Experience of Developing Early Warning Reporting System forImmunisation Coverage in Ombada Locality, Sudan

Background: High immunisation coverage is important to stop the transmission of vaccine preventable diseases among children population. Objective: Our assignment aimed to help health workers to develop sensitive early warning system able to detect any coverage gabs among catchment areas self-evaluate their immunisation coverage twice per month in Ombada locality. Methodology: This work was applied in Ombada locality which is located in western northern part of Khartoum state. Out of 42 health centres we were select initially 16 (67%) health centres been the official sample for assessing the immunisation coverage twice per month. These centres were the fixed facilities with reference to the 3 immunisation strategies. The vaccinators were trained about how to report and intervene to elevate the immunisation coverage. Results: Our work revealed that, slight increase in DPT1 coverage through (2009-2010) and remarkable changes progress in (2011-2012). Significant DPT3 coverage progress in 2009 compared with (87%) in 2008.Then dramatically decline noted through (2010-2011) especially in outreach facilities, Measles and DPT drop-out rate was appear very low and acceptable, but after deep investigation we indicate several reasons lead to this experience, such as underestimating of data reported. Recommendations: we recommended that, the local health authority should continue maintaining the early warning reporting system and include other districts, Develop new evidence-based innovative approaches to enhance accessibility to immunization and effective supportive supervision with tools and resources, it is highly recommend to support system implementation. Furthermost understanding of strategies to elevate and sustain immunization levels is necessary in order to create lasting, effective immunization delivery systems. Limitations: limited resources provided and poor supportive supervision to health facilities noted as limitations of this assignment.