PART 1

Week 1 assignment:

Task 1: repetitions outliers etc flagged out.

Task_201_20assignment_3B_20Data_20discrepancie.xlsx

Task 2:

Grandtown had vaccinated all its eligible children for MR1 with the lowest coverage of 114% and the highest coverage of 122%. This is exemplary based on the strategic plan 2015 to 2020 of coverage of more than 80% at the district/sub-national level.

Task 3:

Task_203_2C_20Coverage_20evaluation_20survey_20assignment.docx

Assignment_20week_201_20DIP.docx

The national coverage as per the data manager in 2013 was 90% while the coverage evaluation survey done in 2013 using approved standards and methodology was 89.2% giving a disparity of 0.8%. The performance can be attributed to the high number recorded in Alu, Grandtown, and Remo.

25% of the data is within the normal threshold limits as per the coverage evaluation survey that was done in 2013. The data collected does not stand the test of time for valid and reliable data generated by the data manager. Therefore, a data quality audit needs to be done to ascertain the validity of all data generated and any challenges that might hinder quality data for informed decision making.

Task 4:

All ages are affected by measles, indicating an endemic of measles disease. The highest hit age group of children is between 1-4 and more than 30. However, the trend reduces from 5-9 to 15-19 which might be attributed to vaccination received at 9 months and 15 to 18 months, after which it escalates henceforth.

PART 11

Task 5:

The data collected and presented on coverage does not reveal true vaccination status of the Vacciland. Comparing with the survey done in 2013 using approved standard methodology, there were disparities identified with what is in the archive.

In 2018 however, 625 cases have been confirmed so far, more than half within Grandtown, the capital. 80% of cases are unvaccinated or have unknown vaccination status. It has been realized that the poorest were less likely to be vaccinated and the bigger proportion of the population is poor.

The staff is having weak capacities in lower levels, using outdated registers and they have challenges in identifying the denominator for MR1.

Task 6:

Plan and conduct immunizations campaign on MR to all eligible population in the affected district encompassing the neighboring districts using the house to house strategy to reach every under five year old child within seven days.

Empower the staffs to accurately document the vaccinated children in relevant data collection, reporting and summary tools.

Be vigilant on surveillance on a daily basis to prevent and curb any further outbreak in the future.

Task 7:

There is need to capacity build staffs via mentorship/coaching/training on surveillance, data entry inappropriate reporting and summarizing tools.

There is a need to avail the relevant reporting and summarizing tools to avoid improvising data collection tools and keep vigil on surveillance activities.

There is need to reach every child eligible for vaccination in the community through outreach service and house to house approach then vaccinate and update documentation appropriately in relevant data collection and reporting tools. Then eventually empower the community to understand the importance of immunization and promote health seeking behavior.

Ministers_20Brief_20about_20Vacciland_20measles_20outbreak.pptx