Skip to main content

Table 1 Source of information and collected indicators, by independent variable.

From: System-level determinants of immunization coverage disparities among health districts in Burkina Faso: a multiple case study

Independent variables Source Indicators
Occurrence of epidemics - Interviews with key informants - Month and year;
   - Disease
Occurrence of immunization campaigns/days - Interviews with key informants - Month and year;
   - Antigen
Immunization strategies - Interviews with key informants (DMO, person in charge of the EPI program, manager, etc.); - % of health centers ensuring daily immunization services in fixed and outreach strategies;
  - Supervision reports and EPI report - % of PHCs with strategies for finding drop-outs;
   - % of PHCs ensuring the management of open flasks;
   - Involvement of other actors in immunization activities (NGOs, associations, social mobilization) and the nature of their involvement
Profile of DMO and relationship with his team - Interviews with DMO and key informants, manager - Composition of the DO team (number, skills, turnover);
  - Action plan; inventory reports; supervision reports; - Financial capacities of the DO (source and amount per year);
  - Reports from Ministry of Health - Rate of supervisory activities integrated with report;
   - Length of DMO term of office;
   - Rate of recurrence of meetings of the DMO with the DO staff and with PHCs' chief nurses;
   - Rate of printing of DO newsletter;
   - Relation of the district action plan to the micro-plans of PHCs
Financial and technical partners - Interviews with DMO or key informants, person in charge of EPI, manager - Number of financial and technical partners in the district;
  - DO reports and action plan - Extent of financial and in-kind aid;
   - EPI activities benefiting from partners' support;
   - Period of intervention
Geographic access (in km) - Interview with DMO and key informants, person in charge of EPI, - Number of PHCs;
  - District health statistics service - Mean number of km to access the closest PHC;
  - DO reports and action plans - % of population covered (served) in fixed strategy;
   - % of population served by enhanced outreach strategy
Incidence of PHCs meeting staffing standards - Archives of the regional and district medical offices, action plans, and inventory reports - % of PHCs meeting staffing standards;
  - Interviews with DMO and key informants - % of PHCs with running COGES (management committees);
   - % of COGES that balance their budgets;
   - Degree/extent of participation of COGES in activity planning, follow-up and evaluation;
   - Nature and level of financing of EPI activities by the COGES (i.e., district's autonomy in funding its EPI activities)
Vaccine supplies, cold chain functionality - Interviews with DMO and key informants, person in charge of EPI, manager, PHC's chief nurse - Yearly budget for immunization (as for action plan, COGES and others);
  - DO reports and action plans - Number of PHCs with functional motorbike;
   - Level/extent of equipment for cold chain;
   - Number of PHCs having experienced failures in vaccine supplies, cold chain, or means of transport and communication (month/year, length and nature of the event, number of PHCs affected)