Collecting and using reliable vaccination coverage survey estimates: Summary and recommendations from the "Meeting to share lessons learnt from the roll-out of the updated WHO Vaccination Coverage Cluster Survey Reference Manual and to set an operational research agenda around vaccination coverage surveys", Geneva, 18-21 April 2017
Collecting and using reliable vaccination coverage survey estimates: Summary and recommendations from the "Meeting to share lessons learnt from the roll-out of the updated WHO Vaccination Coverage Cluster Survey Reference Manual and to set an operational research agenda around vaccination coverage surveys", Geneva, 18-21 April 2017
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DOI：
10.1016/j.vaccine.2018.07.019
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发表时间：
2018-08-16
期刊：
影响因子：
5.5
通讯作者：
Gacic-Dobo, Marta
中科院分区：
文献类型：
--
作者：
Danovaro-Holliday, M. Carolina;Dansereau, Emily;Gacic-Dobo, Marta
家庭调查经常被用作衡量疫苗接种覆盖率的手段，但要获得准确的调查估计数存在若干挑战。2015年，世界卫生组织（WHO）发布了其更新的疫苗接种覆盖率调查参考手册的工作草案，远远超出了传统的扩大免疫规划（EPI）调查设计。2017年4月，世卫组织召开了一次为期四天的会议，审查使用更新后的手册所吸取的经验教训，并确定疫苗接种覆盖率调查的业务研究议程。约70个利益攸关方，包括来自使用了最新《调查手册》的10个国家的扩大免疫方案管理人员和参与者、调查专家、统计人员、合作伙伴、世卫组织区域办事处和总部的代表以及技术援助提供者，讨论了从抽样到准确确定一个人的疫苗接种状况、优化数据收集和数据管理以及进行适当分析等方法问题。与会者还讨论了数据共享以及如何为免疫决策提供最佳调查数据。从使用世卫组织最新调查手册中吸取的经验教训主要涉及开展更高质量的疫苗接种覆盖率调查的业务问题。它为世卫组织、捐助者和合作伙伴、免疫规划以及收集免疫数据的家庭调查提出了23项建议。同样，14个研究专题被列为优先事项，分为六个主题（全面调查的进行、抽样、疫苗接种的确定、数据收集、数据分析和使用，以及纳入关于知识、态度和做法的问题）。进一步工作的主要领域包括：在没有疫苗接种记录证据的情况下，提高我们对护理人员回忆准确性的理解，改善免疫规划和进行人口与健康调查和多类集指标调查等多目的家庭调查的实体之间的参与和协调，改善共享疫苗接种调查数据集和文件的机制，更好地利用调查结果，将数据转化为决策知识。本手稿概述了会议记录，并提供了世卫组织自该会议以来所采取行动的最新情况。(C)2018作者（S）爱思唯尔有限公司出版
Household surveys are frequently used as means of vaccination coverage measurement, but obtaining accurate survey estimates present several challenges. In 2015, the World Health Organization (WHO) released a working draft of its updated Vaccination Coverage Survey Reference Manual that moved well beyond the traditional Expanded Program on Immunization (EPI) survey design. In April 2017, WHO convened a four-day meeting, to review lessons learned using the updated manual and to define an agenda for operational research about vaccination coverage surveys. About 70 stakeholders, including EPI managers and participants from 10 countries that have used the updated Survey Manual, survey experts, statisticians, partners, representatives from WHO regional offices and headquarters, and providers of technical assistance discussed methodological issues from sampling to accurately ascertaining a person's vaccination status, optimizing data collection and data management and conducting appropriate analyses. Participants also discussed data sharing and how to best survey data for immunization decision making. The lessons learned from the use of the updated WHO Survey Manual related mainly to operational issues to implement better quality vaccination coverage surveys. It resulted in a list of 23 recommendations for WHO, donors and partners, immunization programs, and household surveys that collect immunization data. Similarly, 14 research topics, categorized in six themes (overall survey conduction, sampling, vaccination ascertainment, data collection, data analysis and use, and inclusion of questions on knowledge, attitudes and practices) were prioritized. Top areas of further work included improving our understanding of the accuracy of caregiver recall when documented evidence of vaccination is not available, improving engagement and coordination between immunization programs and entities conducting multi-purpose household surveys such as Demographic and Health Survey and Multiple Cluster Indicator Survey, improving mechanisms for sharing vaccination survey datasets and documentation, and making better use of survey results to translate data into knowledge for decision-making. This manuscript summarizes the meeting proceedings and provides an update of actions taken by WHO since this meeting. (C) 2018 The Author(s). Published by Elsevier Ltd.