Occurrence of home-based record stock-outs-A quiet problem for national immunization programmes continues

Area of Science:

• Public Health
• Immunization Programs
• Health Information Systems

Background:

• Home-based records (HBRs) are cost-effective tools for monitoring infant vaccinations.
• Stock-outs of HBRs impede their intended use and impact healthcare delivery.
• Consistent availability of HBRs is essential for continuity of care and caregiver empowerment.

Purpose of the Study:

• To analyze the frequency and patterns of HBR stock-outs globally between 2014 and 2016.
• To identify countries experiencing recurrent HBR stock-outs.
• To highlight the implications of HBR stock-outs on immunization programs and healthcare.

Main Methods:

• Data on HBR stock-outs were extracted from the WHO and UNICEF Joint Reporting Form on Immunization for 2014-2016.
• Analysis focused on the annual occurrence and duration of stock-outs reported by national immunization programs.
• Funding sources for HBRs were also examined for the year 2016.

Main Results:

• 48 countries reported at least one HBR stock-out between 2014 and 2016.
• 13 countries experienced HBR stock-outs in two out of the three years analyzed.
• In 2016, 44 countries reported multiple funding sources for HBRs, yet stock-outs persisted.

Conclusions:

• Persistent challenges exist in ensuring the continuous availability of HBRs globally.
• HBR stock-outs negatively affect continuity of care, point-of-care efficiency, and caregiver advocacy.
• Further research into the causes of HBR stock-outs and the development of preventative strategies are urgently needed.