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Current Medical Imaging

Editor-in-Chief

ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Mini-Review Article

Critical Review of Data Analytics Techniques used in the Expanded Program on Immunization (EPI)

Author(s): Sadaf Qazi and Muhammad Usman*

Volume 17, Issue 1, 2021

Published on: 25 June, 2020

Page: [39 - 55] Pages: 17

DOI: 10.2174/1573405616666200625155042

Price: $65

Abstract

Background: Immunization is a significant public health intervention to reduce child mortality and morbidity. However, its coverage, in spite of free accessibility, is still very low in developing countries. One of the primary reasons for this low coverage is the lack of analysis and proper utilization of immunization data at various healthcare facilities.

Purpose: In this paper, the existing machine learning-based data analytics techniques have been reviewed critically to highlight the gaps where this high potential data could be exploited in a meaningful manner.

Results: It has been revealed from our review that the existing approaches use data analytics techniques without considering the complete complexity of Expanded Program on Immunization which includes the maintenance of cold chain systems, proper distribution of vaccine and quality of data captured at various healthcare facilities. Moreover, in developing countries, there is no centralized data repository where all data related to immunization is being gathered to perform analytics at various levels of granularities.

Conclusion: We believe that the existing non-centralized immunization data with the right set of machine learning and Artificial Intelligence-based techniques will not only improve the vaccination coverage but will also help in predicting the future trends and patterns of its coverage in different geographical locations.

Keywords: Data analytics, expanded program on immunization, vaccination, machine learning, infectious diseases, immunization.

Graphical Abstract
[1]
Wikipedia, Expanded Program on Immunization. Available: https://en.wikipedia.org/wiki/
[2]
World Health Organization, Immunization Coverage . Available: www.who.int/en/news-room/fact-sheets/detail/immunization-coverage
[3]
World Health Organization, Expanded Program on Immunization, Pakistan [Online]. Available: www.emro.who.int/pak/programmes/expanded-programme-on-immunization.html
[4]
World Health Organization, Training for Mid-level Managers, Monitoring the Immunization System, WHO/IVB/08. Available: http://www.who.int/ immunization/documents/MLM_module5 .pdf
[5]
Expanded Program on Immunization, Government of Pakistan [Online]. Available: www.epi.gov.pk/about-epi/our-challenges/
[6]
Pakistan Comprehensive Multi-Year Plan 2011-2015 [Online]. Available: Pakistan-comprehensive_multi-year_plan_for_2011-2015-2009.pdf [Accessed April 30, 2019] .
[7]
Owais A, Hanif B, Siddiqui AR, Agha A, Zaidi AKM. Does improving maternal knowledge of vaccines impact infant immunization rates? A community-based randomized-controlled trial in Karachi, Pakistan. BMC Public Health 2011; 11(1): 239.
[http://dx.doi.org/10.1186/1471-2458-11-239] [PMID: 21496343]
[8]
Onsomu EO, Abuya BA, Okech IN, Moore D, Collins-McNeil J. Maternal education and immunization status among children in Kenya. Matern Child Health J 2015; 19(8): 1724-33.
[http://dx.doi.org/10.1007/s10995-015-1686-1] [PMID: 25636652]
[9]
Corben P, Leask J. To close the childhood immunization gap, we need a richer understanding of parents’ decision-making. Hum Vaccin Immunother 2016; 12(12): 3168-76.
[http://dx.doi.org/10.1080/21645515.2016.1221553] [PMID: 27564975]
[10]
Qazi U, Malik S, Raza UA, Saad M, Zeeshan MF, Anwar S. Compliance to timely vaccination in an Expanded Program on Immunization center of Pakistan. Vaccine 2019; 37(32): 4618-22.
[http://dx.doi.org/10.1016/j.vaccine.2018.01.044] [PMID: 29395529]
[11]
Walton S, Cortina-Borja M, Dezateux C, et al. Measuring the timeliness of childhood vaccinations: Using cohort data and routine health records to evaluate quality of immunisation services. Vaccine 2017; 35(51): 7166-73.
[http://dx.doi.org/10.1016/j.vaccine.2017.10.085] [PMID: 29132992]
[12]
Noh JW, Kim YM, Akram N, et al. Factors affecting complete and timely childhood immunization coverage in Sindh, Pakistan; A secondary analysis of cross-sectional survey data. PLoS One 2018; 13(10): e0206766.
[http://dx.doi.org/10.1371/journal.pone.0206766] [PMID: 30379947]
[13]
Ozawa S, Clark S, Portnoy A, Grewal S, Brenzel L, Walker DG. Return on investment from childhood immunization in low-and middle-income countries, 2011–20. Health Aff (Millwood) 2016; 35(2): 199-207.
[http://dx.doi.org/10.1377/hlthaff.2015.1086] [PMID: 26858370]
[14]
Menzies NA, Suharlim C, Geng F, Ward ZJ, Brenzel L, Resch SC. The cost determinants of routine infant immunization services: a meta-regression analysis of six country studies. BMC Med 2017; 15(1): 178.
[http://dx.doi.org/10.1186/s12916-017-0942-1] [PMID: 28982358]
[15]
Aye HNN, Saw YM, Thar AMC, et al. Assessing the operational costs of routine immunization activities at the sub-center level in Myanmar: What matters for increasing national immunization coverage? Vaccine 2018; 36(49): 7542-8.
[http://dx.doi.org/10.1016/j.vaccine.2018.10.051] [PMID: 30377065]
[16]
Ozawa S, Yemeke TT, Thompson KM. Systematic review of the incremental costs of interventions that increase immunization coverage. Vaccine 2018; 36(25): 3641-9.
[http://dx.doi.org/10.1016/j.vaccine.2018.05.030] [PMID: 29754699]
[17]
Rammohan A, Awofeso N. District-level variations in childhood immunizations in India: The role of socio-economic factors and health infrastructure. Soc Sci Med 2015; 145: 163-72.
[http://dx.doi.org/10.1016/j.socscimed.2015.05.004] [PMID: 25958173]
[18]
Crouch E, Dickes LA. A prediction model of childhood immunization rates. Appl Health Econ Health Policy 2015; 13(2): 243-51.
[http://dx.doi.org/10.1007/s40258-015-0157-6] [PMID: 25672824]
[19]
Rehman SU, Siddiqui AR, Ahmed J, et al. Coverage and predictors of routine immunization among 12-23 months old children in disaster affected communities in Pakistan. Int J Health Sci (Qassim) 2017; 11(1): 1-6.
[PMID: 28293154]
[20]
Ameen M, Rasul S. ul Haq MA, Mahmood QK. Determinants of factors associated with childhood immunization in Punjab, Pakistan: evidence from the multiple indicator cluster survey. J Public Health (Bangkok) 2018; 26(5): 495-9.
[http://dx.doi.org/10.1007/s10389-018-0902-z]
[21]
Raza O, Lodhi FS, Morasae EK, Majdzadeh R. Differential achievements in childhood immunization across geographical regions of Pakistan: analysis of wealth-related inequality. Int J Equity Health 2018; 17(1): 122.
[http://dx.doi.org/10.1186/s12939-018-0837-6] [PMID: 30119670]
[22]
Riaz A, Husain S, Yousafzai MT, et al. Reasons for non-vaccination and incomplete vaccinations among children in Pakistan. Vaccine 2018; 36(35): 5288-93.
[http://dx.doi.org/10.1016/j.vaccine.2018.07.024] [PMID: 30054162]
[23]
Imran H, Raja D, Grassly NC, Wadood MZ, Safdar RM, O’Reilly KM. Routine immunization in Pakistan: comparison of multiple data sources and identification of factors associated with vaccination. Int Health 2018; 10(2): 84-91.
[http://dx.doi.org/10.1093/inthealth/ihx067] [PMID: 29432552]
[24]
Harvey H, Reissland N, Mason J. Parental reminder, recall and educational interventions to improve early childhood immunisation uptake: A systematic review and meta-analysis. Vaccine 2015; 33(25): 2862-80.
[http://dx.doi.org/10.1016/j.vaccine.2015.04.085] [PMID: 25944299]
[25]
Uddin MJ, Shamsuzzaman M, Horng L, et al. Use of mobile phones for improving vaccination coverage among children living in rural hard-to-reach areas and urban streets of Bangladesh. Vaccine 2016; 34(2): 276-83.
[http://dx.doi.org/10.1016/j.vaccine.2015.11.024] [PMID: 26647290]
[26]
Kazi AM, Ali M, K A, et al. Geo-spatial reporting for monitoring of household immunization coverage through mobile phones: Findings from a feasibility study. Int J Med Inform 2017; 107: 48-55.
[http://dx.doi.org/10.1016/j.ijmedinf.2017.09.004] [PMID: 29029691]
[27]
Kazi AM, Ali M, Zubair K, et al. Effect of mobile phone text message reminders on routine immunization uptake in Pakistan: randomized controlled trial. JMIR Public Health Surveill 2018; 4(1)e20
[http://dx.doi.org/10.2196/publichealth.7026] [PMID: 29514773]
[28]
Heidebrecht CL, Kwong JC, Finkelstein M, et al. Electronic immunization data collection systems: application of an evaluation framework. BMC Med Inform Decis Mak 2014; 14(1): 5.
[http://dx.doi.org/10.1186/1472-6947-14-5] [PMID: 24423014]
[29]
Razaq S, Batool A, Ali U, Khalid MS, Saif U, Naseem M. Iterative Design of an Immunization Information System in Pakistan. In Proceedings of the 7th Annual Symposium on Computing for Development. 18: 1-10.
[http://dx.doi.org/10.1145/3001913.3001925]
[30]
Etamesor S, Ottih C, Salihu IN, Okpani AI. Data for decision making: using a dashboard to strengthen routine immunisation in Nigeria. BMJ Glob Health 2018; 3(5): e000807.
[http://dx.doi.org/10.1136/bmjgh-2018-000807] [PMID: 30294456]
[31]
Dolan SB, Carnahan E, Shearer JC, et al. Redefining vaccination coverage and timeliness measures using electronic immunization registry data in low- and middle-income countries. Vaccine 2019; 37(13): 1859-67.
[http://dx.doi.org/10.1016/j.vaccine.2019.02.017] [PMID: 30808566]
[32]
Trumbo SP, Contreras M, García AGF, et al. Improving immunization data quality in Peru and Mexico: Two case studies highlighting challenges and lessons learned. Vaccine 2018; 36(50): 7674-81.
[http://dx.doi.org/10.1016/j.vaccine.2018.10.083] [PMID: 30414780]
[33]
Bhatti UA, Huang M, Wang H, Zhang Y, Mehmood A, Di W. Recommendation system for immunization coverage and monitoring. Hum Vaccin Immunother 2018; 14(1): 165-71.
[http://dx.doi.org/10.1080/21645515.2017.1379639] [PMID: 29068748]
[34]
Chandir S, Siddiqi DA, Hussain OA, et al. Using predictive analytics to identify children at high risk of defaulting from a routine immunization program: feasibility study. JMIR Public Health Surveill 2018; 4(3): e63.
[http://dx.doi.org/10.2196/publichealth.9681] [PMID: 30181112]
[35]
Shaikh BT. ul Haq Z, Tran N, Hafeez A. Health system barriers and levers in implementation of the Expanded Program on Immunization (EPI) in Pakistan: an evidence informed situation analysis. Public Health Rev 2018; 39(1): 24.
[http://dx.doi.org/10.1186/s40985-018-0103-x]
[36]
Tilahun B, Teklu A, Mancuso A, Abebaw Z, Dessie K, Zegeye D. How can the use of data within the immunisation programme be increased in order to improve data quality and ensure greater accountability in the health system? A protocol for implementation science study. Health Res Policy Syst 2018; 16(1): 37.
[http://dx.doi.org/10.1186/s12961-018-0312-2] [PMID: 29724235]

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