|
Vaccine-specific
|
Vaccine supply |
Regular checks of vaccine supply log books/information systems |
|
Vaccine delivery |
Random check of cold-chain system |
|
Vaccine coverage |
Biennial surveys of random sample of children with review of health card for vaccine delivery |
|
Impact on other vaccines
|
Other vaccine coverage |
Biennial surveys of random sample of children with review of health card for delivery of other vaccines |
|
Demographic surveillance
|
Proportion of the population absent or travelling |
Annual review of data from each DSS round to show proportion and trends |
|
Case Identification
|
Proportion of patients with suspected pneumonia, meningitis, and septicaemia that are referred |
Regular document review of nursing records |
|
Completeness of form filling |
Manual review of filled forms |
|
Proportion of all IPD that is identified by the system |
Focused study of blood cultures for all those admitted to hospital |
|
Proportion of those referred for investigation that are adequately investigated |
Clinical notes review |
|
Specimen processing
|
Proportion of blood cultures taken prior to administration of antibiotics |
History of antibiotic use recorded on clinical form and entered into database; time of sample collection and of administration of antibiotics routinely recorded and entered into database |
|
Proportion of samples reaching the laboratory within 3 h of collection |
Time of receipt recorded on forms, details recorded on database |
|
Proportion of specimens collected that have results |
Review of clinical and laboratory records |
|
Proportion of blood culture specimens that have no result due to contamination |
Monthly review of blood culture results and specific clinical and laboratory investigation of contamination rates above 10% of specimens. |
|
Proportion of pneumococcal isolates with serotyping results |
Review of laboratory records |
|
Radiology
|
Proportion of X-rays of acceptable quality |
Reporting of X-rays with quality recorded |
|
Data management
|
Data entry error rate |
Data cleaning and verification with monthly reports |
|
Timeliness |
Time recorded for data to become available for reporting |
