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评估开放数据工具移动技术的采用情况,以加强尼日利亚 2017 年 3 月至 2020 年 2 月开展的口服脊髓灰质炎疫苗补充免疫活动的监督报告。

Assessment of open data kit mobile technology adoption to enhance reporting of supportive supervision conducted for oral poliovirus vaccine supplementary immunization activities in Nigeria, March 2017-February 2020.

机构信息

Centers for Disease Control and Prevention, Atlanta, United States.

World Health Organization, Abuja, Nigeria.

出版信息

Pan Afr Med J. 2023 Jul 14;45(Suppl 2):5. doi: 10.11604/pamj.supp.2023.45.2.38140. eCollection 2023.

Abstract

INTRODUCTION

in Nigeria, supportive supervision of Supplementary Immunization Activities (SIA) is a quality improvement strategy for providing support to vaccination teams administering the poliovirus vaccines to children under 5 years of age. Supervision activities were initially reported in paper forms. This had significant limitations, which led to Open Data Kit (ODK) technology being adopted in March 2017. A review was conducted to assess the impact of ODK for supervision reporting in place of paper forms.

METHODS

issues with paper-based reporting and the benefits of ODK were recounted. We determined the average utilization of ODK per polio SIA rounds and assessed the supervision coverage over time based on the proportion of local government areas with ODK geolocation data per round.

RESULTS

a total of 17 problematic issues were identified with paper-based reporting, and ODK addressed all the issues. Open Data Kit-based supervision reports increased from 3,125 in March 2017 to 51,060 in February 2020. Average ODK submissions for national rounds increased from 84 in March 2017 to 459 in February 2020 and for sub-national rounds increased from 533 in July 2017 to 1,596 in October 2019. Supportive supervision coverage improved from 42.5% in March 2017 to 97% in February 2020.

CONCLUSION

the use of digital technologies in public health has comparative advantages over paper forms, and the adoption of ODK for supervision reporting during polio SIAs in Nigeria experienced the advantages. The visibility and coverage of supportive supervision improved, consequentially contributing to the improved quality of polio SIAs.

摘要

简介

在尼日利亚,支持性监督补充免疫活动(SIA)是一种质量改进策略,旨在为接种团队提供支持,为 5 岁以下儿童接种脊髓灰质炎疫苗。监督活动最初以纸质表格报告。这存在显著的局限性,因此导致 2017 年 3 月采用了开放数据工具包(ODK)技术。本研究对 ODK 替代纸质表格进行监督报告的效果进行了评估。

方法

文中叙述了基于纸质报告存在的问题和 ODK 的优势。我们确定了每个脊髓灰质炎 SIA 周期中 ODK 的平均利用率,并根据每个周期具有 ODK 地理位置数据的地方政府区域的比例,评估了监督覆盖范围随时间的变化情况。

结果

基于纸质报告共发现 17 个问题,而 ODK 解决了所有问题。基于 ODK 的监督报告从 2017 年 3 月的 3125 份增加到 2020 年 2 月的 51060 份。国家层面的 ODK 提交数量从 2017 年 3 月的 84 份增加到 2020 年 2 月的 459 份,而在国家以下层面,从 2017 年 7 月的 533 份增加到 2019 年 10 月的 1596 份。从 2017 年 3 月的 42.5%提高到 2020 年 2 月的 97%。

结论

与纸质表格相比,公共卫生领域的数字技术具有比较优势,尼日利亚在脊髓灰质炎 SIA 期间采用 ODK 进行监督报告具有明显的优势。支持性监督的可见性和覆盖范围得到了提高,从而提高了脊髓灰质炎 SIA 的质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3828/10874101/7ee93fef08ca/PAMJ-SUPP-45-2-5-g001.jpg

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