MODULE6

MONITORING AND
SURVEILLANCE

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)
 6.1 TOOLS FOR MONITORING

The immunization register (Target Client List)

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)
 TARGET CLIENT LIST FOR NUTRITION AND EPI PROGRAM PART I
CHILD
DATE OF DATE FAMILY LE DATE PROTECTED
REGISTR OF W NG COMPLETE COMPLETE AT BIRTH
SERIAL NHTS * NAME OF CHILD EI TH/ SEX NEWBORN
A- BIRTH NAME ADDRESS (CPAB)**
GH HEI
(mm/dd/y NUMBE
TION T GH (M/F) OF MOTHER SCREENING (12)
y) R T
(mm/dd/y
(11) TT Status DATE
y)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) REFERRAL DONE Date ASSESS
FHSIS v. 2012

TCL- 1

TARGET CLIENT LIST FOR NUTRITION AND EPI PROGRAM PART I

DATE CHILD WAS EXCLUSIVELY COMPLEMENTARY
DATE IMMUNIZATION RECEIVED PNEUMOCOCCA
FULLY
ROTA BREASTFED**** FEEDING*****
L CONJUGATE
IMMUN VIRUS
(13) VACCINES (15) (16) REMAR
IZED VACCINE
(PCV) KS
HEPA B1 PENTAVALENT OPV MCV CHILD Put a () check Put a Put a () check
More (FIC) Date
w/in MCV1 MCV2 1st 2nd 3rd 4th 5th 6th 7th 8th
BCG than *** for
1 2 3 1 2 3 1 2 1 2 3
24 24 (AMV (MMR 6th
(14) MO MO MO MO MO MO MO MO (17)
hrs. hrs. ) ) mo.






















 6.1 TOOLS FOR MONITORING

The immunization card

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)
 6.1 TOOLS FOR MONITORING

How to use an immunization card

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)
 M1 AND OTHER FHSIS FORMS
 6.1 TOOLS FOR MONITORING

The
tally
sheet

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)
 6.1 TOOLS FOR MONITORING

The
tally
sheet

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)
 6.1 TOOLS FOR MONITORING

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)
 6.1 TOOLS FOR MONITORING

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)
 6.1 TOOLS FOR MONITORING

The immunization register (Target Client List)

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)
 6.1 TOOLS FOR MONITORING

Listing
defaulters
using
reminder
cards

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)
 6.2 TOOLS FOR SURVEILLANCE

The vaccine-preventable disease tally sheet

The disease-specifi c case investigation report
form
The line list
The AEFI report form

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)
 6.2 TOOLS FOR SURVEILLANCE

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)
 6.2 TOOLS FOR SURVEILLANCE

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)
 6.2 TOOLS FOR SURVEILLANCE

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)
 6.3 MONTHLY SUMMARY
REPORTS
Immunization programme monitoring data
Vaccine-preventable disease surveillance
data

Zero reporting
If there are no cases of a disease during the
reporting period, the number zero should be
reported in the summary. This is called zero
reporting and is important, since it shows an
absence of cases presenting to the health facility
rather than a forgotten point in data collection.

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)
 6.3 MONTHLY SUMMARY
REPORTS
AEFI surveillance data
Additional information
Vaccine usage and wastage patterns

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)
 6.3 MONTHLY SUMMARY
REPORTS
Data
and
report
storage

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)
 6.4 ANALYSIS OF MONITORING
DATA
Vaccination coverage charts (EPI
Monitoring Chart)
1. Calculate the annual and monthly target
population who should receive immunization
services
2. Label the chart and draw the ideal monthly
target line
3. Plot immunization data on the chart
4. Enter the current cumulative total on the right
side of the month being recorded
5. Calculate the total number of dropouts between
the first and last dose of the same vaccine series.

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)
 Immunization in Practice: A practical guide for health staff- 2015
update (WHO)
 6.4 ANALYSIS OF MONITORING
DATA
Vaccination coverage data analysis
1. List each geographic area or community served in
Column a.
2. List the target population numbers for infants less than
one year of age in Column b.
3. Enter the number of doses of each vaccine type
administered to the target group during the preceding 12-
month period in Columns c, d and e. The vaccines used
for analysis will vary by programme.
4. Calculate immunization coverage as follows:
Immunization coverage is the total number of infants who
have received all required doses of a selected vaccine in
the preceding 12 months divided by the annual target
population.

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)
 Immunization in Practice: A practical guide for health staff- 2015
update (WHO)
 Immunization in Practice: A practical guide for health staff- 2015
update (WHO)
 Immunization in Practice: A practical guide for health staff- 2015
update (WHO)
 6.4 ANALYSIS OF MONITORING
DATA
Improvement of services
sessions not being held as planned
session site and times being inconvenient or not
advertised
cultural, financial, racial, gender or other barriers
preventing access to and use of immunization
services.
caregivers lack of information about the complete
immunization schedule
missed opportunities for vaccination
other problems leading to caregivers not returning
due to vaccinations not being given as expected;

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)
 6.5 ANALYSIS OF SURVEILLANCE
DATA
Vaccine-preventable disease case
number charts

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)
 6.5 ANALYSIS OF SURVEILLANCE
DATA
Analysis of vaccine-preventable
disease data

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)
 6.5 ANALYSIS OF SURVEILLANCE
DATA
Analysis of AEFI data

Immunization in Practice: A practical guide for health staff- 2015

update (WHO)