Table 1 Process measures, their components and scores
Process measures | Components | Scores (point) |
|---|---|---|
1. Human resources | 1.1. Proportion of zone, district, and healthcare facilities (HFs) with a designated immunization focal person 1.2. Proportion of zone and district with at least 2 MLM-trained experts 1.3. Proportion of HFs with at least 2 IIP-trained experts 1.4. Proportion of zone, district, and HFs with a designated cold chain officer 1.5. Proportion of zone and district with an expert/technician on mid-level cold chain management 1.6. Proportion of HFs with an expert on user/preventive cold chain | 4 at zone, district, and HF |
2. Planning | 2.1. Proportion of zone, district, and HFs with Reaching Every Community (REC) microplan 2.2. Proportion of HFs with outreach/mobile service delivery plan 2.3. Proportion of HFs with outreach/mobile REC microplan (if available), posted on the wall | 3 at HF,2 at zone and district |
3. Logistics and supply | 3.1. Proportion of zone, district, and HFs with an adequate fridge-tag 2 3.2. Proportion of zone, district, and HFs with refrigerator spare parts 3.3. Proportion of zone, district, and HFs with vaccine request and report forms 3.4. Proportion of zone, district, and HFs with EPI vaccine and injection materials stock ledger book 3.5. Proportion of zone, district, and HFs with inventory documents 3.6. Proportion of HFs with adequate cold box 3.7. Proportion of HFs with adequate vaccine carrier with foam pads 3.8. Proportion of HFs with adequate vaccine storage capacity 3.9. Proportion of HFs with adequate water/ice packs 3.10. Proportion of zone, district, and HFs with no stock running out in the last 3 months 3.11. Proportion of zone, district, and HFs with refrigerator temperature monitored twice daily using fridge-tag 2 3.12. Proportion of zone, district, and HFs with no expired vaccines in refrigerator, or acceptable Vaccine Vial Monitor 3.13. Proportion of zone, district, and HFs with procedures and actions for vaccines exposed to extreme temperatures | 13 at HF,9 at zone and district |
4. Service Delivery | 4.1. Proportion of HFs with immunization services available 4.2. Proportion of HFs with regular static immunization services delivered 4.3. Proportion of HFs with adequate outreach sites 4.4. Proportion of HFs with catchment area mapped for immunization 4.5. Proportion of HFs with separate and adequate rooms to deliver immunization services and store supplies 4.6. Proportion of HFs with all planned outreach sessions conducted 4.7. Proportion of HFs providing health education on immunization 4.8. Proportion of HFs with immunization services available under all their catchment health posts | 8 at HF, 0 at zone and district |
5. Documentation | 5.1. Proportion of zone, district, and HFs with electronic database for monitoring immunization and staff training 5.2. Proportion of zone, district, and HFs with standard operating procedures on immunization 5.3. Proportion of HFs with reports received from all catchment health posts and the reports are well documented 5.4. Proportion of HFs with tally sheets appropriately documented 5.5. Proportion of HFs with defaulter tracking list 5.6. Proportion of HFs with standard case definition for neonatal tetanus, measles, acute flaccid paralysis (AFP) 5.7. Proportion of HFs with an up-to-date under-one register 5.8. Proportion of zone, district, and HFs with up-to-date national immunization guidelines | 8 at HF, 3 at zone and district |
6. Coordination and collaboration | 6.1. Proportion of zone with established partners’ forum 6.2. Proportion of zone with partners’ forum meeting conducted as planned 6.3. Proportion of zone and district with EPI programme network 6.4. Proportion of district with established technical working group 6.5. Proportion of district with a technical working group meeting conducted in the last quarter 6.6. Proportion of HFs conducting a catchment area meeting in the last quarter 6.7. Proportion of HFs with established inter-facility linkage on immunization services | 4 at zone and district, 2 at HF |
7. Monitoring and evaluation | 7.1. Proportion of zone, district, and HFs posting updated EPI monitoring chart 7.2. Proportion of HFs with vaccine logs 7.3. Proportion of HFs with vaccine and injection materials stock record book 7.4. Proportion of zone, district, and HFs conducting an internal review meeting on EPI in the last quarter 7.5. Proportion of zone, district, and HFs having a SS visit by government or partners in the last quarter 7.6. Proportion of zone, district, and HFs having a data quality check by the government or partners in the last quarter 7.7. Proportion of zone, district, and HFs with timeliness of monthly reports 7.8. Proportion of zone, district, and HFs with completeness of monthly reports 7.9. Proportion of zone, district, and HFs with a functional performance monitoring team 7.10. Proportion of zone and district with monitored vaccine wastage 7.11. Proportion of HFs conducting SS of health posts in the last three months 7.12. Proportion of HFs supervising community immunization programme in the last three months | 11 at HF, 8 at zone and district |