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Software application UKRVAC-01. for monitoring of immunization at oblast and central level. PURPOSE. Ukrvac is a supplement to HMIS that helps 1) process big flow of quality data at oblast and central level in a timely manner
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Software application UKRVAC-01 for monitoring of immunization at oblast and central level
PURPOSE Ukrvac is a supplement to HMIS that helps 1) process big flow of quality data at oblast and central level in a timely manner 2) quickly draw immunization manager’s attention to regions with sub-optimal performance 3) present information in a suitable form to decision makers and as a feedback to health workers at lower levels 4) store the data electronically for future reference
DATA ENTRY • WHO - assistant epidemiologist or PC operator (in oblasts) • WHEN - every month • HOW LONG - usually no more than 2-3 hours ---------- Accuracy verification and protection from accidental mistakes of an operator during data entry: - data validation - automatic verification of totals - conditional formatting of data entered
SYSTEM OUTPUT: 1. MONTHLY REPORTS ON IMMUNIZATION PRACTICE • number and types of immunizations given • use of vaccines • contraindications • timeliness All data are protected from changes
Number and types of immunization given, Cumulative numbers, Coverage in % Vaccine flow and usage data Timeliness of immunization and contraindications
2. CONTRAINDICATIONS TO DTP(tables and graphs) • by type (short-term, long-term, permanent) • by oblasts and rayons/towns • by months • structure (DTP-1,2,3) All data are protected from changes Conditional formatting function
The overall number of contraindications have reduced. Proportion of children contraindicated to DTP 1-3 for a long term has dropped from 4% to 2.6%
The focus of attention should be on selected low compliance regions
3. TIMELINESS OF IMMUNIZATIONS(table and graph) • by oblasts and rayons/towns • by months All data are protected from changes Conditional formatting function
4. IMMUNIZATION COVERAGE(tables and graphs) • Breakdown by oblasts and towns/rayons • Monthly and cumulative data in tables and dynamically built graphs • For all antigens: BCG, Polio (1-7), DTP (1-4), DT, Td, d, Hep B, Measles, Mumps, Rubella All data are protected from changes Conditional formatting function
Decentralized procurement: no mumps vaccine in 5 oblasts, whereas other preparations might have been bought in excessive quantity
5. USE OF VACCINES(tables and graphs) • For each vaccine: • vaccine flow in oblasts and rayons/towns every month • monthly balances at oblast, rayon/town stores and in health facilities • usage/wastage patterns by oblasts/rayons/towns and months Graphical presentation of all vaccines usage patters in regions Conditional formatting function All data are protected from changes
Reasons for high wastage need to be investigated and customized action plans developed
More than 6-month supply of DPT issued to health settings Severe shortage of basic vaccines A lot of DPT in stock but no Mumps vaccine