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VillageReach EIRs can enhance immunization programs by improving the data collection process, easing immunization programs ability to track individual children and by supporting more specific monitoring of program inefficiencies and coverage. Immunisation data in low- and middle-income countries (LMICs) have traditionally been collected and managed with paper-based tools at the health facility level. Electronic immunisation registries (EIRs) can help improve immunisation data quality, use, and resilience - ultimately increasing immunisation coverage and equity. From VillageReach, this landscape analysis identifies EIR implementations in LMICs and shares lessons learned in sustainability, implementation planning, functional requirements, and equity. This research, begun in spring 2019, was part of planning for the implementation of an EIR in partnership with the Mozambique Ministry of Health Expanded Programme on Immunization (MoH-EPI) programme.
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Siddiqi, Khan, Chandir); IRD Pakistan (
Ali, Munir, Shah, Chandir); Harvard Medical School (
Khan, Chandir) There is.a programmatic and research gap regarding strategies to improve immunization coverage and timeliness in low-literacy communities through cost-effective, sustainable solutions that.focus on transforming caregivers from passive to active recipients of immunization services. Evidence indicates that suboptimal immunisation coverage and timeliness is attributable not only to supply-side deficiencies, but also to demand-side problems such as caregiver complacency, forgetfulness, and unawareness of required number and timing of doses. Globally, a widely used method to communicate the vaccination schedule to caregivers is the paper-based immunisation card. Like immunisation cards, which require literacy, reminder-recall (R/R) interventions requiring mobile phone ownership fail to penetrate the lowest socioeconomic strata, thus widening the global immunisation equity gap
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