Table 3 Percentage scores of process measures at baseline, and at the 6th and 12th month of interventions
Process measures | Baseline (%) | After 6 months (%) | After 12 months (%) | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Â | Zone | Dist. | HF | Zone | Dist. | HF | Zone | Dist. | HF |
1. Human resources | |||||||||
 1.1. A designated immunization focal person | 96.6 | 90.3 | 92.4 | 96.6 | 98.3 | 98.0 | 96.4 | 97.9 | 98.0 |
 1.2. At least 2 MLM-trained experts | 17.2 | 8.2 | NA | 86.2 | 61.4 | NA | 82.1 | 74.7 | NA |
 1.3. At least 2 IIP-trained experts | NA | NA | 16.9 | NA | NA | 85.4 | NA | NA | 81.1 |
 1.4. A designated cold chain officer | 58.6 | 43.9 | 32.1 | 79 | 70 | 43 | 82.1 | 67.4 | 51.6 |
 1.5. An expert/technician on mid-level cold chain management | 58.6 | 87.1 | NA | 79 | 62.4 | NA | 92.9 | 68.9 | NA |
 1.6. An expert on user/preventive cold chain | NA | NA | 35.2 | NA | NA | 30.7 | NA | NA | 39.3 |
2. Planning | |||||||||
 2.1. REC microplan  2.2. REC microplan (if available), posted on the wall | 34.5 20.0 | 45.9 15.8 | 27.6 23.3 | 58.6 27.6 | 73.3 56.7 | 55.8 65.1 | 71.4 42.9 | 72.6 62.6 | 59.6 69.7 |
 2.3. Outreach/mobile service delivery plan | NA | NA | 29.7 | NA | NA | 57.1 | NA | NA | 60.0 |
3. Logistics and supply | |||||||||
 3.1. Adequate fridge-tag 2 | 75.9 | 71.9 | 72.8 | 82.8 | 78.0 | 78.6 | 75.0 | 72.1 | 82.2 |
 3.2. Refrigerator spare parts | 44.8 | 23.0 | 16.5 | 41.4 | 89.3 | 32.3 | 39.3 | 40.5 | 39.9 |
 3.3. Vaccine request and report forms | 79.3 | 65.8 | 47.5 | 82.8 | 89.3 | 65.5 | 82.1 | 78.4 | 71.6 |
 3.4. EPI vaccine and injection materials stock ledger book | 72.4 | 64.8 | 70.8 | 82.8 | 82.4 | 81.4 | 75.0 | 69.5 | 91.9 |
 3.5. Inventory documents | 51.7 | 34.7 | 21.9 | 58.6 | 65.6 | 42.4 | 67.9 | 57.4 | 44.1 |
 3.6. Adequate cold box | NA | NA | 62.5 | NA | NA | 82.1 | NA | NA | 91.6 |
 3.7. Adequate vaccine carrier with foam pads | NA | NA | 70.2 | NA | NA | 76.1 | NA | NA | 79.9 |
 3.8. Adequate vaccine storage capacity | NA | NA | 82.2 | NA | NA | 87.9 | NA | NA | 94.0 |
 3.9. Adequate water/ice packs | NA | NA | 77.8 | NA | NA | 91.2 | NA | NA | 95.1 |
 3.10. No stock running out in the last 3 months | 41.4 | 52.0 | 71.3 | 62.1 | 78.1 | 78.2 | 39.3 | 58.4 | 67.3 |
 3.11. Refrigerator temperature monitored twice daily using fridge-tag 2 | 72.4 | 56.6 | 58.1 | 82.8 | 80.5 | 73.9 | 82.1 | 77.9 | 79.7 |
 3.12. No expired/VVM beyond discard point vaccine in refrigerator | 72.4 | 66.3 | 70.8 | 96.3 | 89.6 | 89.4 | 82.1 | 77.9 | 90.1 |
 3.13. Procedures and actions for vaccines exposed to extreme temperatures | 51.7 | 52.9 | 54.4 | 65.5 | 77.3 | 63.4 | 75.0 | 56.8 | 66.5 |
4. Service delivery | |||||||||
 4.1. Immunization services available | NA | NA | 86.2 | NA | NA | 89.0 | NA | NA | 91.2 |
 4.2. Regular static immunization services delivered | NA | NA | 76.3 | NA | NA | 84.5 | NA | NA | 84.8 |
 4.3. Adequate outreach sites | NA | NA | 34.5 | NA | NA | 61.4 | NA | NA | 68.7 |
 4.4. Catchment area mapped for immunization | NA | NA | 32.9 | NA | NA | 62.2 | NA | NA | 69.4 |
 4.5. Separate and adequate rooms for immunization services and storing supplies | NA | NA | 43.9 | NA | NA | 53.9 | NA | NA | 58.4 |
 4.6. All planned outreach sessions were conducted | NA | NA | 27.0 | NA | NA | 52.7 | NA | NA | 64.3 |
 4.7. Providing health education on immunization | NA | NA | 53.8 | NA | NA | 65.3 | NA | NA | 71.6 |
 4.8. Immunization services available in all catchment health posts | NA | NA | 76.3 | NA | NA | 86.3 | NA | NA | 86.1 |
5. Documentation | |||||||||
 5.1. Electronic database for monitoring immunization and staff training | 41.4 | 30.1 | 12.5 | 51.7 | 47.9 | 22.2 | 67.9 | 40.0 | 25.8 |
 5.2. Standard operating procedures on immunization | 24.1 | 30.6 | 23.7 | 69.0 | 42.8 | 43.9 | 67.9 | 57.4 | 56.4 |
 5.3. Reports received from all catchment health posts and documented | NA | NA | 67.9 | NA | NA | 86.4 | NA | NA | 86.6 |
 5.4. Tally sheets appropriately documented | NA | NA | 59.3 | NA | NA | 57.9 | NA | NA | 64.8 |
 5.5. Defaulter tracking list | NA | NA | 36.7 | NA | NA | 36.7 | NA | NA | 83.0 |
 5.6. Standard case definitions for neonatal tetanus, measles, AFP | NA | NA | 59.3 | NA | NA | 59.3 | NA | NA | 73.3 |
 5.7. Up-to-date under-one register | NA | NA | 53.6 | NA | NA | 53.4 | NA | NA | 92.5 |
 5.8. Up-to-date national immunization guidelines | 62.1 | 35.2 | 34.4 | 86.2 | 90.7 | 81.2 | 89.3 | 94.2 | 88.6 |
6. Coordination and collaboration | |||||||||
 6.1. Established partners’ forum | 14.0 | NA | NA | 20.7 | NA | NA | 26.4 | NA | NA |
 6.2. Partners’ forum meeting conducted as planned | 6.9 | NA | NA | 6.9 | NA | NA | 28.6 | NA | NA |
 6.3. EPI programme network | 13.8 | 74.0 | NA | 93.1 | 90.2 | NA | 96.4 | 94.2 | NA |
 6.4. Established technical working group | NA | 30.0 | NA | NA | 55.4 | NA | NA | 55.4 | NA |
 6.5. Technical working group meeting conducted in the last quarter | NA | 16.8 | NA | NA | 38.7 | NA | NA | 43.2 | NA |
 6.6. Conducted catchment area meeting in the last quarter | NA | NA | 53.0 | NA | NA | 83.3 | NA | NA | 76.2 |
 6.7. Inter-facility linkage on immunization services | NA | NA | 83.0 | NA | NA | 80.0 | NA | NA | 92.1 |
7. Monitoring and evaluation | |||||||||
 7.1 Updated EPI monitoring chart posted | 62.1 | 62.8 | 57.2 | 79.3 | 84.9 | 83.3 | 89.3 | 88.0 | 84.1 |
 7.2. Vaccine logs | NA | NA | 48.3 | NA | NA | 81.9 | NA | NA | 89.4 |
 7.3. Vaccine and injection materials stock record book | NA | NA | 60.3 | NA | NA | 78.9 | NA | NA | 89.9 |
 7.4. Conducted internal review meeting on EPI in the last quarter | 27.6 | 35.2 | 48.3 | 44.8 | 64.2 | 64.8 | 64.3 | 71.6 | 68.9 |
 7.5. SS visit by government or partners in the last quarter | 31.0 | 56.6 | 65.9 | 48.3 | 76.9 | 72.5 | 71.4 | 76.8 | 79.9 |
 7.6. Data quality check by government or partners in the last quarter | 27.6 | 38.3 | 34.9 | 48.3 | 57.8 | 64.8 | 53.6 | 65.8 | 70.1 |
 7.7. Timeliness of monthly reports | 55.2 | 55.1 | 59.8 | 79.0 | 80.1 | 61.9 | 82.1 | 94.2 | 74.0 |
 7.8. Completeness of monthly reports | 65.5 | 61.2 | 58.1 | 86.2 | 89.0 | 81.9 | 89.3 | 94.7 | 81.5 |
 7.9. Functional performance monitoring team | 75.9 | 60.2 | 41.4 | 86.2 | 84.4 | 74.2 | 92.9 | 90.0 | 74.0 |
 7.10. Monitored vaccine wastage | 41.4 | 44.9 | NA | 69.0 | 55.5 | NA | 64.3 | 48.0 | NA |
 7.11. Conducted SS at health posts in the last three months | NA | NA | 48.1 | NA | NA | 43.8 | NA | NA | 51.6 |
 7.12. Supervised community immunization programme in the last quarter | NA | NA | 46.7 | NA | NA | 64.7 | NA | NA | 67.8 |