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Evaluation of Container Clinics as an Urban Immunization Strategy: Findings from the First Year of Implementation in Ghana, 2017–2018

Background: In 2017, the Expanded Programme on Immunization in Ghana opened two container clinics in Accra, which were cargo containers outfitted to deliver immunizations. At each clinic, we assessed performance and clinic acceptance during the first 12 months of implementation. Methods: We employed...

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Autores principales: Shaum, Anna, Wardle, Melissa T., Amponsa-Achiano, Kwame, Aborigo, Raymond, Opare, Joseph, Wallace, Aaron S., Bandoh, Delia, Quaye, Pamela, Osei-Sarpong, Fred, Abotsi, Francis, Bonsu, George, Conklin, Laura
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10143135/
https://www.ncbi.nlm.nih.gov/pubmed/37112727
http://dx.doi.org/10.3390/vaccines11040814
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author Shaum, Anna
Wardle, Melissa T.
Amponsa-Achiano, Kwame
Aborigo, Raymond
Opare, Joseph
Wallace, Aaron S.
Bandoh, Delia
Quaye, Pamela
Osei-Sarpong, Fred
Abotsi, Francis
Bonsu, George
Conklin, Laura
author_facet Shaum, Anna
Wardle, Melissa T.
Amponsa-Achiano, Kwame
Aborigo, Raymond
Opare, Joseph
Wallace, Aaron S.
Bandoh, Delia
Quaye, Pamela
Osei-Sarpong, Fred
Abotsi, Francis
Bonsu, George
Conklin, Laura
author_sort Shaum, Anna
collection PubMed
description Background: In 2017, the Expanded Programme on Immunization in Ghana opened two container clinics in Accra, which were cargo containers outfitted to deliver immunizations. At each clinic, we assessed performance and clinic acceptance during the first 12 months of implementation. Methods: We employed a descriptive mixed-method design using monthly administrative immunization data, exit interviews with caregivers of children of <5 years (N = 107), focus group discussions (FGDs) with caregivers (n = 6 FGDs) and nurses (n = 2 FGDs), and in-depth interviews (IDIs) with community leaders (n = 3) and health authorities (n = 3). Results: Monthly administrative data showed that administered vaccine doses increased from 94 during the opening month to 376 in the 12th month across both clinics. Each clinic exceeded its target doses for the 12–23 month population (second dose of measles). Almost all (98%) exit interview participants stated that the clinics made it easier to receive child health services compared to previous health service interactions. The accessibility and acceptability of the container clinics were also supported from health worker and community perspectives. Conclusions: Our initial data support container clinics as an acceptable strategy for delivering immunization services in urban populations, at least in the short term. They can be rapidly deployed and designed to serve working mothers in strategic areas.
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spelling pubmed-101431352023-04-29 Evaluation of Container Clinics as an Urban Immunization Strategy: Findings from the First Year of Implementation in Ghana, 2017–2018 Shaum, Anna Wardle, Melissa T. Amponsa-Achiano, Kwame Aborigo, Raymond Opare, Joseph Wallace, Aaron S. Bandoh, Delia Quaye, Pamela Osei-Sarpong, Fred Abotsi, Francis Bonsu, George Conklin, Laura Vaccines (Basel) Article Background: In 2017, the Expanded Programme on Immunization in Ghana opened two container clinics in Accra, which were cargo containers outfitted to deliver immunizations. At each clinic, we assessed performance and clinic acceptance during the first 12 months of implementation. Methods: We employed a descriptive mixed-method design using monthly administrative immunization data, exit interviews with caregivers of children of <5 years (N = 107), focus group discussions (FGDs) with caregivers (n = 6 FGDs) and nurses (n = 2 FGDs), and in-depth interviews (IDIs) with community leaders (n = 3) and health authorities (n = 3). Results: Monthly administrative data showed that administered vaccine doses increased from 94 during the opening month to 376 in the 12th month across both clinics. Each clinic exceeded its target doses for the 12–23 month population (second dose of measles). Almost all (98%) exit interview participants stated that the clinics made it easier to receive child health services compared to previous health service interactions. The accessibility and acceptability of the container clinics were also supported from health worker and community perspectives. Conclusions: Our initial data support container clinics as an acceptable strategy for delivering immunization services in urban populations, at least in the short term. They can be rapidly deployed and designed to serve working mothers in strategic areas. MDPI 2023-04-07 /pmc/articles/PMC10143135/ /pubmed/37112727 http://dx.doi.org/10.3390/vaccines11040814 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Shaum, Anna
Wardle, Melissa T.
Amponsa-Achiano, Kwame
Aborigo, Raymond
Opare, Joseph
Wallace, Aaron S.
Bandoh, Delia
Quaye, Pamela
Osei-Sarpong, Fred
Abotsi, Francis
Bonsu, George
Conklin, Laura
Evaluation of Container Clinics as an Urban Immunization Strategy: Findings from the First Year of Implementation in Ghana, 2017–2018
title Evaluation of Container Clinics as an Urban Immunization Strategy: Findings from the First Year of Implementation in Ghana, 2017–2018
title_full Evaluation of Container Clinics as an Urban Immunization Strategy: Findings from the First Year of Implementation in Ghana, 2017–2018
title_fullStr Evaluation of Container Clinics as an Urban Immunization Strategy: Findings from the First Year of Implementation in Ghana, 2017–2018
title_full_unstemmed Evaluation of Container Clinics as an Urban Immunization Strategy: Findings from the First Year of Implementation in Ghana, 2017–2018
title_short Evaluation of Container Clinics as an Urban Immunization Strategy: Findings from the First Year of Implementation in Ghana, 2017–2018
title_sort evaluation of container clinics as an urban immunization strategy: findings from the first year of implementation in ghana, 2017–2018
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10143135/
https://www.ncbi.nlm.nih.gov/pubmed/37112727
http://dx.doi.org/10.3390/vaccines11040814
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