Where are the gaps in vaccination coverage? An exploratory data analysis of the vaccine data in Lao PDR

Author

Douangtavanh

Check the distribution of the vaccination coverage data

The difference between OPV1 and OPV3 coverage among provinces

Are there any differences between the coverage of OPV and Penta

Summary a list high-risk districts using multi-dimesional risk indicators.

Classify vaccinne coverage by the following creteria:

  • OPV3 < 80%
  • Penta3 < 80%
  • MR 1 < 95%
  • MR 2 < 95%

The relationship between OPV1 coverage and drop out rate

The relationship between Penta 1 coverage and drop out rate

The relationship between population density and dropout rate on OPV vaccine

Generally, across all cluster groups, population density does not correlate with the dropout rate as population size increases. However, there are some districts that we should raise concerns about. If we compare districts with similar target population sizes, for example, the Pek district in Xiengkhouang province has a high dropout rate of ~31%, yet its target population is considered high at around 2,291 children. On the other hand, Kaysone Phomvihane district in Savannakhet province has a similar target population size of around 2,450 children but has a much lower dropout rate of around ~-3.1. This suggests that there may be other factors contributing to the high dropout rate in Pek district that need to be investigated further.

Where is the most unvaccinated children (Not received Penta 1)

 orgunitlevel1      orgunitlevel2      orgunitlevel3      organisationunitid
 Length:116         Length:116         Length:116         Length:116        
 Class :character   Class :character   Class :character   Class :character  
 Mode  :character   Mode  :character   Mode  :character   Mode  :character  
                                                                            
                                                                            
                                                                            
 organisationunitname organisationunitcode organisationunitdescription
 Length:116           Length:116           Length:116                 
 Class :character     Class :character     Class :character           
 Mode  :character     Mode  :character     Mode  :character           
                                                                      
                                                                      
                                                                      
  indicator             value       
 Length:116         Min.   :  1.00  
 Class :character   1st Qu.: 21.75  
 Mode  :character   Median : 71.00  
                    Mean   :105.72  
                    3rd Qu.:142.00  
                    Max.   :764.00  

Annex

Check the normality of distribution across interested indicators

eir_opv_1_1yr_coverage_by_catchment_registered is NOT normally distributed
eir_opv_2_1yr_coverage_by_catchment_registered is normally distributed
eir_opv_3_1yr_coverage_by_catchment_registered is normally distributed
eir_penta_1_1yr_coverage_by_catchment_registered is NOT normally distributed
eir_penta_2_1yr_coverage_by_catchment_registered is normally distributed
eir_penta_3_1yr_coverage_by_catchment_registered is normally distributed
eir_mr_1_9_11mo_coverage_by_catchment_registered is normally distributed
eir_mr_1_coverage_by_catchment_registered is normally distributed
eir_mr_1_12_59mo_coverage_by_catchment_registered is NOT normally distributed
eir_mr_2_12_23mo_coverage_by_catchment_registered is normally distributed
eir_mr_2_24_59mo_coverage_by_catchment_registered is NOT normally distributed

Multi-dimensional risk indicators

 orgunitlevel2      orgunitlevel3     
 Length:148         Length:148        
 Class :character   Class :character  
 Mode  :character   Mode  :character  
                                      
                                      
                                      
 eir_opv_1_1yr_coverage_by_catchment_registered
 Min.   : 60.03                                
 1st Qu.: 87.72                                
 Median : 94.47                                
 Mean   : 92.91                                
 3rd Qu.: 99.14                                
 Max.   :107.42                                
 eir_opv_3_1yr_coverage_by_catchment_registered
 Min.   : 31.15                                
 1st Qu.: 74.99                                
 Median : 88.59                                
 Mean   : 85.52                                
 3rd Qu.: 96.89                                
 Max.   :120.24                                
 eir_penta_1_1yr_coverage_by_catchment_registered
 Min.   : 60.03                                  
 1st Qu.: 88.11                                  
 Median : 94.97                                  
 Mean   : 93.14                                  
 3rd Qu.: 99.39                                  
 Max.   :107.42                                  
 eir_penta_3_1yr_coverage_by_catchment_registered
 Min.   : 30.90                                  
 1st Qu.: 74.38                                  
 Median : 88.84                                  
 Mean   : 85.64                                  
 3rd Qu.: 97.38                                  
 Max.   :120.24                                  
 eir_mr_1_coverage_by_catchment_registered opv_dropout_rate  penta_dropout_rate
 Min.   : 21.19                            Min.   :-12.222   Min.   :-12.222   
 1st Qu.: 58.95                            1st Qu.:  1.314   1st Qu.:  1.248   
 Median : 72.87                            Median :  6.755   Median :  7.170   
 Mean   : 72.60                            Mean   :  8.616   Mean   :  8.722   
 3rd Qu.: 87.83                            3rd Qu.: 13.267   3rd Qu.: 14.227   
 Max.   :128.57                            Max.   : 48.109   Max.   : 48.529   
 zero_dose_penta_num zero_dose_penta_rate zero_dose_opv_num zero_dose_opv_rate
 Min.   :-102.00     Min.   :-7.4246      Min.   :-102.00   Min.   :-7.425    
 1st Qu.:   3.75     1st Qu.: 0.6131      1st Qu.:   6.25   1st Qu.: 0.856    
 Median :  33.00     Median : 5.0327      Median :  39.50   Median : 5.530    
 Mean   :  77.32     Mean   : 6.8601      Mean   :  79.89   Mean   : 7.093    
 3rd Qu.: 109.00     3rd Qu.:11.8947      3rd Qu.: 112.00   3rd Qu.:12.283    
 Max.   : 764.00     Max.   :39.9748      Max.   : 766.00   Max.   :39.975    
  cat_penta           cat_opv          rank_zero_dose_penta_num
 Length:148         Length:148         Min.   :  1.00          
 Class :character   Class :character   1st Qu.: 37.75          
 Mode  :character   Mode  :character   Median : 74.50          
                                       Mean   : 74.50          
                                       3rd Qu.:111.25          
                                       Max.   :148.00          
 rank_zero_dose_penta_rate rank_zero_dose_opv_num rank_zero_dose_opv_rate
 Min.   :  1.00            Min.   :  1.00         Min.   :  1.00         
 1st Qu.: 37.75            1st Qu.: 37.75         1st Qu.: 37.75         
 Median : 74.50            Median : 74.50         Median : 74.50         
 Mean   : 74.50            Mean   : 74.50         Mean   : 74.50         
 3rd Qu.:111.25            3rd Qu.:111.25         3rd Qu.:111.25         
 Max.   :148.00            Max.   :148.00         Max.   :148.00