1. Software application UKRVAC-01 for monitoring of immunization at oblast and central level

2. 2 PURPOSE Ukrvac is a supplement to HMIS that helps 1) process big flow of quality data at oblast and central level in a timely manner 2) quickly draw immunization manager’s attention to regions with sub-optimal performance 3) present information in a suitable form to decision makers and as a feedback to health workers at lower levels 4) store the data electronically for future reference

3. 3 DATA ENTRY  WHO - assistant epidemiologist or PC operator (in oblasts)  WHEN - every month  HOW LONG - usually no more than 2-3 hours ---------- Accuracy verification and protection from accidental mistakes of an operator during data entry: - data validation - automatic verification of totals - conditional formatting of data entered

4. 4 SYSTEM OUTPUT: 1. MONTHLY REPORTS ON IMMUNIZATION PRACTICE  number and types of immunizations given  use of vaccines  contraindications  timeliness All data are protected from changes

5. 5 Number and types of immunization given, Cumulative numbers, Coverage in % Timeliness of immunization and contraindications Vaccine flow and usage data

6. 6 2. CONTRAINDICATIONS TO DTP ( tables and graphs)  by type (short-term, long-term, permanent)  by oblasts and rayons/towns  by months  structure (DTP-1,2,3) All data are protected from changes Conditional formatting function

7. 7 The overall number of contraindications have reduced. Proportion of children contraindicated to DTP 1-3 for a long term has dropped from 4% to 2.6%

8. 8 The focus of attention should be on selected low compliance regions

9. 9 3. TIMELINESS OF IMMUNIZATIONS (table and graph)  by oblasts and rayons/towns  by months All data are protected from changes Conditional formatting function

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11. 11 Vaccine shortages result in delayed immunization

12. 12 4. IMMUNIZATION COVERAGE (tables and graphs) §Breakdown by oblasts and towns/rayons §Monthly and cumulative data in tables and dynamically built graphs §For all antigens: BCG, Polio (1-7), DTP (1-4), DT, Td, d, Hep B, Measles, Mumps, Rubella All data are protected from changes Conditional formatting function

13. 13 Frequent stockouts

14. 14 Decentralized procurement: no mumps vaccine in 5 oblasts, whereas other preparations might have been bought in excessive quantity

15. 15 5. USE OF VACCINES (tables and graphs)  For each vaccine:  vaccine flow in oblasts and rayons/towns every month  monthly balances at oblast, rayon/town stores and in health facilities  usage/wastage patterns by oblasts/rayons/towns and months Graphical presentation of all vaccines usage patters in regions Conditional formatting function All data are protected from changes

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17. 17 Reasons for high wastage need to be investigated and customized action plans developed

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19. 19 Severe shortage of basic vaccines More than 6-month supply of DPT issued to health settings A lot of DPT in stock but no Mumps vaccine