Review of primary documentation related to immunization and health care provided to mobile population by family health centers in Bayanzurkh district

Abstract

Background: Since 1929, Mongolia has been undergoing vaccination in population and has been successfully implementing the national immunization program since 1993. The immunization policy document continuously updated in 2002, 2011 and 2017. Goals: To investigate health care, immunization related regulatory & policy management, relation between documents and their implementation at the Bayanzurkh district. Methods: A total of 28 khoroo primary health care center head, specialists were included in this cross-sectional study. Baynzurkh district 28 khoroo health care, immunization regulatory & policy 14 documents were reviewed and investigated with the both review and observation. Both descriptive and analytic statistical analysis were performed using “SPSS22” software. Prior statistical analysis data entry, cleaning, revision was conducted. Result: Among the 20 documentations that commonly used at the primary health care center, pregnant women registration (AM-14) had the highest (100%) percentage of usage whilst monthly immunization coverage reporting form (Annex 301) had the lowest (59.3%) rate of usage. Greater than half of the primary health centers (21, 74.1%) had been planning their vaccination according to the Ministry of Health order no.219 whilst only one primary health center had no vaccination plan. Besides 9 primary health centers had not-sufÏcient planning. In terms of Adverse Events Following Immunization investigation 26(92.6%) of the primary health centers had sufÏcient investigation procedure according to the relevant documentation. Conclusion: In terms of immunization and health care related regulation & policy documentation pregnant women registration, after birth follow-up forms had wide usage (85% and above) among the Bayanzurkh district primary health centers. However, vaccination planning varied across the Bayanzurkh district primary health centers and 9 should carefully plan their routine and supplementary vaccination.