Performance assessment of the Ugandan national programme of immunization in Masindi: analysis of routine data.

Vaccine preventable diseases are making a come back in Africa. Investments in national programmes of immunization have yielded noticeable improvements in coverage and disease epidemiology. We reviewed diphtheria-pertussis-tetanus coverage (a multi-dose regime antigen) using data routinely collected at health centre level on immunization coverage and classifying health areas according to coverage of first dose and dropout rates between first and third doses. This analysis classifies health areas in four categories depending on access and quality of immunization services. We argue that this simple analysis can be used by district medical offices paired with a supervision system to improve immunization services.