Limitations of immunization registers at community health centers for measuring immunization coverage: a case study of the Japanese encephalitis mass immunization program in Bali Province, Indonesia

Objectives The aim of this study was to compare the coverage of Japanese encephalitis (JE) immunization obtained from a recall survey and immunization registers at community health centers (CHCs) in Bali Province, Indonesia. Methods A population-based survey was conducted, and random 2-staged select...

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Autores principales:	Anak A. S. Sawitri, Putu C. D. Yuliyatni, Made D. Ariawan, Komang A. Kartika Sari, Raka Susanti, I Nyoman Sutarsa
Formato:	article
Lenguaje:	EN
Publicado:	Korea Centers for Disease Control & Prevention 2021
Materias:	indonesia register vaccination coverage Special situations and conditions RC952-1245 Infectious and parasitic diseases RC109-216
Acceso en línea:	https://doaj.org/article/2e3e87da1f3d499291abcc20956e9829
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spelling	oai:doaj.org-article:2e3e87da1f3d499291abcc20956e98292021-11-05T00:03:10ZLimitations of immunization registers at community health centers for measuring immunization coverage: a case study of the Japanese encephalitis mass immunization program in Bali Province, Indonesia2210-90992210-911010.24171/j.phrp.2020.0241https://doaj.org/article/2e3e87da1f3d499291abcc20956e98292021-06-01T00:00:00Zhttp://ophrp.org/upload/pdf/j-phrp-2020-0241.pdfhttps://doaj.org/toc/2210-9099https://doaj.org/toc/2210-9110Objectives The aim of this study was to compare the coverage of Japanese encephalitis (JE) immunization obtained from a recall survey and immunization registers at community health centers (CHCs) in Bali Province, Indonesia. Methods A population-based survey was conducted, and random 2-staged selection of clusters of sub-villages was performed. The sample consisted of households with children aged 9 months to 15 years old. Interviews were carried out with carers to recall JE immunization status. The recall immunization status was considered valid when name, date, and confirmation of immunization were available in an immunization register at a CHC. Descriptive analysis was performed. The completeness of the information within immunization registers at CHCs was assessed. Results The coverage of JE immunization obtained from the recall survey was 93.8% (95% confidence interval [CI], 92.8–94.9). It decreased to 74.9% (95% CI, 72.8–77.2) after being validated against immunization registers. The recall coverage of JE immunization was significantly higher than immunization register data suggested. This discrepancy varied from 6.5% to 36.4% across 6 districts; however, none of these districts achieved the recommended target coverage of 95%. The quality of immunization registers varied across CHCs. Conclusion The use of an immunization register may result in underestimating the true coverage of vaccination programs, and its utilization for measuring immunization coverage requires further consideration.Anak A. S. SawitriPutu C. D. YuliyatniMade D. AriawanKomang A. Kartika SariRaka SusantiI Nyoman SutarsaKorea Centers for Disease Control & Preventionarticleindonesiaregistervaccination coverageSpecial situations and conditionsRC952-1245Infectious and parasitic diseasesRC109-216ENOsong Public Health and Research Perspectives, Vol 12, Iss 3, Pp 158-168 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	indonesia register vaccination coverage Special situations and conditions RC952-1245 Infectious and parasitic diseases RC109-216
spellingShingle	indonesia register vaccination coverage Special situations and conditions RC952-1245 Infectious and parasitic diseases RC109-216 Anak A. S. Sawitri Putu C. D. Yuliyatni Made D. Ariawan Komang A. Kartika Sari Raka Susanti I Nyoman Sutarsa Limitations of immunization registers at community health centers for measuring immunization coverage: a case study of the Japanese encephalitis mass immunization program in Bali Province, Indonesia
description	Objectives The aim of this study was to compare the coverage of Japanese encephalitis (JE) immunization obtained from a recall survey and immunization registers at community health centers (CHCs) in Bali Province, Indonesia. Methods A population-based survey was conducted, and random 2-staged selection of clusters of sub-villages was performed. The sample consisted of households with children aged 9 months to 15 years old. Interviews were carried out with carers to recall JE immunization status. The recall immunization status was considered valid when name, date, and confirmation of immunization were available in an immunization register at a CHC. Descriptive analysis was performed. The completeness of the information within immunization registers at CHCs was assessed. Results The coverage of JE immunization obtained from the recall survey was 93.8% (95% confidence interval [CI], 92.8–94.9). It decreased to 74.9% (95% CI, 72.8–77.2) after being validated against immunization registers. The recall coverage of JE immunization was significantly higher than immunization register data suggested. This discrepancy varied from 6.5% to 36.4% across 6 districts; however, none of these districts achieved the recommended target coverage of 95%. The quality of immunization registers varied across CHCs. Conclusion The use of an immunization register may result in underestimating the true coverage of vaccination programs, and its utilization for measuring immunization coverage requires further consideration.
format	article
author	Anak A. S. Sawitri Putu C. D. Yuliyatni Made D. Ariawan Komang A. Kartika Sari Raka Susanti I Nyoman Sutarsa
author_facet	Anak A. S. Sawitri Putu C. D. Yuliyatni Made D. Ariawan Komang A. Kartika Sari Raka Susanti I Nyoman Sutarsa
author_sort	Anak A. S. Sawitri
title	Limitations of immunization registers at community health centers for measuring immunization coverage: a case study of the Japanese encephalitis mass immunization program in Bali Province, Indonesia
title_short	Limitations of immunization registers at community health centers for measuring immunization coverage: a case study of the Japanese encephalitis mass immunization program in Bali Province, Indonesia
title_full	Limitations of immunization registers at community health centers for measuring immunization coverage: a case study of the Japanese encephalitis mass immunization program in Bali Province, Indonesia
title_fullStr	Limitations of immunization registers at community health centers for measuring immunization coverage: a case study of the Japanese encephalitis mass immunization program in Bali Province, Indonesia
title_full_unstemmed	Limitations of immunization registers at community health centers for measuring immunization coverage: a case study of the Japanese encephalitis mass immunization program in Bali Province, Indonesia
title_sort	limitations of immunization registers at community health centers for measuring immunization coverage: a case study of the japanese encephalitis mass immunization program in bali province, indonesia
publisher	Korea Centers for Disease Control & Prevention
publishDate	2021
url	https://doaj.org/article/2e3e87da1f3d499291abcc20956e9829
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Limitations of immunization registers at community health centers for measuring immunization coverage: a case study of the Japanese encephalitis mass immunization program in Bali Province, Indonesia

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