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Monitoring coverage of fully immunized children
Asnakew Tsega1, Fussum Daniel2, Robert Steinglass1
1Maternal and Child Health Integrated Program (MCHIP), 1776 Massachusetts Ave, Suite 300, NW, Washington, DC 20036, USA.
Insights
Fully immunized children (FIC) coverage is valuable for national immunization monitoring. However, Diphtheria-Tetanus-Pertussis (DTP3) vaccine coverage remains a key global indicator for assessing vaccine delivery capacity.
Area of Science:
- Public Health
- Epidemiology
- Vaccinology
Background:
- Immunization programs often rely on Diphtheria-Tetanus-Pertussis (DTP3) vaccine coverage as a primary indicator.
- DTP3 coverage alone does not fully reflect the uptake of other essential vaccines.
- Monitoring fully immunized children (FIC) offers a more comprehensive view of immunization program success.
Purpose of the Study:
- To assess the current status of monitoring fully immunized children (FIC) coverage in Eastern and Southern African countries.
- To understand national immunization program managers' perspectives on using FIC coverage as a key performance indicator.
Main Methods:
- A mini-survey utilizing a structured, self-administered questionnaire.
- Data collected from 19 national immunization program managers at a March 2014 meeting in Harare, Zimbabwe.
Main Results:
- Most surveyed countries reported monitoring FIC coverage.
- National program managers recognized the importance of FIC coverage for reflecting overall immunization benefits.
- FIC coverage is considered a valuable national-level indicator.
Conclusions:
- Fully immunized children (FIC) coverage can serve as a principal indicator at the national level.
- Diphtheria-Tetanus-Pertussis (DTP3) coverage retains advantages for global standardization of immunization program delivery capacity assessment.
Abstract:
Immunization programs monitor 3rd dose of DPT-containing vaccine coverage as a principal indicator; however, this does not inform about coverage with other vaccines. A mini-survey was conducted to assess the status of monitoring coverage of fully immunized children (FIC) in Eastern and Southern African countries. We designed and distributed a structured self-administered questionnaire to all 19 national program managers attending a meeting in March 2014 in Harare, Zimbabwe. We learned that most countries already monitor FIC coverage and managers appreciate the importance of monitoring this as a national indicator, as it aligns with the full benefits of immunization. This mini-survey concluded that at national level, FIC coverage could be used as a principal indicator; however, at global level DPT3 has some additional advantages across all countries in standardizing the capacity of the immunization program to deliver multiple doses of the same vaccine to all children by 12 months of age.
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