Masresha Balcha Girma, Weldegebriel Goitom, Lebo Emmaculate, Chakauya Jethro, Fussum Daniel
WHO Regional Office for Africa, Brazzaville, Congo.
WHO Inter-country Team for Eastern and Southern Africa, Harare, Zimbabwe.
Pan Afr Med J. 2020 Jan 3;35(Suppl 1):4. doi: 10.11604/pamj.supp.2020.35.1.19062. eCollection 2020.
Immunization program monitoring includes numerous activities, some of which include monitoring of vaccination coverage, surveillance performance and epidemiological patterns. The provision of timely, high quality and actionable feedback is an essential component of strengthening health systems. Within the African region of the WHO, various bulletins are produced and disseminated regularly to provide feedback on the performance of immunization programs and vaccine preventable disease control initiatives.
The 2019 annual national immunization program managers' meeting for countries in the eastern and southern African subregion was held in Asmara from 18 - 20 March 2019. A survey questionnaire was administered to the participants representing the national programs and in-country partners across the 20 countries.
On average, the 75 respondents receive 1.8 e-mailed feedback bulletins monthly. Twenty-three (31%) respondents receive 3 or more written feedback bulletins per month, and 72% receive the bulletins regularly. On a scale of 1 - 5 (from lowest to highest), 87% participants rated the relevance of the bulletins they receive at 4 - 5. Only 19% of the respondents responded that the results are discussed within the national immunization program, and 14% stated that action points are generated based on the feedback received. Fifty-nine (79%) respondents want to receive more frequent feedback on routine immunization performance. Among the EPI program managers and the EPI program data managers, the access to these feedback bulletins was quite limited. Even though the primary objective of the bulletins is to initiate discussions and action based on the provided feedback, such discussions do not happen regularly at country level. The programmatic use and advocacy value of the bulletins is not optimal.
We recommend integrating program feedback, regularly updating the distribution lists, the additional use of instant messaging platforms for distribution, as well as online posting of the bulletins for wider availability.
免疫规划监测包含众多活动，其中一些活动包括疫苗接种覆盖率监测、监测绩效和流行病学模式。提供及时、高质量且可采取行动的反馈是加强卫生系统的重要组成部分。在世卫组织非洲区域，定期制作并分发各种公报，以提供关于免疫规划绩效和疫苗可预防疾病控制举措的反馈。
2019年东非和南部非洲次区域国家年度国家免疫规划管理人员会议于2019年3月18日至20日在阿斯马拉举行。对代表20个国家的国家规划和国内合作伙伴的与会者进行了问卷调查。
平均而言，75名受访者每月收到1.8份电子邮件形式的反馈公报。23名（31%）受访者每月收到3份或更多书面反馈公报，72%的受访者定期收到公报。在1至5分的评分量表（从最低到最高）上，87%的参与者将他们收到的公报相关性评为4至5分。只有19%的受访者表示在国家免疫规划内讨论了结果，14%的受访者表示根据收到的反馈生成了行动要点。59名（79%）受访者希望获得关于常规免疫绩效的更频繁反馈。在扩大免疫规划（EPI）管理人员和EPI项目数据管理人员中，获取这些反馈公报的机会相当有限。尽管公报的主要目的是基于所提供的反馈启动讨论和行动，但此类讨论在国家层面并不经常发生。公报的规划用途和宣传价值未达到最佳状态。
我们建议整合规划反馈、定期更新分发名单、额外使用即时通讯平台进行分发，以及在线发布公报以提高其可获取性。
