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Setting up a data system for monitoring malaria vaccine introduction readiness and uptake in 42 health districts in Cameroon
BMJ Global Health ( IF 8.1 ) Pub Date : 2024-04-01 , DOI: 10.1136/bmjgh-2024-015312
Franck Mboussou , Shalom Tchokfe Ndoula , Raoul Nembot , Simon Franky Baonga , Arnaud Njinkeu , Andreas Ateke Njoh , Joseph Nsiari-muzeyi BIEY , Mohamed Kaba , Adidja Amani , Bridget Farham , Phanuel Habimana , Benido Impouma

Three months after the first shipment of RTS,S1/AS01 vaccines, Cameroon started, on 22 January 2024, to roll out malaria vaccines in 42 districts among the most at risk for malaria. Cameroon adopted and implemented the World Health Organization (WHO) malaria vaccine readiness assessment tool to monitor the implementation of preintroduction activities at the district and national levels. One week before the start of the vaccine rollout, overall readiness was estimated at 89% at a national level with two out of the five components of readiness assessment surpassing 95% of performance (vaccine, cold chain and logistics and training) and three components between 80% and 95% (planning, monitoring and supervision, and advocacy, social mobilisation and communication). ‘Vaccine, cold chain and logistics’ was the component with the highest number of districts recording below 80% readiness. The South-West and North-West, two regions with a high level of insecurity, were the regions with the highest number of districts that recorded a readiness performance below 80% in the five components. To monitor progress in vaccine rollout daily, Cameroon piloted a system for capturing immunisation data by vaccination session coupled with an interactive dashboard using the R Shiny platform. In addition to displaying data on vaccine uptake, this dashboard allows the generation of the monthly immunisation report for all antigens, ensuring linkage to the regular immunisation data system based on the end-of-month reporting through District Health Information Software 2. Such a hybrid system complies with the malaria vaccine rollout principle of full integration into routine immunisation coupled with strengthened management of operations. Data are available upon reasonable request. Not applicable.

中文翻译:

建立数据系统,监测喀麦隆 42 个卫生区的疟疾疫苗引进准备情况和使用情况

在第一批 RTS、S1/AS01 疫苗发货三个月后,喀麦隆于 2024 年 1 月 22 日开始在 42 个疟疾风险最高的地区推出疟疾疫苗。喀麦隆采用并实施了世界卫生组织(WHO)疟疾疫苗准备情况评估工具,以监测地区和国家层面的引进前活动的实施情况。在疫苗推出开始前一周,国家一级的总体准备度估计为 89%,准备度评估的五个组成部分中有两个超过绩效的 95%(疫苗、冷链、物流和培训),三个组成部分超过绩效的 95%。 80%和95%(规划、监测和监督、宣传、社会动员和沟通)。 “疫苗、冷链和物流”是准备就绪率低于 80% 的地区数量最多的部分。西南和西北这两个不安全程度较高的地区是五个组成部分中战备状态低于 80% 的地区数量最多的地区。为了监测每日疫苗推出的进展,喀麦隆试行了一个系统,该系统通过疫苗接种会话以及使用 R Shiny 平台的交互式仪表板来捕获免疫数据。除了显示疫苗接种数据外,该仪表板还可以生成所有抗原的每月免疫报告,确保通过地区卫生信息软件 2 与基于月末报告的常规免疫数据系统相链接。系统符合疟疾疫苗推广原则,即全面纳入常规免疫接种并加强运营管理。数据可根据合理要求提供。不适用。
更新日期:2024-04-01
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