Immunization Case-Based Register

DHIS2 Tracker Data Model in Practice

 DHIS Dimensions - Aggregate

s,
th
on
What: Data Elements & Indicators
,M
ks
ee

Where: Org Unit

s W
ar n:

(shared by all data models)

Ye he
W

When: Weekly, Monthly,

Quarterly…
Org Units
Where:

What: Data Elements/ Indicators

# of Medical Encounters, #of HIV+ Tested, Stock in months, % of ANC coverage
DHIS Dimensions – Tracker
What: Data Elements & Indicators
e n: Where: Org Unit; Beneficiary
h Address/Village
W ate
d When: date
Weekly, Monthly, Quarterly…

TEI
Who:
Who: Tracked Entity Instance
Org Units
Where:

What: Data Elements/ Indicators

# of Medical Encounters, #of HIV+ Tested, Stock in months, % of ANC coverage
Type of Medical Encounter, HIV Test Result, Stock at time of visit
Tracker - Immunization
Child’s Age Vaccinations Required
At Birth BCG, OPV 0
6 weeks OPV 1, DPT-HepB-HiB 1, PCV 1, RV 1
10 weeks OPV 2, DPT-HepB-HiB 2, PCV 2, RV 2
14 weeks BCG repeat dose, OPV 3, DPT-HepB-HiB 3,
PCV 3
9 months Measles 1, OPV 4 (if OPV 0 has not been given)
18 months Measles 2
Tracker - Immunization Program Use Case
● When reviewing the immunization schedule, we can see that there
are various “stages” to the treatment program
● By reviewing the schedule and carefully considering the timeline of
events, we can link each of the individual pieces of information to
its appropriate timeline of treatment
● For example at birth, the child can receive the following
vaccinations
○ BCG
○ OPV 0
 Tracker - Immunization Program Use Case

Stage 1 - Stage 2 - 6 Stage 3 - 10 Stage 4 - 14 Stage 5 - 9 Stage 6 - 18

Birth weeks weeks weeks months* months

OPV 0 OPV 1 OPV 2 BCG repeat Measles 1, Measles 2

BCG DPT-HepB- DPT-HepB- dose OPV 4 (if
HiB 1 HiB 2 OPV 3 OPV 0 has
PCV 1 PCV 2 DPT-HepB- not been
RV 1 RV 2 HiB 3 given)
PCV 3

*If one dose of BCG, three doses each of OPV, DPT, and Hepatitis B vaccines, and
one dose of measles vaccine are given before reaching one year of age, the child is
considered fully immunized
Tracker - Immunization Program Attributes
Attribute Attribute Type Option Set

Child No. Text

First Name Text

Last Name Text

Gender Text Male/Female

Date of Birth Date

Mother/Caregiver’s First Name Text

Mother/Caregiver’s Last Name Text

Mother/Caregiver’s Contact # Phone Number

Program Overview
Entity Enrollment
Registration
Immunization
(Attributes)

Program Stage 1: Program Stage 2:

Birth 6 weeks

BCG OPV 0 OPV 1 DPT-HepB-Hib 1 PCV 1 RV 1

Program Overview
Entity
Enrollment
Registration Immunization
(Attributes)

Program Stage 3: Program Stage 4:

10 Weeks 14 weeks

OPV 2 DPT-HepB-Hib 2 PCV 2 RV 2

OPV 3 DPT-HepB-Hib 3 PCV 3 RV 3

Program Overview
Entity
Enrollment
Registration Immunization
(Attributes)

Program Stage 5: Program Stage 6:

9 months 18 months

Measles 1 OPV 4 Measles 2

Program Overview - Multiple stage vs. Single stage
Multiple stage:
● Difficult to track if all the set of vaccines for a particular age not given
together
● Issues with data quality and scheduling reminders
Single, repeated stage:
● Single program stage with program rules to define what vaccine is due for
a child based on the age and previous vaccine history
● Improved data quality since only the vaccine due are available for entry
and vaccine cycle is built in through program rules