Lyimo Dafrossa, Kamugisha Christopher, Yohana Emmanuel, Eshetu Messeret, Wallace Aaron, Ward Kirsten, Mantel Carsten, Hennessey Karen
Ministry of Health & Social Welfare, Dar Es Salaam, Tanzania.
World Health Organization, Tanzania Country Office, Dar Es Salaam, Tanzania.
Pan Afr Med J. 2017 Nov 7;28:209. doi: 10.11604/pamj.2017.28.209.10466. eCollection 2017.
A National Immunization Program Review (NIP Review) is a comprehensive external assessment of the performance of a country's immunization programme. The number of recommended special-topic NIP assessments, such as those for vaccine introduction or vaccine management, has increased. These assessments often have substantial overlap with NIP reviews, raising concern about duplication. Innovative technical and management approaches, including integrating several assessments into one, were applied in the United Republic of Tanzania's 2015 NIP Review. These approaches and processes were documented and a post-Review survey and group discussion. The Tanzania Review found that integrating assessments so they can be conducted at one time was feasible and efficient. There are concrete approaches for successfully managing a Review that can be shared and practiced including having a well-planned desk review and nominating topic-leads. The use of tablets for data entry has the potential to improve Review data quality and timely analysis; however, careful team training is needed. A key area to improve was to better coordinate and link findings from the national-level and field teams.
国家免疫规划审评（NIP审评）是对一个国家免疫规划绩效进行的全面外部评估。推荐开展的特殊主题NIP评估（如疫苗引入或疫苗管理评估）数量有所增加。这些评估往往与NIP审评有大量重叠，引发了对重复工作的担忧。包括将多项评估整合为一项评估在内的创新技术和管理方法，已应用于坦桑尼亚联合共和国2015年的NIP审评。这些方法和流程都有记录，并开展了审评后调查和小组讨论。坦桑尼亚审评发现，将评估整合以便能一次性进行是可行且高效的。有一些成功管理审评的具体方法可供分享和实践，包括进行精心规划的案头审评和指定主题负责人。使用平板电脑进行数据录入有可能提高审评数据质量和及时分析能力；然而，需要对团队进行认真培训。一个需要改进的关键领域是更好地协调和联系国家级团队与实地团队的调查结果。
