Task 1. Flag all the suspicious values. (Outliers, repetitions, etc.) (spend max 15 minutes)

Data at national level shows good coverages but data at subnational lvele is having issues including more than 100 % coverages. 

Task 2. Review the national and subnational coverage for MR1. Your data manager produces the following tables. What can you conclude from the administrative data?

Data is inconsistent, having outliers and repitative. It has issues of denominator and quality issues.

Task 3. Review coverage evaluation survey data. You remember that in 2013, there was a coverage evaluation survey. You pull up the data for that. Does this change your view about coverage at national level? For any of the regions?

No its old data

Task 4. Review the chart with the age distribution of measles cases. Does that tell you anything additional about coverage?

It seems coverage remain low for many past years.

Part 2. Brief the Minister

Task 5. Brief the Minister (spend max 1/2 hour on this section). Summarize the situation in three bullet points.

1.625 confirmed cases in Grandland and some deaths are attributed to measles outbreak
2.Admin data shows good coverage at national level but there are issues when it comes to subnational level
3.Data of grandtown shows more than 100% coverage is mostly because of data quality
4.Immunization is not mandatory in vacciland
5.Vaccine stock outs reported – centralized procurement
6.Vaccine hesitancy as evident from KAP study
7.Urbanization is growing in grandtown – 19% of vacciland population
8.Paper based outdated registers
9.Denominator issues

Task 6. Brief the Minister. Propose three actions to respond to the outbreak.

1.Immediate response required to contain outbreak.
2.Enhance surveillance system
3.Involve private sector .
Task 7. Formulate recommendations. List your top 3-5 recommendations specific to data strengthening you would prioritize as the EPI and surveillance teams in Vacciland

1.Data Quality assessment followed by development of data quality improvement plan
2.Electronic registry may be piloted in some areas and further expansion to all areas of vacciland
3.Review of EPI including surveillance component
4.Involve private sector in surveillance network.
5.Procurement of vaccine or immunization supply chain management needs to be revised to ensure availability of potent vaccine.
6.Vaccine hesitancy also need to be addressed through appropriate C4D approach
7.Urban immunization strategy needs to be developed and implemented.