Improving routine immunization data quality using daily short message system reporting platform: An experience from Nasarawa state, Nigeria

Akerele, Adekunle; Uba, Belinda; Aduloju, Matthew; Etamesor, Sulaiman; Umar, Jamila; Adeoye, Olorunsogo Bidemi; Enyojo, Ameh; Josiah, Friday; Ayandipo, Esther; Olaoye, Itse; Adegoke, Oluwasegun Joel; Sidney, Sampson; Bagana, Murtala; Okposen, Bassey; Ghiselli, Margherita; Ndadilnasiya, Waziri; Bolu, Omotayo; Shuaib, Faisal

doi:10.1371/journal.pone.0255563

Cited by 9 publications

(1 citation statement)

References 9 publications

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“…The paper-based responses in Bauchi State validates improvement in duration of response time using LoMIS Stock in Kano State as the responses were consistent with pre-LoMIS ndings in Kano State. In another study, the results also posits that the use of digital technology for reporting routine immunization data is feasible and can provide real-time updates to RI performance indicators such as vaccine availability [23].…”

Section: Discussionmentioning

confidence: 93%

Analyzing the effectiveness of digital technology in Vaccine Supply Management in Kano State, Nigeria

Metiboba,

Katuka,

Adam

et al. 2023

Preprint

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Background Poor vaccine stock management is a major challenge to targeted immunization coverage in Nigeria. Digital health tools are used to promote public health interventions. This study evaluated the impact of LoMIS Stock, a digital health tool, on vaccine stock management in Kano State. We deployed the quasi-experimental design using a mixed method to generate data for impact. We interviewed 109 stakeholders (66 in Kano; the state exposed to LoMIS; 43 in Bauchi; the comparison state). We measured LoMIS Stock usage rate, timeliness of reporting, facility stock-outs, and data-driven decision-making. The Analysis of Variance and T-tests were used to determine effect and compare difference of means. Using time series analysis (expert modeler), we forecasted the trend of stock-outs in Kano State if LoMIS Stock had not been introduced. All qualitative data was analyzed with Atlas Ti software. Results We found that 62% of participants reported using the tool for stock reports three years after its deployment. Twenty-four (24) hour response to stock-out alerts and Cold Chain Equipment breakdown improved by 67% and 49% respectively. Significantly, stock-out alerts reduced by 88% as compared to only 29% in Bauchi State within the same period. It was found that stock-out events would have increased if LoMIS Stock had not been introduced in Kano State.All partners interviewed affirmed the impulse of LoMIS on improved vaccine visibility that led to timely response. Conclusions LoMIS stock has significantly reduced stock-out experiences and improved vaccine visibility and accountability in health facilities. There are more opportunities for LoMIS Stock optimization.

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Section: Discussionmentioning

confidence: 93%

Analyzing the effectiveness of digital technology in Vaccine Supply Management in Kano State, Nigeria

Metiboba,

Katuka,

Adam

et al. 2023

Preprint

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Towards the Implementation of a Versatile Mobile Health Solutions for the Management of Immunization Against Infectious Diseases in Nigeria

Victor-Ikoh

Moko

Nwankwo

2022

Lecture Notes in Computer Science

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Coping mechanisms and strategies adopted to improve the quality and timeliness of immunization data among lower-level private-for-profit service providers in Kampala Capital City, Uganda

Ssegujja,

Akulume,

Ekirapa-Kiracho

et al. 2024

PLoS ONE

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Background Lower-level urban private-for-profit health service providers are actively engaged in the delivery of immunization services. However, not much is known about their everyday endeavours to improve data quality and ensure the submitted data meets the quality and timeliness requirements as per established guidelines. The objective of this paper was to examine the coping mechanisms and strategies adopted to improve the quality and timeliness of immunization data among lower-level private-for-profit service providers in Kampala Capital City, Uganda. Methods A qualitative study design was adopted with in-depth interviews (n = 17) and key informant interviews (n = 8) completed among frontline health workers, district health managers and immunization implementing partners. Analysis followed a thematic approach with coding conducted using Atlas. ti, a qualitative data management software. Results Overall, coping mechanisms and strategies adopted to improve the data quality among lower-level urban private-for-profit immunization service providers included; Experiential attachment for practical skills acquisition in data management, data quality peer-to-peer learning among private-for-profit immunization service providers, registration using cohort system for easy tracking of records during subsequent visits, separation of visiting service user records from regular attendants, service delivery modifications such as reward for better performance, engagement of Village Health Teams (VHTs) in outreaches and data completion, and data quality checks through review of monitoring charts to identify gaps in data quality. Conclusions Within the urban context, the delivery of immunization services by lower-level private-for-profit services faces data quality challenges some of which stem from the implementation context. Different coping strategies focusing on frontline health worker skills, enhanced experience sharing through peer-to-peer learning, modifications to registration and routine review of monitoring charts. However, these efforts were often faced with chronic barriers such as the high staff turnover calling for dedicated efforts to optimize the available implementation opportunities like guidelines mandating the public health facilities to supervise the lower-level private immunization service providers within their catchment areas to respond to the identified gaps.

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Improving routine immunization data quality using daily short message system reporting platform: An experience from Nasarawa state, Nigeria

Cited by 9 publications

References 9 publications

Analyzing the effectiveness of digital technology in Vaccine Supply Management in Kano State, Nigeria

Analyzing the effectiveness of digital technology in Vaccine Supply Management in Kano State, Nigeria

Towards the Implementation of a Versatile Mobile Health Solutions for the Management of Immunization Against Infectious Diseases in Nigeria

Coping mechanisms and strategies adopted to improve the quality and timeliness of immunization data among lower-level private-for-profit service providers in Kampala Capital City, Uganda

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