Home-based Record Repository
The home-based record is an inexpensive yet effective instrument for systematically recording the vaccines received by a child. Moreover, the home-based record can enhance health professionals’ ability to make clinical decisions, empower parents/caregivers in the health care of their children, and support public health monitoring (a wiki describing the home-based record in further detail can be found here). Unfortunately, the home-based vaccination record is too often underutilized or inappropriately used by parents and health care workers and therefore does not always fulfil its intended purpose.
Home-based records also support the collection of data for uses other than direct clinical care or delivery of vaccines, such as for quality management and public health monitoring. Periodic coverage surveys, through which information is collected directly from a sample of households, are one way in which immunization coverage of young children is monitored. Within these surveys, home-based vaccination records available in the household are used to collect documented information on immunization services received by children. In the absence of an available or completed home-based record, surveys often collect information based on maternal recall, though there is mixed evidence regarding the validity and reliability of recall relative to health records or immunization cards. Despite the importance of home-based records to monitoring, the reliance on these records as a source of immunization data will almost certainly underestimate coverage until the proportion of record-holders is more nearly equal the proportion of children immunized [Fisher and Vaessen. Int Health News Abstract 1987; 8(6): 1, 4.], further reinforcing the need to improve issuance, maintenance and utilization of home-based vaccination records.
The purpose of this repository for home-based vaccination records, including national immunization or child health cards, is to support the free and open exchange of information related to home-based record content and design that ultimately may be useful to the improvement of child health outcomes. It is with great appreciation that we extend words of humble gratitude to the many persons around the world in EPI programme offices, UNICEF and WHO country offices, among others who have taken the time to share the images contained herein.
Countries are listed in the left sidebar in alphabetical order according to country name. Select a country to view available home-based vaccination records. As of 6 October 2016, records are available here from 164 countries or territories, of which 157 are Member States of the World Health Assembly. If the information posted here is incorrect, please send an e-mail to info [at] brownconsultingroup [dot] org (to the attention of D Brown) with a short note explaining the error and supporting documentation.
A tracking sheet highlighting the countries for which electronic and/or hard copies of home-based vaccination records are on file is available at http://bit.do/HBR-tracking.
Home-based records are available here from 164 countries or territories* as of 6 October 2016
The boundaries and names shown and the designations used on this map do not imply the expression of any opinion whatsoever concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement.
* Of the 164 countries or territories, 157 are Member States of the World Health Assembly.
Related Postings from TechNet and elsewhere on the web.
Related reading material is noted below.
A website to track the prevalence of home-based vaccination records seen at the time of household survey can be found at: http://bit.do/HBR-prevalence.
Home-based record awareness images
Disclaimer: The findings and views expressed herein are those of the authors alone and do not necessarily reflect those of their respective institutions. All reasonable precautions have been taken to verify the information contained herein. However, the material is being distributed without warranty of any kind, either express or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the site administrator or his employer be liable for damages arising from its use.