Strengthening Routine Immunization Services in an Angolan Comuna: The Fight against the Burden of Unvaccinated Children in the Sustainable Development Goals Era
| Autor: | G Raguzzoni, M Fattorini, Giovanni Putoto, Maria Pia Fantini, Cecilia Quercioli, Gabriele Messina, Calistus Wilunda |
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| Přispěvatelé: | Fattorini M., Wilunda C., Raguzzoni G., Quercioli C., Messina G., Fantini M.P., Putoto G. |
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Health Toxicology and Mutagenesis Psychological intervention lcsh:Medicine Article 03 medical and health sciences 0302 clinical medicine Vaccination Refusal routine immunization services Environmental health Intervention (counseling) Vaccine preventable diseases medicine Humans Community health workers 030212 general & internal medicine Child 0303 health sciences Immunization Programs Routine immunization service 030306 microbiology business.industry Public health lcsh:R Vaccination Public Health Environmental and Occupational Health Infant Routine immunization Sustainable Development Angola Project evaluation Routine immunization services Outreach Immunization Child Preschool Communicable Disease Control business Staff training |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 16, Iss 22, p 4572 (2019) International Journal of Environmental Research and Public Health Volume 16 Issue 22 |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph16224572 |
| Popis: | In May 2018, the non-governmental organization (NGO) Doctors with Africa CUAMM began to implement an intervention to strengthen Chiulo Hospital&rsquo s public health section to deliver immunization services in Mucope Comuna, Ombadja District. We aimed to evaluate the effect of this intervention. During the intervention period, actions such as staff training, improvement in the monitoring of vaccine stockpile, and the involvement of Community Health Workers were performed. The effects of the intervention on the number of vaccine doses administered were examined using negative binomial regression. Doses administered were 14,221 during the intervention period and 11,276 in the pre-intervention one. The number of administered doses was 26% higher (95% CI 9%&ndash 45%) in the intervention period than in the pre-intervention period. This was driven by vaccine doses administered during outreach sessions, where a statistically significant increase of 62% (95% CI 28%&ndash 107%) was observed. Regarding individual vaccines, statistically significant increases in the number of doses were observed for OPV2 (76%), OPV3 (100%), Penta3 (53%), PCV3 (53%), and Rota2 (43%). The NGO interventions led to improved delivery of immunization services in the study area. Greater increases were observed for vaccine doses that are more likely to be missed by children. |
| Databáze: | OpenAIRE |
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