Assessing Community Health Programs: A Trainer's Guide: Using LQAS
for Baseline Surveys and Regular Monitoring.
also showed 1/3 mothers are aware of basic principles concerning treatment of childhood
Another recommendation was to adapt the GAPS methodology, particularly the LQAS
elements, for use in testing hypotheses about the quality of other aspects of vaccination programmes, such as the quality of documentation, the cold-chain and supplies, and vaccinator's techniques.
Postcampaign monitoring and LQAS
results indicate that these initiatives have yielded improvements in the quality of vaccination campaigns.
According to LQAS
Health Facility Assessment of 2011, only 23% of health facilities provide a full range of services for
A total of 1,329,231 children aged <5 years were vaccinated; LQAS
results indicated that 96% of the LGAs assessed passed at a threshold of 80% coverage.
results indicate that the overall quality of vaccination campaigns in 2015 has declined slightly compared with 2014, with considerable numbers of children who live in accessible areas being missed during campaigns.
method is also effective in improving public-health services, like immunization coverage, by identifying low-performing areas in some settings (4,5).
During January 2014-July 2015, the number of LGAs conducting LQAS
surveys in the 11 high-risk states increased from 207 to 226.
During February 2013-September 2014, the number of LGAs conducting LQAS
in the 11 high-risk states increased from 168 to 218; the proportion of LGAs at the [greater than or equal to]90% OPV coverage threshold increased from 36% to 67%, the proportion of LGAs at the 80%-89% threshold decreased from 29% to 25%, and the proportion of LGAs below the 80% threshold decreased from 36% to 7%.
SIA quality in LGAs is assessed through LQAS
surveys using a four-category pass/fail scheme based on the proportion of children with a finger mark (indicating they received OPV during the SIA) (2).
techniques proved useful in identifying small health areas with lower vaccination coverage, which helps to target interventions.