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Strengthening Immunization Data: Protocol for the Evaluation of an Electronic Immunization Register.

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This study outlines a protocol to evaluate electronic immunization registers (EIRs) in the Lao People's Democratic Republic, aiming to improve vaccination coverage and system efficiency. Findings will guide nationwide strengthening and sustainability of EIR implementation.

Keywords:
data qualitydigital technologyelectronic immunization registerevaluationhealth system strengtheningmixed methodsprocess evaluationvaccination coverage

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Area of Science:

  • Public Health
  • Health Informatics
  • Immunization Systems Strengthening

Background:

  • Electronic immunization registers (EIRs) enhance immunization systems, improving efficiency and vaccination coverage.
  • Low- and middle-income countries are integrating EIRs for COVID-19 vaccination into routine immunization programs.

Purpose of the Study:

  • To describe the protocol for evaluating EIR implementation in the Lao People's Democratic Republic.
  • To identify opportunities for improving EIR implementation, scale-up, and sustainability.

Main Methods:

  • Mixed-methods approach including workflow mapping, user/stakeholder perspectives, and data quality assessment.
  • Data collection via document review, observation, surveys, interviews, and data quality analysis.
  • Triangulation of evidence to identify strengths, weaknesses, facilitators, and barriers to EIR implementation.

Main Results:

  • Data collection conducted from April to August 2024.
  • Data analysis is ongoing; results expected October 2024.
  • Early findings will inform a roadmap for nationwide EIR strengthening.

Conclusions:

  • The evaluation will inform strategies for strengthening and sustaining EIRs nationwide.
  • Lessons learned will streamline future implementation and enhance EIR effectiveness.
  • The presented methodology is replicable in other low- and middle-income countries implementing EIRs.