RMNCAH and vaccine analyses
The RMNCAH app and the Vaxx app run the same Countdown methodology on different indicator groups: an RMNCAH analysis (RMNCAH app) covers reproductive, maternal, newborn, child and adolescent health; a vaccine analysis (Vaxx app) is narrowed to immunization. Most rules are the same for both. The table lists the ones that differ, as the apps apply them (cd2030.core), with the method section that explains each and the app guide page where it is done. Everything not listed — for example the outlier rule, the adjustment rules and the national rates (pregnancy loss, twins, stillbirths, neonatal and post-neonatal mortality) — is the same in both. The numbers themselves are in Defaults and thresholds.
| Step | RMNCAH | Vaccine | Where |
|---|---|---|---|
| Indicators | ANC (including ANC4, IPT, syphilis, IFA, HIV test), delivery, C-section, low birth weight, PNC, stillbirths and deaths, a small set of vaccines, outpatient and inpatient visits | ANC1, institutional deliveries and live births, BCG, IPV 1-2, Measles 1-2, OPV 1-3, Penta 1-3, PCV 1-3, Rotavirus 1-2, plus the derived dropout, zero-dose and under-vaccinated indicators | Indicator definitions; app: Differences at a glance |
| Analysis setup: survey values | ANC1, ANC4, institutional delivery, C-section and low birth weight; BCG, Penta1, Penta3 and Measles 1 | ANC1, institutional delivery, BCG, Penta1, Penta3, OPV1, OPV3 and Measles 1 | National parameters; app: National Rates |
| Analysis setup: saved dataset | Saved for the RMNCAH indicator group (_rmncah.rds); the Vaxx app refuses it | Saved as name_vaccine.rds; the RMNCAH app refuses it | app: Differences at a glance |
| Data quality: reporting forms (1a, 1b) | ANC, delivery, immunization and OPD (inpatient excluded) | ANC, delivery and immunization | Reporting completeness; app: Reporting Rate |
| Data quality: consistency ratios | ANC1/Penta1 (3a) and Penta1/Penta3 (3b); district checks 3c and 3d | Adds OPV1/OPV3 (3c); district checks 3f, 3g and 3h. The app also plots IPV1 against IPV2 (not scored) | Internal consistency; app: Internal Consistency |
| Data quality: overall score | Mean of 1a, 1b, 1c, 2a, 2b, 3c and 3d; 1c and 2b over all the indicators | Mean of 1a, 1b, 1c, 2a, 2b, 3f, 3g and 3h; 1c over the tracer vaccines (BCG, Penta 1-3, OPV 1-3, Measles 1), 2b over the vaccines | Overall quality score; app: Overall Data Quality Score |
| Data adjustment: k-factors | Four: ANC, Delivery, Vaccines and OPD | Three: ANC, Delivery and Vaccines | Configuring the k-factor; app: Choose the K-Factors |
| Denominators | Two: a maternal denominator (ANC and delivery indicators) and an immunization denominator (Maternal denominator, Vaccination denominator) | One immunization denominator for all the indicators (Vaccination denominator) | Selecting the best denominator option; app: Choose the denominator |
| Coverage | The RMNCAH indicators, family planning (FPET projection) and the maternal and child continuum of care | The vaccines, with dropout, zero-dose and under-vaccinated children | National coverage: method; app: Indicators available, Continuum of Care |
| Coverage targets | ANC4 (at least 70%), institutional live births (at least 80%) and vaccines (BCG, Penta3, Measles 1) | Vaccines (BCG, Penta3, Measles 1) and dropout (Penta1 to Penta3, Penta3 to Measles 1: below 10%) | Target values; app: Coverage Target |
| Bayesian coverage | Yes | Not done | Bayesian modeling approach; app: Bayesian Analysis |
| Equity | ANC4, institutional live births, low birth weight, Penta3 and Measles 1 | Penta3, Measles 1 and the dropouts Penta1 to Penta3 and Penta3 to Measles 1 | Equity: choose the indicator; app: Equity Assessment |
| Mortality | Yes | Not done | Mortality; app: Mortality |
| Service utilisation | Yes, with the MCH preventive vs curative index | Not done | Service utilization; app: Service Utilization |
| Health system performance | Yes, with the public/private share | Not done | Health system performance; app: Health System Performance |
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