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Journal of Tropical Pediatrics Advance Access originally published online on October 26, 2007
Journal of Tropical Pediatrics 2008 54(1):62-65; doi:10.1093/tropej/fmm091
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© The Author [2007]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Brief Reports

Performance Assessment of the Ugandan National Programme of Immunization in Masindi: Analysis of Routine Data*

Roberto Vivancosa and Rebeca Martinezb

aBiomedical Research Centre, School of Medicine Health Policy and Practice, University of East Anglia, NR4 7TJ, UK
bDepartment of Psychological Medicine, University of Glasgow, UK

Correspondence: Dr Roberto Vivancos, Lecturer, Biomedical Research Centre, School of Medicine Health Policy and Practice, University of East Anglia, NR4 7TJ, UK. E-mail < r.vivancos{at}uea.ac.uk>.


  Abstract

Vaccine preventable diseases are making a come back in Africa. Investments in national programmes of immunization have yielded noticeable improvements in coverage and disease epidemiology. We reviewed diphtheria-pertussis-tetanus coverage (a multi-dose regime antigen) using data routinely collected at health centre level on immunization coverage and classifying health areas according to coverage of first dose and dropout rates between first and third doses. This analysis classifies health areas in four categories depending on access and quality of immunization services. We argue that this simple analysis can be used by district medical offices paired with a supervision system to improve immunization services.

Key Words: immunization • vaccine preventable diseases • childhood • evaluation • Uganda

*Work conducted in Masindi District in 2004. At the time, R.V. and R.M. worked as Deputy District Director of Health Services for Masindi District Local Government funded by Voluntary Service Overseas (VSO).


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