ArticleBMC health services research2019
Accuracy and quality of immunization data in Iran: findings from data quality self-assessment survey in 2017.
Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pertussis resurgence in iran: A systematic review and meta-analysis of seroimmunity and diagnostic evidence.BMC infectious diseases · 2025Pooled it
- A Protocol of National Mixed-Methods Assessment of Childhood and Maternal Immunization.Health science reports · 2026Article
- Knowledge, attitude and practice toward childhood immunization among mothers in Lebanon.PloS one · 2025Article
- Immunization data quality and decision making in pertussis outbreak management in southern Ethiopia: a cross sectional study.Archives of public health = Archives belges de sante publique · 2022Article
- Evaluating the vaccination coverage: validity of household-hold vaccination booklet and caregiver's recall.Human vaccines & immunotherapeutics · 2021Article
- Forty years after Alma-Ata: how people trust primary health care?BMC public health · 2020Article
- Estimation of the wastage rate of MMR and pentavalent vaccines in open and closed vials in three western provinces of Iran.Heliyon · 2020Article
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6 authors.
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Abstract
backgroundThe aim of this study was to assess the accuracy and quality of immunization data on the pentavalent (diphtheria, pertussis, tetanus, hepatitis B and Haemophilus influenzae type B (Hib)) and MMR vaccines as the administrative data of the expanded program on immunization (EPI) in Iran.
methodsWe conducted a Data Quality Self-assessment (DQS) survey from October to December 2017. Standardized DQS tools were used to assess the accuracy of reported immunizations data and quality of the immunization monitoring system at the provincial level of the healthcare system including health houses, health posts, rural and urban health centers and district health centers. Multistage cluster random sampling with proportional to size (PPS) weights was used to select target provinces and related health units. Accuracy ratio, quality index (QI), completeness and relevant quality indices of first dose of MMR (MMR1) and third dose of pentavalent vaccines were reported. Corresponding period of the survey was limited to reported administrative immunization data during the first 6 months of 2016.
resultsIn relation to accuracy ratio, there was some evidence of under reporting of pentavalent (3rd dose) and MMR1 vaccines in health house units which were 100.94 and 101.1%, respectively. Completeness of reporting for both vaccines at different provincial levels was near 100%. However, the corresponding value for pentavalent (3rd dose) and MMR1 vaccines at the level of urban health centers was 96.67 and 94.17% respectively. Among the five components of a monitoring system data usage and core output had the lowest QI scores in either rural or urban as well as district healthcare centers.
conclusionsFindings from our DQS survey reveals that administrative reporting of the immunization data was adequate at provincial and district levels of the healthcare centers. Although, addressing the existing concerns regarding timelines of the reporting by health authorities and staffs of EPI is warranted.
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