The MIS model includes a number of innovations that allow better immunization program management and more rational use of resources at all levels, in particular:
Immunization MIS and safe immunization practices guidelines and workbook developed by PHRplus jointly with Yemeni stakeholders are designed to help health personnel working at the sub-national, district, and facility levels of the health system obtain quality information and utilize it for effective program management.
- More optimal methodology for determining target population, coverage rates, vaccine wastage and for making vaccine need projections
- Identification of district-specific factors preventing children from being immunized (such as access to health care, lack of vaccinators, vaccine stockouts, cold-chain failure, parental refusals)
- Monitoring of vaccine distribution from existing stores to the point of consumption
- Up-to-date tracking of vaccine balances in all facilities
- In-built system for data accuracy verification at the district level
- Specific instructions on actions to be taken in response to data collected
- Standard performance evaluation instruments
In 2005-2006, the guidelines and the workbook will be piloted in the Amran governorate in Yemen. Recommendations based on pilot experience will be incorporated into revised guidelines for use nationwide. National stakeholders include partners from the Ministry of Public Health and Population, local EPI offices, UNICEF, and WHO.