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Ukrvac-01: Immunization Monitoring System for Effective Data Management

Ukrvac is a software application designed to process large volumes of immunization data at oblast and central level efficiently, draw attention to regions with underperformance, provide feedback to health workers, and store data for future reference. It offers accurate data entry, validation, and protection measures to ensure quality data output. The system generates monthly reports on immunization practices, contraindications to DTP, timeliness of immunizations, coverage breakdown, and vaccine usage patterns. Ukrvac aids in identifying and addressing vaccine wastage, shortages, and stockouts, enabling informed decision-making for improved immunization outcomes.

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Ukrvac-01: Immunization Monitoring System for Effective Data Management

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  1. Software application UKRVAC-01 for monitoring of immunization at oblast and central level

  2. 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

  3. 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

  4. 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

  5. Number and types of immunization given, Cumulative numbers, Coverage in % Vaccine flow and usage data Timeliness of immunization and contraindications

  6. 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

  7. 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%

  8. The focus of attention should be on selected low compliance regions

  9. 3. TIMELINESS OF IMMUNIZATIONS(table and graph) • by oblasts and rayons/towns • by months All data are protected from changes Conditional formatting function

  10. Vaccine shortages result in delayed immunization

  11. 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

  12. Frequent stockouts

  13. Decentralized procurement: no mumps vaccine in 5 oblasts, whereas other preparations might have been bought in excessive quantity

  14. 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

  15. Reasons for high wastage need to be investigated and customized action plans developed

  16. 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

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