Monitoring the performance of the Expanded Program on Immunization: the case of Burkina Faso
Monitoring the performance of the Expanded Program on Immunization: the case of Burkina Faso
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DOI：
10.1186/1472-698x-9-s1-s12
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发表时间：
2009-10-01
影响因子：
3
通讯作者：
Fournier, Pierre
中科院分区：
文献类型：
--
作者：
Bicaba, Abel;Haddad, Slim;Fournier, Pierre
背景资料：一般而言，特别是在布基纳法索，扩大免疫方案面临的最大挑战在于它们是否有能力实现和维持确保有效保护儿童的免疫覆盖率。这篇文章的目的是证明，儿童的全面免疫覆盖率，这是监测国家免疫规划的主要指标，既不足以充分评估其绩效，也不足以帮助确定广泛的战略，必须实施，以提高其绩效。其他方面的性能，特别是坚持接种疫苗的时间表和效力的方法，用于达到所有的儿童（目标）也必须considered.Methods：这项研究进行了使用数据的调查在布基纳法索进行：1993年，1998年和2003年人口和健康调查和2003年全国免疫接种覆盖率调查。基本上，我们根据所考虑的指标描述了免疫覆盖率及其趋势。性能差异的幅度和最大/最小ratio.Results：卫生区域的性能不同，根据他们是否进行评估的基础上，完全免疫覆盖率或疫苗接种状况的儿童谁没有完成疫苗接种。健康地区包括各种各样的现实，和强度大不相同的努力，将需要达到所有的目标population.Conclusions：决策可以提高综合性能，包括全面免疫覆盖率，遵守疫苗接种时间表（及时覆盖），和儿童的地位，没有完全接种疫苗的三方观点。采用这种方法，干预措施可以更有针对性。它提供了关于疫苗接种的质量和及时性的信息，并确定了实现全面免疫覆盖目标所需的努力。
Background: The greatest challenge facing expanded programs on immunization in general, and in Burkina Faso in particular, lies in their capacity to achieve and sustain levels of immunization coverage that will ensure effective protection of children. This article aims to demonstrate that full immunization coverage of children, which is the primary indicator for monitoring national immunization programs, is sufficient neither to evaluate their performance adequately, nor to help identify the broad strategies that must be implemented to improve their performance. Other dimensions of performance, notably adherence to the vaccination schedule and the efficacy of the approaches used to reach all the children (targeting) must also be considered.Methods: The study was carried out using data from surveys carried out in Burkina Faso: the 1993, 1998 and 2003 Demographic and Health Surveys and the 2003 national Survey of Immunization Coverage. Essentially, we described levels of immunization coverage and their trends according to the indicators considered. Performance differences are illustrated by amplitudes and maximum/minimum ratios.Results: The health regions' performances vary according to whether they are evaluated on the basis of full immunization coverage or vaccination status of children who have not completed their vaccinations. The health regions encompass a variety of realities, and efforts of substantially different intensity would be required to reach all the target populations.Conclusions: Decision-making can be improved by integrating a tripartite view of performance that includes full immunization coverage, adherence to the vaccination schedule (timely coverage), and the status of children who are not fully vaccinated. With such an approach, interventions can be better targeted. It provides information on the quality and timeliness of vaccination and identifies the efforts required to meet the objectives of full immunization coverage.