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Assessment of immunization data management practices in Cameroon: unveiling potential barriers to immunization data quality
BACKGROUND: One crucial obstacle to attaining universal immunization coverage in Sub-Saharan Africa is the paucity of timely and high-quality data. This challenge, in part, stems from the fact that many frontline immunization staff in this part of the world are commonly overburdened with multiple da...
Autores principales: | , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10537541/ https://www.ncbi.nlm.nih.gov/pubmed/37759205 http://dx.doi.org/10.1186/s12913-023-09965-9 |
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author | Saidu, Yauba Gu, Jessica Ngenge, Budzi Michael Nchinjoh, Sangwe Clovis Adidja, Amani Nnang, Nadege Edwidge Muteh, Nkwain Jude Zambou, Vouking Marius Mbanga, Clarence Agbor, Valirie Ndip Ousmane, Diaby Njoh, Andreas Ateke Flegere, Junie Diack, Demba Wiwa, Owens Montomoli, Emmanuele Clemens, Sue Ann Costa Clemens, Ralf |
author_facet | Saidu, Yauba Gu, Jessica Ngenge, Budzi Michael Nchinjoh, Sangwe Clovis Adidja, Amani Nnang, Nadege Edwidge Muteh, Nkwain Jude Zambou, Vouking Marius Mbanga, Clarence Agbor, Valirie Ndip Ousmane, Diaby Njoh, Andreas Ateke Flegere, Junie Diack, Demba Wiwa, Owens Montomoli, Emmanuele Clemens, Sue Ann Costa Clemens, Ralf |
author_sort | Saidu, Yauba |
collection | PubMed |
description | BACKGROUND: One crucial obstacle to attaining universal immunization coverage in Sub-Saharan Africa is the paucity of timely and high-quality data. This challenge, in part, stems from the fact that many frontline immunization staff in this part of the world are commonly overburdened with multiple data-related responsibilities that often compete with their clinical tasks, which in turn could affect their data collection practices. This study assessed the data management practices of immunization staff and unveiled potential barriers impacting immunization data quality in Cameroon. METHODS: A descriptive cross-sectional study was conducted, involving health districts and health facilities in all 10 regions in Cameroon selected by a multi-stage sampling scheme. Structured questionnaires and observation checklists were used to collect data from Expanded Program of Immunization (EPI) staff, and data were analyzed using STATA VERSION 13.0 (StataCorp LP. 2015. College Station, TX). RESULTS: A total of 265 facilities in 68 health districts were assessed. There was limited availability of some data recording tools like vaccination cards (43%), maintenance registers (8%), and stock cards (57%) in most health facilities. Core data collection tools were incompletely filled in a significant proportion of facilities (37% for registers and 81% for tally sheets). Almost every health facility (89%) did not adhere to the recommendation of filling tally sheets during vaccination; the filling was instead done either before (51% of facilities) or after (25% of facilities) vaccinating several children. Moreso, about 8% of facilities did not collect data on vaccine administration. About a third of facilities did not collect data on stock levels (35%), vaccine storage temperatures (21%), and vaccine wastage (39%). CONCLUSION: Our findings unveil important gaps in data collection practices at the facility level that could adversely affect Cameroon’s immunization data quality. It highlights the urgent need for systematic capacity building of frontline immunization staff on data management capacity, standardizing data management processes, and building systems that ensure constant availability of data recording tools at the facility level. |
format | Online Article Text |
id | pubmed-10537541 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-105375412023-09-29 Assessment of immunization data management practices in Cameroon: unveiling potential barriers to immunization data quality Saidu, Yauba Gu, Jessica Ngenge, Budzi Michael Nchinjoh, Sangwe Clovis Adidja, Amani Nnang, Nadege Edwidge Muteh, Nkwain Jude Zambou, Vouking Marius Mbanga, Clarence Agbor, Valirie Ndip Ousmane, Diaby Njoh, Andreas Ateke Flegere, Junie Diack, Demba Wiwa, Owens Montomoli, Emmanuele Clemens, Sue Ann Costa Clemens, Ralf BMC Health Serv Res Research BACKGROUND: One crucial obstacle to attaining universal immunization coverage in Sub-Saharan Africa is the paucity of timely and high-quality data. This challenge, in part, stems from the fact that many frontline immunization staff in this part of the world are commonly overburdened with multiple data-related responsibilities that often compete with their clinical tasks, which in turn could affect their data collection practices. This study assessed the data management practices of immunization staff and unveiled potential barriers impacting immunization data quality in Cameroon. METHODS: A descriptive cross-sectional study was conducted, involving health districts and health facilities in all 10 regions in Cameroon selected by a multi-stage sampling scheme. Structured questionnaires and observation checklists were used to collect data from Expanded Program of Immunization (EPI) staff, and data were analyzed using STATA VERSION 13.0 (StataCorp LP. 2015. College Station, TX). RESULTS: A total of 265 facilities in 68 health districts were assessed. There was limited availability of some data recording tools like vaccination cards (43%), maintenance registers (8%), and stock cards (57%) in most health facilities. Core data collection tools were incompletely filled in a significant proportion of facilities (37% for registers and 81% for tally sheets). Almost every health facility (89%) did not adhere to the recommendation of filling tally sheets during vaccination; the filling was instead done either before (51% of facilities) or after (25% of facilities) vaccinating several children. Moreso, about 8% of facilities did not collect data on vaccine administration. About a third of facilities did not collect data on stock levels (35%), vaccine storage temperatures (21%), and vaccine wastage (39%). CONCLUSION: Our findings unveil important gaps in data collection practices at the facility level that could adversely affect Cameroon’s immunization data quality. It highlights the urgent need for systematic capacity building of frontline immunization staff on data management capacity, standardizing data management processes, and building systems that ensure constant availability of data recording tools at the facility level. BioMed Central 2023-09-27 /pmc/articles/PMC10537541/ /pubmed/37759205 http://dx.doi.org/10.1186/s12913-023-09965-9 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Saidu, Yauba Gu, Jessica Ngenge, Budzi Michael Nchinjoh, Sangwe Clovis Adidja, Amani Nnang, Nadege Edwidge Muteh, Nkwain Jude Zambou, Vouking Marius Mbanga, Clarence Agbor, Valirie Ndip Ousmane, Diaby Njoh, Andreas Ateke Flegere, Junie Diack, Demba Wiwa, Owens Montomoli, Emmanuele Clemens, Sue Ann Costa Clemens, Ralf Assessment of immunization data management practices in Cameroon: unveiling potential barriers to immunization data quality |
title | Assessment of immunization data management practices in Cameroon: unveiling potential barriers to immunization data quality |
title_full | Assessment of immunization data management practices in Cameroon: unveiling potential barriers to immunization data quality |
title_fullStr | Assessment of immunization data management practices in Cameroon: unveiling potential barriers to immunization data quality |
title_full_unstemmed | Assessment of immunization data management practices in Cameroon: unveiling potential barriers to immunization data quality |
title_short | Assessment of immunization data management practices in Cameroon: unveiling potential barriers to immunization data quality |
title_sort | assessment of immunization data management practices in cameroon: unveiling potential barriers to immunization data quality |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10537541/ https://www.ncbi.nlm.nih.gov/pubmed/37759205 http://dx.doi.org/10.1186/s12913-023-09965-9 |
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