Determinants of Long Immunization Clinic Wait Times in a Sub-Saharan African Country.

Autor:	Ekhaguere OA; Indiana University School of Medicine, Indianapolis, IN, USA., Oluwafemi RO; Mother and Child Hospital, Akure, Ondo, Nigeria., Oyo-Ita A; University of Calabar, Calabar, Cross Rivers, Nigeria., Mamlin B; Indiana University School of Medicine, Indianapolis, IN, USA.; Regenstrief Institute, Inc., Indianapolis, IN, USA., Bondich P; Indiana University School of Medicine, Indianapolis, IN, USA.; Regenstrief Institute, Inc., Indianapolis, IN, USA., Mendonca EA; Indiana University School of Medicine, Indianapolis, IN, USA.; Regenstrief Institute, Inc., Indianapolis, IN, USA., Rollins AL; Regenstrief Institute, Inc., Indianapolis, IN, USA.; Indiana University Purdue University Indianapolis, Indianapolis, IN, USA.
Jazyk:	angličtina
Zdroj:	Global pediatric health [Glob Pediatr Health] 2021 Jun 29; Vol. 8, pp. 2333794X211028211. Date of Electronic Publication: 2021 Jun 29 (Print Publication: 2021).
DOI:	10.1177/2333794X211028211
Abstrakt:	The wait time clients spend during immunization clinic visits in low- and middle-income countries is a not well-understood reported barrier to vaccine completion. We used a prospective, observational design to document the total time from client arrival-to-discharge and all sequential provider-client activities in 1 urban, semi-urban, and rural immunization clinic in Nigeria. We also conducted caregiver and provider focus group discussions to identify perceived determinants of long clinic wait times. Our findings show that the time from arrival-to-discharge varied significantly by the clinic and ranged between 57 and 235 minutes, as did arrival-to-all providers-client activities. Focus group data attributed workflow delays to clinic staff waiting for a critical mass of clients to arrive for their immunization appointment before starting the essential health education talk or opening specific vaccine vials. Additionally, respondents indicated that complex documentation processes caused system delays. Research on clinic workflow transformation and simplification of immunization documentation is needed. Competing Interests: Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2021.)
Databáze:	MEDLINE
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