Family Health Days program contributions in vaccination of unreached and under-immunized children during routine vaccinations in Uganda


Autoři: Ezekiel Mupere aff001;  Harriet M. Babikako aff002;  Violet Okaba-Kayom aff001;  Robert B. Mutyaba aff004;  Milton Nasiero Mwisaka aff005;  Emmanuel Tenywa aff006;  Albert Lule aff007;  Jane Ruth Aceng aff008;  Flavia Mpanga-Kaggwa aff009;  David Matseketse aff009;  Eresso Aga aff010
Působiště autorů: Department of Paediatrics & Child Health College of Health Sciences, Makerere University, Kampala, Uganda aff001;  Research and Data System Center, Child and Family Foundation Uganda, Kampala, Uganda aff002;  Child Health and Development Center College of Health Sciences, Makerere University, Kampala, Uganda aff003;  Information Systems and Programming, RBMTM Systems Consult Limited, Kampala, Uganda aff004;  Social Work Unit, Jinja Regional Referral Hospital Ministry of Health, Jinja, Uganda aff005;  Paediatrics, Jinja Regional Referral Hospital Ministry of Health, Jinja, Uganda aff006;  Nutrition Unit, Ministry of Health, Kampala, Uganda aff007;  Minister for Health, Ministry of Health, Kampala, Uganda aff008;  Health Office, UNICEF Uganda Country Office, Kampala, Uganda aff009;  Health Manager, UNICEF Jordan Country Office, Amman, Jordan aff010
Vyšlo v časopise: PLoS ONE 15(1)
Kategorie: Research Article
doi: 10.1371/journal.pone.0218239

Souhrn

Background

We explored the contributions of the Family Health Days (FHDs) concept, which was developed by the Uganda Ministry of Health (MOH) and UNICEF as a supplementary quarterly outreach program in addition to strengthening the routine expanded program for immunization (EPI), with the aim to increase coverage, through improved access to the unimmunized or unreached and under-immunized children under 5 years.

Method

A cross-sectional descriptive study of the Uganda MOH, Health Management Information Systems (HMIS) and UNICEF in house FHDs data was conducted covering six quarterly implementations of the program between April 2012 and December 2013. The FHDs program was implemented in 31 priority districts with low routine vaccination coverage from seven sub-regions in Uganda in a phased manner using places of worship for service delivery.

Results

During the six rounds of FHDs in the 31 districts, a total of 178,709 and 191,223 children received measles and Diphtheria-Pertussis-Tetanus (DPT3) vaccinations, respectively. The FHDs’ contributions were 126% and 144% for measles and 103% and 122% for DPT3 in 2012 and 2013, respectively of the estimated unreached annual target populations. All implementing sub-regions after two rounds in 2012 attained over and above the desired target for DPT3 (85%) and measles (90%). The same was true in 2013 after four rounds, except for Karamoja and West Nile sub-regions, where in some districts a substantial proportion of children remained unimmunized. The administrative data for both DPT3 and measles immunization showed prominent and noticeable increase in coverage trend in FHDS regions for the months when the program was implemented.

Conclusion

The FHDs program improved vaccination equity by reaching the unreached and hard-to-reach children and bridging the gap in immunization coverage, and fast tracking the achievement of targets recommended by the Global Vaccine Action Plan (GVAP) for measles and DPT3 (85% and 90% respectively) in implementing sub-regions and districts. The FHDs is an innovative program to supplement routine immunizations designed to reach the unreached and under immunized children.

Klíčová slova:

Data management – Health services administration and management – Health systems strengthening – Child health – Measles – Religion – Uganda – Vaccination and immunization


Zdroje

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