Ethiopia Ethiopia DHS 2016 Will be c onducted by Central Statistical Agency CSA Ethiopian Public Health Institute EPHI Data collection teams will visit each Enumeration Area EA selected for the survey ID: 934477
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Slide1
Planned vaccination data collection from health facilities:
Ethiopia
Slide2Ethiopia DHS 2016
Will be
c
onducted by
Central Statistical Agency (CSA)
Ethiopian Public Health Institute (EPHI)
Data collection teams will visit each Enumeration Area (EA) selected for the survey
A separate team (health facility team) will visit health centers or posts with names of
children without vaccination
cards identified during data collection
.
Slide3Health care system in Ethiopia
Health Centers
F
ound at the regional, zonal and wareda level. Staffed with Health officers,
Midwives
, Nurses. A higher
level of care with in-patients
care;
Unclear how many health personnel per health centers because of variations within the regions, zones, and
waredas
;
A Wareda is responsible for a population of
15,000 to 25,000
individuals depending on the
area
.
Slide4Health care system in Ethiopia (
Cont.)
Health Posts
Health Extension Workers (HEW) are responsible for providing very specific care in health posts at the kebele level (smallest administrative unit in Ethiopia).
Two HEWs per Kebele, formally trained by
MoH
.
Focus on immunization, family planning, and sometimes with delivery. Also responsible for referring patients to health centers.
Slide5Data collection
Home-based records:
Immunization cards/ child care cards;
Polio0 and BCG cards (given at health centers);
Mother’s recall:
Health centers and posts records:
Child care cards (started in 2014)
Family health book (started in 2014)
Small registration book (older)
Registration book (IGMRB)
Slide6Visits to four health centers
Positive aspects
Challenges
Information on
vaccination is routinely
recorded in the registry book
Information recorded in the registry book by the date of first visit
All vaccination data recorded in a single line in the register
Children’s names are not always recorded
Family book available since
2014
The mother’s name is not always recorded
HEWs are the source of information for the community
System is not standardized across health centers or posts
Slide7Visit to a household
In
household
In Health post
DOB
April 4, 2014
May 30, 2014
Child’s name
Shasho Zewdu
Workitu
Zewdu
Mother’s name
Aberash
Girma
No Available
Father’s name
Zewdu Aragaw
Not Available
Slide8Key concerns
C
hildren can go to health centers and/or posts outside of their
kebeles
or
woredas
;
A child can go to several sources for different vaccines;
Information is not ordered logically by date of birth (
DoB
) or in alphabetical order.
No standardization across health personnel.
If vaccination is given at a health center
or at another
health post, the
health personnel does
not update the child care cards
;
Slide9Key concerns (
Cont.)
Child care cards are kept with the HEW until vaccination is complete.
Polio0 and BCG are not recorded in the child care cards because they are mostly given at health centers;
Children are not given their official names until weeks sometimes months after they are born. It’s very common to change children’s names.
Families seldom have official papers from the government with DOB.