Software application UKRVAC-01

for monitoring of immunization

at oblast and central level

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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

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DATA ENTRY

WHO - assistant epidemiologist or PC operator (in oblasts)

WHEN - every month HOW LONG - usually no more than 2-3 hours

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Accuracy verification and protection from accidental mistakes of an operator during data entry:

- data validation

- automatic verification of totals

- conditional formatting of data entered

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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

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Number and types of immunization given, Cumulative numbers, Coverage in %

Timeliness of immunization and contraindications

Vaccine flow and

usage data

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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

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0%

2%

4%

6%

8%

10%

12%

14%

16%

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Long-term and permanent Temporary

2000UKRAINEPERCENTAGE OF CHILDREN WITH CONTRAINDICATIONS TO DPT 1-3

0%

2%

4%

6%

8%

10%

12%

14%

16%

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Long-term and permanent Temporary

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%

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0%

2%

4%

6%

8%

10%

12%

14%

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Long-term and permanent Temporary

PERCENTAGE OF CHILDREN WITH CONTRAINDICATIONS TO DPT 1-3 UKRAINE 2000

DecemberDecember

The focus of attention should be on selected low compliance regions

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3. TIMELINESS OF IMMUNIZATIONS(table and graph)

by oblasts and rayons/towns by months

All data are protected from changes

Conditional formatting function

1070

75

80

85

90

95

100

Co

vera

ge

, %

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

TIMELINESS OF DPT-3 IMMUNIZATIONS (at the age of 6mo 29d), UKRAINE, 2000

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Vaccine shortages result in delayed immunization

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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

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Frequent stockouts

14

Decentralized procurement: no mumps vaccine in 5 oblasts, whereas

other preparations might have been bought in excessive quantity

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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

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Reasons for high wastage need to be investigated and customized action

plans developed

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Severe shortage of basic vaccines

More than 6-month supply of DPT issued to health settings

A lot of DPT in stock but no Mumps vaccine