A Review of Web-Based Immunization Information System of Ernakulam District “Unite for Healthy Ernakulam, Kerala (U4HE)”: Perceived End-User Barriers

Authors

  • Irfan Shakeer Prasanna School of Public Health, MAHE, Karnataka, India
  • Prakash Narayanan Prasanna School of Public Health, MAHE, Karnataka, India
  • Anju Baby National Health Mission, Ernakulam, India

DOI:

https://doi.org/10.55489/njcm.141020233150

Keywords:

Vaccination reporting, Private sector engagement, Health information system, vaccine coverage, Immunization information system

Abstract

Background: Reported coverage estimates for vaccine have the inherent problem of missing private entity data, to circumvent this, the National Health Mission, Ernakulam, designed and implemented an Immunization Information System (IIS) to collect routine vaccination reports from the private sector. This study attempted to identify the barriers to reporting by the private sector.

Methodology: The study was conducted in Kerala's Ernakulam district. The design of the study was cross-sectional. The end–users, who are from the private sector, were the participants of 28 in-depth interviews in the study.

Results: The new reporting system has increased private sector involvement in information exchange, all 78 private hospitals (100%) were reporting to NHM Ernakulam. But the completeness of reporting was not uniform. Major barriers identified were the lack of IIS interoperability with the hospital information system (HIS) being used by the private hospitals, variance because of lack of training of staff entering the data, and the unavailability of dedicated staff for reporting data.

Conclusion: Addressing these barriers could improve the reporting of routine vaccination data from the private sector.

References

World Health Organization. Engagement of private/nongovernmental health providers in immunization service delivery: consider-ations for national immunization programmes. World Health Organization; 2017.

Pramanik S, Muthusamy N, Gera R, Laxminarayan R. Vaccination coverage in India: a small area estimation approach. Vaccine. 2015 Mar 30;33(14):1731-8. Doi: https://doi.org/10.1016/j.vaccine.2015.01.083 PMid:25681661

Harrison K, Rahimi N, Danovaro-Holliday MC. Factors limiting data quality in the expanded programme on immunization in low and middle-income countries: A scoping review. Vaccine. 2020 Jun 19;38(30):4652-63. Doi: https://doi.org/10.1016/j.vaccine.2020.02.091 PMid:32446834

Vaccines and immunization - World Health Organization (WHO). Available at: https://www.who.int/westernpacific/health-topics/vaccines-and-immunization. Accessed on: July 23 2021.

Gavi: The Vaccine Alliance, Sustainable Development Goals. Available at: https://www.gavi.org/our-alliance/global-health-development/sustainable-development-goals. Accessed on: August 01 2021.

Immunization - National Health Mission. Available at: https://nhm.gov.in/index1.php?lang=1&level=2&sublinkid=824&lid=220. Accessed on: June 17 2021.

Immunization Handbook for Health Workers - National Health Mission. Available at: https://nhm.gov.in/New_Updates_2018/NHM_Components/Immunization/Guildelines_for_immunization/Immunization_Handbook_for_Health_Workers-English.pdf. Accessed on: June 11 2021.

Immunization Handbook for Medical Officers - National Health Mission. Available at: https://nhm.gov.in/New_Updates_2018/NHM_Components/Immunization/Guildelines_for_immunization/Immunization_Handbook_for_Medical_Officers%202017.pdf. Accessed on: June 06 2021.

HMIS-Health Management Information System - National Health Mission. Available at: https://hmis.nhp.gov.in/#!/aboutus. Ac-cessed on: June 17 2021.

Ernakulam District Website - National Informatics Centre. Available at: https://ernakulam.nic.in/. Accessed on: June 21 2021.

Hagan JE, Gaonkar N, Doshi V, Patni A, Vyas S, Mazumdar V, Kosambiya JK, Gupta S, Watkins M. Knowledge, attitudes, and practices of private sector immunization service providers in Gujarat, India. Vaccine. 2018 Jan 2;36(1):36-42. Doi: https://doi.org/10.1016/j.vaccine.2017.11.046 PMid:29174674

Newell JN, Pande SB, Baral SC, Bam DS, Malla P. Leadership, management and technical lessons learnt from a successful public-private partnership for TB control in Nepal. The International Journal of Tuberculosis and Lung Disease. 2005 Sep 1;9(9):1013-7.

About Immunization Information System (IIS) - Centers for Disease Control and Prevention. Available from: https://www.cdc.gov/vaccines/programs/iis/about.html. Accessed on: June 05 2021.

Hinman AR, Urquhart GA, Strikas RA, National Vaccine Advisory Committee. Immunization information systems: national vaccine advisory committee progress report, 2007. Journal of Public Health Management and Practice. 2007 Nov 1;13(6):553-8. Doi: https://doi.org/10.1097/01.PHH.0000296129.31896.5a PMid:17984707

Community Preventive Services Task Force. Recommendation for use of immunization information systems to increase vaccina-tion rates. Journal of Public Health Management and Practice. 2015 May 1;21(3):249-52. Doi: https://doi.org/10.1097/PHH.0000000000000092 PMid:24912083

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Published

2023-10-01

How to Cite

1.
Shakeer I, Narayanan P, Baby A. A Review of Web-Based Immunization Information System of Ernakulam District “Unite for Healthy Ernakulam, Kerala (U4HE)”: Perceived End-User Barriers. Natl J Community Med [Internet]. 2023 Oct. 1 [cited 2024 Nov. 21];14(10):682-6. Available from: https://njcmindia.com/index.php/file/article/view/3150

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Section

Short Research Article