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    High agreement between the new Mongolian electronic immunization register and written immunization records: a health centre based audit

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    Author
    Chan, J; Mungun, T; Dorj, N; Volody, B; Chuluundorj, U; Munkhbat, E; Danzan, G; Nguyen, CD; La Vincente, S; Russell, F
    Date
    2017-07-01
    Source Title
    Western Pacific Surveillance and Response Journal
    Publisher
    WORLD HEALTH ORGANIZATION, REGIONAL OFFICE WESTERN PACIFIC
    University of Melbourne Author/s
    La Vincente, Sophie; Russell, Fiona; Chan, Jocelyn; Nguyen, Cattram
    Affiliation
    Paediatrics (RCH)
    Metadata
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    Document Type
    Journal Article
    Citations
    Chan, J., Mungun, T., Dorj, N., Volody, B., Chuluundorj, U., Munkhbat, E., Danzan, G., Nguyen, C. D., La Vincente, S. & Russell, F. (2017). High agreement between the new Mongolian electronic immunization register and written immunization records: a health centre based audit. WESTERN PACIFIC SURVEILLANCE AND RESPONSE, 8 (3), https://doi.org/10.5365/wpsar.2016.7.4.006.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/257434
    DOI
    10.5365/wpsar.2016.7.4.006
    Abstract
    INTRODUCTION: Monitoring of vaccination coverage is vital for the prevention and control of vaccine-preventable diseases. Electronic immunization registers have been increasingly adopted to assist with the monitoring of vaccine coverage; however, there is limited literature about the use of electronic registers in low- and middle-income countries such as Mongolia. We aimed to determine the accuracy and completeness of the newly introduced electronic immunization register for calculating vaccination coverage and determining vaccine effectiveness within two districts in Mongolia in comparison to written health provider records. METHODS: We conducted a cross-sectional record review among children 2-23 months of age vaccinated at immunization clinics within the two districts. We linked data from written records with the electronic immunization register using the national identification number to determine the completeness and accuracy of the electronic register. RESULTS: Both completeness (90.9%; 95% CI: 88.4-93.4) and accuracy (93.3%; 95% CI: 84.1-97.4) of the electronic immunization register were high when compared to written records. The increase in completeness over time indicated a delay in data entry. CONCLUSION: Through this audit, we have demonstrated concordance between a newly introduced electronic register and health provider records in a middle-income country setting. Based on this experience, we recommend that electronic registers be accompanied by routine quality assurance procedures for the monitoring of vaccination programmes in such settings.

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