Resilience of routine childhood immunization services in two counties in Kenya in the face of the COVID-19 pandemic.

Autor: Mirieri H; Washington State University (WSU) Global Health Kenya, Nairobi, Kenya. Electronic address: harriet.mirieri@wsu.edu., Nasimiyu C; Washington State University (WSU) Global Health Kenya, Nairobi, Kenya., Dawa J; Washington State University (WSU) Global Health Kenya, Nairobi, Kenya., Mburu C; Department of Social Anthropology, University of St Andrews, Fife, Scotland, UK., Jalang'o R; National Vaccines and Immunization Program, Ministry of Health, Kenya., Kamau P; National Vaccines and Immunization Program, Ministry of Health, Kenya., Igboh L; Global Immunization Division, Center for Global Health, US Centers for Disease Control and Prevention, Atlanta, GA, USA., Ebama M; The Task Force for Global Health, Atlanta, USA., Wainaina D; Department of Health, Nakuru County, Kenya., Gitonga J; Department of Health, Nakuru County, Kenya., Karanja J; Department of Health, Nakuru County, Kenya., Njenga E; Department of Health, Nakuru County, Kenya., Kariuki J; Department of Health, Nakuru County, Kenya., Machani J; Department of Health, Nakuru County, Kenya., Oginga P; Department of Health, Mombasa County, Kenya., Baraka I; Department of Health, Mombasa County, Kenya., Wamaru P; Department of Health, Mombasa County, Kenya., Muhula S; Department of Health, Mombasa County, Kenya., Ratemo P; Department of Health, Mombasa County, Kenya., Ayugi J; Center for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya., Kariuki Njenga M; Washington State University (WSU) Global Health Kenya, Nairobi, Kenya; Paul G. Allen School of Global Health, Washington State University (WSU), Pullman, USA., Emukule GO; Influenza Division, US Centers for Disease Control and Prevention, Nairobi, Kenya., Osoro E; Washington State University (WSU) Global Health Kenya, Nairobi, Kenya; Paul G. Allen School of Global Health, Washington State University (WSU), Pullman, USA., Otieno NA; Center for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
Jazyk: angličtina
Zdroj: Vaccine [Vaccine] 2023 Dec 18; Vol. 41 (52), pp. 7695-7704. Date of Electronic Publication: 2023 Nov 25.
DOI: 10.1016/j.vaccine.2023.09.023
Abstrakt: The recently emerged coronavirus disease 2019 (COVID-19) has caused considerable morbidity and mortality worldwide and disrupted health services. We describe the effect of the COVID-19 pandemic on utilization of childhood vaccination services during the pandemic. Using a mixed methods approach combining retrospective data review, a cross-sectional survey, focus group discussions among care givers and key informant interviews among nurses, we collected data between May and September 2021 in Mombasa and Nakuru counties. Overall, there was a <2 % decline in the number of vaccine doses administered during the pandemic period compared to the pre-pandemic period but this was statistically insignificant, both for the pentavalent-1 vaccine (ß = -0.013, p = 0.505) and the pentavalent-3 vaccine (ß = -0.012, p = 0.440). In government health facilities, there was 7.7 % reduction in the number of pentavalent-1 (ß = -0.08, p = 0.010) and 10.4 % reduction in the number of pentavalent-3 (ß = -0.11, p < 0.001) vaccine doses that were administered during the pandemic period. In non-government facilities, there was a 25.8 % increase in the number of pentavalent-1 (ß=0.23, p < 0.001) and 31.0 % increase in the number of pentavalent-3 (ß = -0.27, p < 0.001) vaccine doses that were administered facilities during the pandemic period. The strategies implemented to maintain immunization services during the pandemic period included providing messaging on the availability and importance of staying current with routine vaccination and conducting catch-up vaccinations and vaccination outreaches. Our findings suggest that the COVID-19 pandemic did not impact childhood vaccination services in Mombasa and Nakuru counties in Kenya. The private health facilities cushioned vaccination services against the effects of the pandemic and the strategies that were put in place by the ministry of health ensured continuation of vaccination services and encouraged uptake of the services during the pandemic period in the two counties in Kenya. These findings provide useful information to safeguard vaccination services during future pandemics.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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