High agreement between the new Mongolian electronic immunization register and written immunization records: a health centre based audit

Authors

  • Jocelyn Chan Pneumococcal Research, Murdoch Childrens Research Institute, Parkville, Australia; Department of Paediatrics, University of Melbourne, Parkville, Australia; Centre for International Child Health, Murdoch Childrens Research Institute, Parkville, Australia
  • Tuya Mungun Pneumococcal Research, Murdoch Childrens Research Institute, Parkville, Australia; National Center for Communicable Diseases, Ministry of Health, Ulaanbaatar, Mongolia
  • Narangerel Dorj Division for Surveillance and Emergency Operations, Ministry of Health, Ulaanbaatar, Mongolia
  • Baigal Volody Immunization Unit, National Center for Communicable Diseases, Ulaanbaatar, Ministry of Health, Mongolia
  • Uranjargal Chuluundorj Immunization Unit, National Center for Communicable Diseases, Ulaanbaatar, Ministry of Health, Mongolia
  • Enkhtuya Munkhbat Immunization Unit, National Center for Communicable Diseases, Ulaanbaatar, Ministry of Health, Mongolia
  • Gerelmaa Danzan Immunization Unit, National Center for Communicable Diseases, Ulaanbaatar, Ministry of Health, Mongolia
  • Cattram Nguyen Pneumococcal Research, Murdoch Childrens Research Institute, Parkville, Australia; Department of Paediatrics, University of Melbourne, Parkville, Australia; Clinical Epidemiology & Biostatistics Unit, Murdoch Childrens Research Institute, Parkville, Australia
  • Sophie La Vincente Pneumococcal Research, Murdoch Childrens Research Institute, Parkville, Australia; Department of Paediatrics, University of Melbourne, Parkville, Australia
  • Fiona Russell Pneumococcal Research, Murdoch Childrens Research Institute, Parkville, Australia; Department of Paediatrics, University of Melbourne, Parkville, Australia; Centre for International Child Health, Murdoch Childrens Research Institute, Parkville, Australia

DOI:

https://doi.org/10.5365/wpsar.2016.7.4.006

Abstract

Introduction: Monitoring of vaccination coverage is vital for the prevention and control of vaccine-preventable diseases. Electronic immunization registers have been increasingly adopted to assist with the monitoring of vaccine coverage; however, there is limited literature about the use of electronic registers in low- and middle-income countries such as Mongolia. We aimed to determine the accuracy and completeness of the newly introduced electronic immunization register for calculating vaccination coverage and determining vaccine effectiveness within two districts in Mongolia in comparison to written health provider records.

Methods: We conducted a cross-sectional record review among children 2–23 months of age vaccinated at immunization clinics within the two districts. We linked data from written records with the electronic immunization register using the national identification number to determine the completeness and accuracy of the electronic register.

Results: Both completeness (90.9%; 95% CI: 88.4–93.4) and accuracy (93.3%; 95% CI: 84.1–97.4) of the electronic immunization register were high when compared to written records. The increase in completeness over time indicated a delay in data entry.

Conclusion: Through this audit, we have demonstrated concordance between a newly introduced electronic register and health provider records in a middle-income country setting. Based on this experience, we recommend that electronic registers be accompanied by routine quality assurance procedures for the monitoring of vaccination programmes in such settings.

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Published

25-09-2017

How to Cite

1.
Chan J, Mungun T, Dorj N, Volody B, Chuluundorj U, Munkhbat E, Danzan G, Nguyen C, La Vincente S, Russell F. High agreement between the new Mongolian electronic immunization register and written immunization records: a health centre based audit. Western Pac Surveill Response J [Internet]. 2017 Sep. 25 [cited 2024 Nov. 24];8(3). Available from: https://ojs.wpro.who.int/ojs/index.php/wpsar/article/view/510

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Section

Original Research

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