Scholarlink

Background <p>Electronic immunisation registers (EIRs) can strengthen immunisation programs by increasing access to rich data for policy-making. In Vanuatu, an EIR was introduced for COVID-19 vaccination, while longstanding paper-based systems are used for routine immunisation. We examined data use from paper-based systems for routine immunisation and with an EIR for COVID-19 vaccination in Vanuatu, and identified factors influencing data use.</p> Methods <p>We conducted a qualitative study, interviewing 16 key informants working within the Vanuatu Ministry of Health (<i>n</i> = 11) and international development agencies (<i>n</i> = 5). We thematically identified data use actions and factors determining data use with the Performance of Routine Information System Management framework. We verified findings through document review and quality assessment of EIR data.</p> Results <p>Routine immunisation coverage data were used to identify coverage gaps, but used inconsistently in planning service delivery or strategic decision-making. In contrast, decision-makers used COVID-19 vaccination coverage data regularly to monitor and plan program rollout, allocate resources, and assess adverse events following immunisation. The EIR streamlined data processes, allowing data to be entered, analysed and shared at a faster pace. Barriers to using routine immunisation data included inadequate data management processes, minimal performance feedback, lack of data use culture, poor data literacy and workers’ heavy workload. For COVID-19 vaccination, EIR data use was enabled by increased resources, greater demand and accountability for data, and urgency to achieve high COVID-19 vaccination coverage during the pandemic.</p> Conclusions <p>The increased resourcing, emergency context and focus on COVID-19 fostered an environment for greater data use. While the EIR enabled rapid access to data, health leadership, regular feedback and accountability to achieve targets were necessary to increase data use in decision-making.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Data use for immunisation decision-making and the role of an electronic immunisation register in Vanuatu

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年9月17日

查看全文
  • Cyra Patel,
  • Olivia Y. Cheung,
  • Rachel Takoar,
  • Chris Gauthier-Coles,
  • Ginny M. Sargent,
  • Esther Makanga,
  • Simon Samson,
  • Phillippe Guyant,
  • Syed Muhammad Faizan ul Haq,
  • Lauro Vives,
  • Meru Sheel

摘要

Background

Electronic immunisation registers (EIRs) can strengthen immunisation programs by increasing access to rich data for policy-making. In Vanuatu, an EIR was introduced for COVID-19 vaccination, while longstanding paper-based systems are used for routine immunisation. We examined data use from paper-based systems for routine immunisation and with an EIR for COVID-19 vaccination in Vanuatu, and identified factors influencing data use.

Methods

We conducted a qualitative study, interviewing 16 key informants working within the Vanuatu Ministry of Health (n = 11) and international development agencies (n = 5). We thematically identified data use actions and factors determining data use with the Performance of Routine Information System Management framework. We verified findings through document review and quality assessment of EIR data.

Results

Routine immunisation coverage data were used to identify coverage gaps, but used inconsistently in planning service delivery or strategic decision-making. In contrast, decision-makers used COVID-19 vaccination coverage data regularly to monitor and plan program rollout, allocate resources, and assess adverse events following immunisation. The EIR streamlined data processes, allowing data to be entered, analysed and shared at a faster pace. Barriers to using routine immunisation data included inadequate data management processes, minimal performance feedback, lack of data use culture, poor data literacy and workers’ heavy workload. For COVID-19 vaccination, EIR data use was enabled by increased resources, greater demand and accountability for data, and urgency to achieve high COVID-19 vaccination coverage during the pandemic.

Conclusions

The increased resourcing, emergency context and focus on COVID-19 fostered an environment for greater data use. While the EIR enabled rapid access to data, health leadership, regular feedback and accountability to achieve targets were necessary to increase data use in decision-making.