*

Home-based Record Repository


The home-based record is an inexpensive yet effective instrument for systematically recording the vaccines received by a child. Moreover, the home-based record can enhance health professionals’ ability to make clinical decisions, empower parents/caregivers in the health care of their children, and support public health monitoring (a wiki describing the home-based record in further detail can be found here). Unfortunately, the home-based vaccination record is too often underutilized or inappropriately used by parents and health care workers and therefore does not always fulfil its intended purpose.  

 

Home-based records also support the collection of data for uses other than direct clinical care or delivery of vaccines, such as for quality management and public health monitoring. Periodic coverage surveys, through which information is collected directly from a sample of households, are one way in which immunization coverage of young children is monitored. Within these surveys, home-based vaccination records available in the household are used to collect documented information on immunization services received by children. In the absence of an available or completed home-based record, surveys often collect information based on maternal recall, though there is mixed evidence regarding the validity and reliability of recall relative to health records or immunization cards. Despite the importance of home-based records to monitoring, the reliance on these records as a source of immunization data will almost certainly underestimate coverage until the proportion of record-holders is more nearly equal the proportion of children immunized [Fisher and Vaessen. Int Health News Abstract 1987; 8(6): 1, 4.], further reinforcing the need to improve issuance, maintenance and utilization of home-based vaccination records.

 

The purpose of this repository for home-based vaccination records, including national immunization or child health cards, is to support the free and open exchange of information related to home-based record content and design that ultimately may be useful to the improvement of child health outcomes.  It is with great appreciation that we extend words of humble gratitude to the many persons around the world in EPI programme offices, UNICEF and WHO country offices, among others who have taken the time to share the images contained herein.

 

Countries are listed in the left sidebar in alphabetical order according to country name. Select a country to view available home-based vaccination records.  As of 6 October 2016, records are available here from 164 countries or territories, of which 157 are Member States of the World Health Assembly.  If the information posted here is incorrect, please send an e-mail to info [at] brownconsultingroup [dot] org (to the attention of D Brown) with a short note explaining the error and supporting documentation.


A tracking sheet highlighting the countries for which electronic and/or hard copies of home-based vaccination records are on file is available at http://bit.do/HBR-tracking



Practical guide for the design, use and promotion of home-based records

The World Health Organization has produced a document that provides guidance to national immunization programmes on how to redesign home based records and promote their use among health workers and caregivers.

Practical guide for the design, use and promotion of home-based records in immunization programmes


Experiences from a workshop to revitalize home-based records

In March 2016, the UNICEF Regional Office for South Asia and the Bill and Melinda Gates Foundation organized a four-day workshop aimed at optimizing the quality, availability and use of HBRs through a collaborative south-south exchange of state and national officials, development partners, data experts and design professionals. The workshop included participants from Afghanistan, India, Nepal, and Pakistan as well as representatives from Sri Lanka, who shared positive experiences from their country’s HBR. The workshop provided a unique opportunity for country teams to delve deeply into the complexities and considerations of the HBR and generated interest and momentum to take action to improve how HBRs function in practice in each of the four distinct country contexts. A report from the workshop is linked here and a follow-on commentary can be obtained from here. There are plans to conduct a similar meeting in Africa in early 2017; results will be reported back here. Stay tuned!


What are home-based records called in your country?

Help us develop a thesaurus of terms used for home-based vaccination records around the world.


Visit http://bit.do/HBR-names


A listing of identified reference terms for home-based records can be found here.




Join the conversation !

Join the conversation and share experiences related to ideas for improving the availability, utilization and retention of home-based vaccination records and experiences related to the revision and update of home-based vaccination records by visiting https://moot.it/immunizationrecords !



Home-based records are available here from 164 countries or territories* as of 6 October 2016



The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement.

* Of the 164 countries or territories, 157 are Member States of the World Health Assembly.


Related Postings from TechNet and elsewhere on the web.


Related reading material is noted below.


A website to track the prevalence of home-based vaccination records seen at the time of household survey can be found at: http://bit.do/HBR-prevalence.


Home-based record awareness images

      











 

Disclaimer: The findings and views expressed herein are those of the authors alone and do not necessarily reflect those of their respective institutions. All reasonable precautions have been taken to verify the information contained herein. However, the material is being distributed without warranty of any kind, either express or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the site administrator or his employer be liable for damages arising from its use.