SwissTPH / WHO-VA

Maintenance of the WHO 2022 Verbal Autopsy Instrument and Documentation
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Issue with 10431, missing measles #23

Closed aurdipas closed 5 years ago

aurdipas commented 6 years ago

Hi all, Sharing the email below/attached for two purposes.

First: I’m sharing an inquiry about a possible oversight in missing measles or MMR in the immunization question (10431). Daniel, can you please confirm why the correct list should include and advise if/how this should be updated?

Second, sharing as FYI regarding a concern that arose in CHAMPS on the ability of fieldworkers to correctly capture this question. Attached is an effort to develop a nationally adapted field tool to advise interviewers on what “complete” immunization means for South Africa. I recommend we consider documenting this approach in adaptation guidance.

Kind regards, Erin

Begin forwarded message:

From: "Morof, Diane (CDC/ONDIEH/NCCDPHP)" igd6@cdc.gov To: "Nichols, Erin K. (CDC/OPHSS/NCHS)" igd1@cdc.gov, "Philipsborn, Rebecca" rpass@emory.edu, "'Jessica Price'" jessica.price@gtc.ox.ac.uk Cc: "Debbie Bradshaw" Debbie.Bradshaw@mrc.ac.za, "Francois Bezuidenhout" Francoisb@geospace.co.za, "'Pamela Groenewald'" Pamela.Groenewald@mrc.ac.za, "'Frank Odiambo - CDC/Kenya - Kisumu'" frankouma7@gmail.com, "Morof, Diane (CDC/ONDIEH/NCCDPHP)" igd6@cdc.gov Subject: immunization info

Hi all,

For the VA there is a check box question to select the vaccine if the entire series has been received.

Question (10431) reads: select EPI vaccines done

Response options are in check box and the below list, exactly as written, is provided:

BCG

DPT 1,2,3

Hep B

HiB

Meningitis

Penta 1,2,3

Pneumo

Polio 1,2,3

Rota

No vaccines

Doesn’t know

Refused to answer

The question by question guidance is “Check all vaccines that are indicated on the card. For vaccines that require multiple doses, only check the box if all doses have been received. This includes for children who died before the final doses were received, even if they had received all vaccines appropriate for their age.”

I drafted a tool to assist with selecting the correct box for South Africa but had some challenges both with the Road To Health changes and the vagaries around the WHO list. Apologies, I have attached all the relevant documents mostly for Becca (see below) not to clutter all of your inboxes.

I have included Becca who works on the CHAMPS program and has been mapping out vaccines for the clinical abstraction so she’s familiar with the schedules etc. Becca—this is for a mortality validation study in South Africa—however, the hope is that this tool may also be useful for CHAMPS.

Can you take a look at it (especially Jessica and Becca) and see what you think—did I align these correctly? Are there corrections to be made? I listed a bunch of comments. You may have to pop out the comments to get to my questions. My main questions are in bold and highlighted.

Erin—also when doing this I realized measles was not included… any idea why is there no measles here? Or MMR?

Thanks all,

Sorry this was not so straightforward.

Diane

A3 Immun Poster Latest 30Jul.pdf ROADTOHEALTHBOOKA4BOYS.PDF Vaccine checklist adapted for South Africa.docx

aurdipas commented 5 years ago

fixed in next release 1.5.2