotas Passos, Clariana Vitória Ramos de Oliveira, Ednir Assis Souza | 2024 | Journal article | English, Portuguese |
| Retention rate of vaccination card and its associated factors among vaccinated children aged 12─23 months in Ethiopia: Multilevel logistic regression analysis | Abiyu Abadi Tareke, Atikaw Tewabe Ayelign, Thomas Kidanemariam Yewodiaw, Enyew Woretaw Shiferaw, Habitu Birhan Eshetu, Ermias Bekele Enyew | 2024 | Journal article | English |
| Predictors of vaccination card retention in Tamale Metropolis, Ghana | Matthew Y. Konlan, Fuseini Mahama, Braimah B. Abubakari, Paul Konka, Benedict O. Appiah, Maxwell O. Yeboah, Peter G. Kwarteng, Porbilla O. Apea, Michael R. Adjei, Martin N. Adokiya, Oheneba Boadum, Hilarius A. K. Abiwu | 2024 | Journal article | English |
| Use of an application on the measles vaccine for Warao indigenous refugees in Brazil | Bárbara Lopes Paiva, Ingrid Bentes Lima, Laura Maria Vidal Nogueira, Ivaneide Leal Ataíde Rodrigues, Samantha Pereira Caldas, Marizete Lopes Andrade, Arthur da Silva Costa Pedroza, Anderson Raiol Rodrigues | 2024 | Journal article | English, Portuguese |
| Vaccination card loss and associated factors in Ethiopia: A multilevel analysis using Ethiopia Mini Demographic and Health Survey 2019 data | Zerihun Kura Edossa, Belay Erchafo Lubago, Minale Fekadie Baye, Rediet Kidane Alemu, Abebe Abera Tesema, Fira Abamecha, Yibeltal Siraneh, Dessalegn Tamiru, Negalign Berhanu Bayou, Gurmesa Tura Debelew | 2024 | Journal article | English |
| Effectiveness of a Mobile App (KhunLook) Versus the Maternal and Child Health Handbook on Thai Parents' Health Literacy, Accuracy of Health Assessments, and Convenience of Use: Randomized Controlled Trial | Rosawan Areemit, Suchaorn Saengnipanthkul, Sumitr Sutra, Pagakrong Lumbiganon, Phenphitcha Pornprasitsakul, Pongsatorn Paopongsawan, Kunwadee Sripanidkulchai | 2023 | Journal article | English |
| Children Immunization App (CIMA): A Non-randomized Controlled Trial Among Syrian Refugees in Zaatari Camp, Jordan | Soha El-Halabi, Yousef S. Khader, Mohammad Abu Khdeir, Claudia Hanson, Tobias Alfvén, Ziad El-Khatib | 2023 | Journal article | English |
