Snapshot — Q3 2026
At a Glance
Six numbers a district coordinator would pull up before a quarterly review. Coverage is high at first contact and drops from there.
DTP1 → DTP3 completion
62%
▲ 4pts vs Q2
Share of children completing all three penta doses on schedule.
Defaulter rate
34%
▼ 2pts vs Q2
Enrolled children with a missed 2nd or 3rd dose contact.
Median catch-up time
47d
▲ 3d vs Q2
From missed appointment to recovered contact, cohort median.
Cold-chain uptime
91%
▲ 1pt vs Q2
Facility-reported, rolling 30-day average across catchment.
Zero-dose children flagged
8,400
▲ 1,120 vs Q2
Identified via Compass Intake in the reporting period.
Reminder → return rate
71%
▲ 6pts vs Q2
Field reminders resulting in a completed visit within 14 days.
02 / 10Coverage Brief · Q3 2026
Photo · Oyemike Princewill / Unsplash
Why the Gap Opens
It isn't a first-contact problem.
Caregivers show up for BCG, OPV0, and the first penta dose. Contact rates at the door are high across almost every catchment we monitor.
The drop happens later — at the second and third dose, weeks after the first visit, when the reminder didn't land, the distance felt longer, or a stockout was assumed rather than confirmed.
Closing the completion gap means tracking the return visit, not just the first one.
68%
Return for penta3 within the recommended window
1 in 3
Defaulters never recontacted without active outreach
Source: Compass programme monitoring, aggregated across active catchments, Q3 2026.
03 / 10Coverage Brief · Q3 2026
Cohort View — Week 31, 2026
On schedule, at risk, overdue.
Sample catchment · n = 14
Live sync via Compass Field
Child ID
BCG
OPV0
Penta1
Penta2
Penta3
Measles1
On schedule
Due this cycle
Overdue
Not yet due
04 / 10Coverage Brief · Q3 2026
Ntcheu District, Malawi
She came back
for the second visit.
Not every caregiver does. That return is the number this brief is really about.
Photo · Richard Nyoni / Unsplash
05 / 10Coverage Brief · Q3 2026
Rollout — Compressed
Live reporting in six weeks, not six months.
01 · Weeks 1–2
Registry & baseline
Digitize paper registers. Import zero-dose lists. Geotag catchment areas with community leads.
Photo · Dario Valenzuela / Unsplash
02 · Weeks 3–6
Field activation
CHWs onboarded on Compass Field. Dose-due alerts go live. Defaulter tracing begins.
Photo · Brian Kungu / Unsplash
03 · Week 6 onward
Reporting live
WUENIC-aligned dashboards go live. Cold-chain uptime tracked. Coverage reviewed monthly, not quarterly.
Coverage & defaulter dashboards
running continuously from here
06 / 10Coverage Brief · Q3 2026
System — Six Modules
What runs underneath the numbers.
Compass Field
- CHW app, offline-first
- Dose-due alerts on device
- Household geotag on entry
- Syncs the moment signal returns
Compass Core
- Single child registry
- One ID per beneficiary
- No duplicate enrollment
- Links household to facility
Compass AI
- Defaulter risk scoring
- Flags drop-off before day 30
- Ranks the outreach queue
- Hotline: chat channel for caregivers
Compass M&E
- WUENIC-aligned indicators
- Auto-generated coverage reports
- Cold-chain uptime feed
- Exportable on any cadence
Compass Intake
- Birth notification capture
- Zero-dose flag at first contact
- Caregiver contact on file
- Consent recorded, not assumed
Compass Disburse
- Per-visit CHW incentive payout
- Tied to verified dose administration
- Reconciled weekly
- No payout without a field record
07 / 10Coverage Brief · Q3 2026
System — Data In, Data Out
Speaks the standards your ministry already runs.
Compass doesn't ask a health programme to replace its registry or its EMR. It reads and writes against the standards already in place, so a dose recorded in the field lands in the systems your ministry and donors already report against — no parallel database, no re-keying.
Health · standard
FHIR
Patient and immunization-event resources sync via standard FHIR calls — no bespoke connector per facility.
Health · standard
DHIS2
Dose events push into existing DHIS2 tracker programmes; catchment and facility hierarchies pull in the same direction.
Health · EMR
OpenMRS
Reads patient records already held at facilities running OpenMRS — a child isn't re-registered because Compass showed up.
Social protection · standard
DCI
Shares one beneficiary identity across the wider social-protection stack, for programmes that pair immunization with cash or nutrition support.
08 / 10Coverage Brief · Q3 2026
"
Before Compass, the defaulter list took three weeks to compile by hand. Now it's a filter.
M&E Lead, District Health Information Team
Illustrative composite
Photo · Kreative Kwame / Unsplash
09 / 10Coverage Brief · Q3 2026
