Improving immunization data and coverage
PATH works with stakeholders at the district, national, and global level to define requirements and identify appropriate solutions for information management systems that can improve vaccine delivery and immunization coverage through improved collection, reporting, and usage of data.
- Cold Chain Equipment Manager (513 KB PDF): Recognizing the urgent need for countries to better plan and manage cold chain equipment such as refrigerators, cold rooms, and cold boxes, PATH developed a software tool called Cold Chain Equipment Manager (CCEM). CCEM can help vaccination programs plan and manage the equipment needed on a facility-by-facility basis, matching equipment specifications with a facility’s energy availability and capacity needs. With support from the US Agency for International Development (USAID), the World Health Organization (WHO), UNICEF, and the Clinton Health Access Initiative (CHAI), CCEM has been implemented into national immunization programs in four countries, including India and Benin.
- Increasing Immunization Coverage in Ghana through the Identification of eHealth Services that Transform Service Delivery: The Bill & Melinda Gates Foundation asked PATH to develop a strategic review of information technologies that, if deployed, could have a transformative impact on health outcomes especially immunization coverage rates. Through this project, PATH defined requirements for global and Ghana-specific immunization information systems, provided recommendations on which mobile health (mHealth)-enabled process levers will produce what outcomes, and analyzed how mHealth technologies and tools can be implemented to “move the dial” or transform immunization coverage in Ghana and beyond. This project was funded by the Bill & Melinda Gates Foundation.
- Planning an Information Systems Project: a Toolkit for Public Health Managers. Based on extensive research and demonstration projects in Albania, Guatemala, Vietnam, and Tunisia, PATH and WHO through Project Optimize have collected their combined knowledge on what it takes to create and sustain information systems and assembled it into a toolkit for organizations interested in embarking on digital systems: Planning an Information Systems Project: A Toolkit for Public Health Managers (2,136 KB).
- Immunization Information System in Albania: Starting in 2011, the Albanian Ministry of Health worked with PATH and WHO through Project Optimize to develop a registry-based computerized immunization information system (IIS) and piloted this system in Shkoder district. The system greatly simplifies immunization reporting and monthly planning, which formerly required nurses to record each vaccination in up to six forms and registers. It has also made records more accurate, timely, and transparent, which allows health workers and managers to better understand which children are not being immunized and why. IIS also manages the stock of vaccines and consumables, which allows the Institute for Public Health to monitor the expiry date, distribution, and usage of ever more expensive vaccines. By linking the vaccine lots to the individual child records, lots can be traced through the stores and eventually to any children who have received a dose from a particular lot. The system has been presented to other interested countries in the region, and other districts in Albania are now currently evaluating their readiness to implement IIS.
- Immunization Registry in Vietnam: In 2011, Vietnam’s National Institute of Hygiene and Epidemiology began working with PATH and WHO through Project Optimize to demonstrate the benefits of using computer and mobile phone technology to record immunization registry data, track individual children due for immunization, and record vaccinations. The demonstration was carried out in Mo Cay Nam district (Ben Tre Province) and has provided much insight into how an information system might benefit immunization and, in fact, the broader health system going forward. Currently, the system is being adopted in the eight additional districts in Ben Tre Province.
- Supporting Immunization Data Flow: Growth in the pace of new vaccine introductions and increased data monitoring requirements has exceeded the capacity of existing tools and processes. In partnership with the WHO, PATH is supporting the development of an integrated dashboard and supporting tools to combine and analyze immunization-related data collected by the WHO, UNICEF Supply Division, and Global Alliance for Vaccines and Immunization (GAVI). For more information about the data repository created through this project, click here. This project was funded by the Bill & Melinda Gates Foundation.
Immunization Information Systems: Albania
Immunization Information Systems: Logistimo in South Sudan
Immunization Information Systems: ImmReg in Vietnam
Albania Pilots an Immunization Information System. Seattle: PATH and World Health Organization; 2012. Available at: http://www.path.org/publications/detail.php?i=2253.
Albania Country Report. Seattle: Optimize (PATH and WHO); 2013. Available at: http://www.path.org/publications/files/TS_opt_albania_rpt.pdf.
“The Benefits of an Immunization Information System: how the implementation of an information system changed the way immunization staff work together in Albania.” PATH. Available online at: http://www.youtube.com/watch?v=HvJz2CbzlgE
Before and After: How an Online Immunization Registry has Benefitted Health Workers in Albania (PATH and WHO); 2013. Available at: http://www.path.org/publications/detail.php?i=2306.
Common Requirements for Logistics Management Information Systems. Seattle: PATH; 2010. Available in French, Spanish, and Vietnamese at: http://www.path.org/publications/detail.php?i=1865.
Domestic Refrigerators for Vaccine Storage in Tunisia: Conclusion and Recommendations. Lloyd J, McCarney S, Ouhichi R. Seattle: PATH and World Health Organization; 2012. Available at: http://www.path.org/publications/detail.php?i=2255.
Planning an Information Systems Project: A Toolkit for Public Health Managers. Presernter: Kate Wilson. Date: September 19th, 2013. PATH and the WHO have developed an ICT toolkit that can help NGOs and public health managers plan for the implementation of information and communications technology in health information systems. It draws on lessons learned by project Optimize, a five-year collaboration between the World Health Organization and PATH.
Vietnam Summary Report. Seattle: Optimize (PATH and WHO); 2013. Available at: http://www.path.org/publications/files/TS_opt_viet_summary_rpt.pdf.
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