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Family Health Days program contributions in vaccination of unreached and under-immunized children during routine vaccinations in Uganda
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 in...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6968838/ https://www.ncbi.nlm.nih.gov/pubmed/31951608 http://dx.doi.org/10.1371/journal.pone.0218239 |
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author | Mupere, Ezekiel Babikako, Harriet M. Okaba-Kayom, Violet Mutyaba, Robert B. Mwisaka, Milton Nasiero Tenywa, Emmanuel Lule, Albert Aceng, Jane Ruth Mpanga-Kaggwa, Flavia Matseketse, David Aga, Eresso |
author_facet | Mupere, Ezekiel Babikako, Harriet M. Okaba-Kayom, Violet Mutyaba, Robert B. Mwisaka, Milton Nasiero Tenywa, Emmanuel Lule, Albert Aceng, Jane Ruth Mpanga-Kaggwa, Flavia Matseketse, David Aga, Eresso |
author_sort | Mupere, Ezekiel |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6968838 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-69688382020-01-26 Family Health Days program contributions in vaccination of unreached and under-immunized children during routine vaccinations in Uganda Mupere, Ezekiel Babikako, Harriet M. Okaba-Kayom, Violet Mutyaba, Robert B. Mwisaka, Milton Nasiero Tenywa, Emmanuel Lule, Albert Aceng, Jane Ruth Mpanga-Kaggwa, Flavia Matseketse, David Aga, Eresso PLoS One Research Article 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. Public Library of Science 2020-01-17 /pmc/articles/PMC6968838/ /pubmed/31951608 http://dx.doi.org/10.1371/journal.pone.0218239 Text en © 2020 Mupere et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Mupere, Ezekiel Babikako, Harriet M. Okaba-Kayom, Violet Mutyaba, Robert B. Mwisaka, Milton Nasiero Tenywa, Emmanuel Lule, Albert Aceng, Jane Ruth Mpanga-Kaggwa, Flavia Matseketse, David Aga, Eresso Family Health Days program contributions in vaccination of unreached and under-immunized children during routine vaccinations in Uganda |
title | Family Health Days program contributions in vaccination of unreached and under-immunized children during routine vaccinations in Uganda |
title_full | Family Health Days program contributions in vaccination of unreached and under-immunized children during routine vaccinations in Uganda |
title_fullStr | Family Health Days program contributions in vaccination of unreached and under-immunized children during routine vaccinations in Uganda |
title_full_unstemmed | Family Health Days program contributions in vaccination of unreached and under-immunized children during routine vaccinations in Uganda |
title_short | Family Health Days program contributions in vaccination of unreached and under-immunized children during routine vaccinations in Uganda |
title_sort | family health days program contributions in vaccination of unreached and under-immunized children during routine vaccinations in uganda |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6968838/ https://www.ncbi.nlm.nih.gov/pubmed/31951608 http://dx.doi.org/10.1371/journal.pone.0218239 |
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