Cargando…

Qualitative insights into reasons for missed opportunities for vaccination in Kenyan health facilities

BACKGROUND: In 2016, Kenya conducted a study of missed opportunities for vaccination (MOV)—when eligible children have contact with the health system but are not fully vaccinated—to explore some of the reasons for persistent low vaccination coverage. This paper details the qualitative findings from...

Descripción completa

Detalles Bibliográficos
Autores principales: Li, Anyie J., Tabu, Collins, Shendale, Stephanie, Okoth, Peter O., Sergon, Kibet, Maree, Ephantus, Mugoya, Isaac K., Machekanyanga, Zorodzai, Onuekwusi, Iheoma U., Ogbuanu, Ikechukwu Udo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7105087/
https://www.ncbi.nlm.nih.gov/pubmed/32226039
http://dx.doi.org/10.1371/journal.pone.0230783
_version_ 1783512339381747712
author Li, Anyie J.
Tabu, Collins
Shendale, Stephanie
Okoth, Peter O.
Sergon, Kibet
Maree, Ephantus
Mugoya, Isaac K.
Machekanyanga, Zorodzai
Onuekwusi, Iheoma U.
Ogbuanu, Ikechukwu Udo
author_facet Li, Anyie J.
Tabu, Collins
Shendale, Stephanie
Okoth, Peter O.
Sergon, Kibet
Maree, Ephantus
Mugoya, Isaac K.
Machekanyanga, Zorodzai
Onuekwusi, Iheoma U.
Ogbuanu, Ikechukwu Udo
author_sort Li, Anyie J.
collection PubMed
description BACKGROUND: In 2016, Kenya conducted a study of missed opportunities for vaccination (MOV)—when eligible children have contact with the health system but are not fully vaccinated—to explore some of the reasons for persistent low vaccination coverage. This paper details the qualitative findings from that assessment. METHODS: Using the World Health Organization MOV methodology, teams conducted focus group discussions among caregivers and health workers and in-depth interviews of key informants in 10 counties in Kenya. Caregivers of children <24 months of age visiting the selected health facilities on the day of the assessment were requested to participate in focus group discussions. Health workers were purposively sampled to capture a broad range of perspectives. Key informants were selected based on their perceived insight on immunization services at the county, sub-county, or health facility level. RESULTS: Six focus group discussions with caregivers, eight focus group discussions with health workers, and 35 in-depth interviews with key informants were completed. In general, caregivers had positive attitudes toward healthcare and vaccination services, but expressed a desire for increased education surrounding vaccination. In order to standardize vaccination checks at all health facility visits, health workers and key informants emphasized the need for additional trainings for all staff members on immunization. Health workers and key informants also highlighted the negative impact of significant understaffing in health facilities, and the persistent challenge of stock-outs of vaccines and vaccination-related supplies. CONCLUSIONS: Identified factors that could contribute to MOV include a lack of knowledge surrounding vaccination among caregivers and health workers, inadequate number of health workers, and stock-outs of vaccines or vaccination-related materials. In addition, vaccination checks outside of vaccination visits lacked consistency, leading to MOV in non-vaccinating departments. Qualitative assessments could provide a starting point for understanding and developing interventions to address MOV in other countries.
format Online
Article
Text
id pubmed-7105087
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-71050872020-04-03 Qualitative insights into reasons for missed opportunities for vaccination in Kenyan health facilities Li, Anyie J. Tabu, Collins Shendale, Stephanie Okoth, Peter O. Sergon, Kibet Maree, Ephantus Mugoya, Isaac K. Machekanyanga, Zorodzai Onuekwusi, Iheoma U. Ogbuanu, Ikechukwu Udo PLoS One Research Article BACKGROUND: In 2016, Kenya conducted a study of missed opportunities for vaccination (MOV)—when eligible children have contact with the health system but are not fully vaccinated—to explore some of the reasons for persistent low vaccination coverage. This paper details the qualitative findings from that assessment. METHODS: Using the World Health Organization MOV methodology, teams conducted focus group discussions among caregivers and health workers and in-depth interviews of key informants in 10 counties in Kenya. Caregivers of children <24 months of age visiting the selected health facilities on the day of the assessment were requested to participate in focus group discussions. Health workers were purposively sampled to capture a broad range of perspectives. Key informants were selected based on their perceived insight on immunization services at the county, sub-county, or health facility level. RESULTS: Six focus group discussions with caregivers, eight focus group discussions with health workers, and 35 in-depth interviews with key informants were completed. In general, caregivers had positive attitudes toward healthcare and vaccination services, but expressed a desire for increased education surrounding vaccination. In order to standardize vaccination checks at all health facility visits, health workers and key informants emphasized the need for additional trainings for all staff members on immunization. Health workers and key informants also highlighted the negative impact of significant understaffing in health facilities, and the persistent challenge of stock-outs of vaccines and vaccination-related supplies. CONCLUSIONS: Identified factors that could contribute to MOV include a lack of knowledge surrounding vaccination among caregivers and health workers, inadequate number of health workers, and stock-outs of vaccines or vaccination-related materials. In addition, vaccination checks outside of vaccination visits lacked consistency, leading to MOV in non-vaccinating departments. Qualitative assessments could provide a starting point for understanding and developing interventions to address MOV in other countries. Public Library of Science 2020-03-30 /pmc/articles/PMC7105087/ /pubmed/32226039 http://dx.doi.org/10.1371/journal.pone.0230783 Text en https://creativecommons.org/publicdomain/zero/1.0/ This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 (https://creativecommons.org/publicdomain/zero/1.0/) public domain dedication.
spellingShingle Research Article
Li, Anyie J.
Tabu, Collins
Shendale, Stephanie
Okoth, Peter O.
Sergon, Kibet
Maree, Ephantus
Mugoya, Isaac K.
Machekanyanga, Zorodzai
Onuekwusi, Iheoma U.
Ogbuanu, Ikechukwu Udo
Qualitative insights into reasons for missed opportunities for vaccination in Kenyan health facilities
title Qualitative insights into reasons for missed opportunities for vaccination in Kenyan health facilities
title_full Qualitative insights into reasons for missed opportunities for vaccination in Kenyan health facilities
title_fullStr Qualitative insights into reasons for missed opportunities for vaccination in Kenyan health facilities
title_full_unstemmed Qualitative insights into reasons for missed opportunities for vaccination in Kenyan health facilities
title_short Qualitative insights into reasons for missed opportunities for vaccination in Kenyan health facilities
title_sort qualitative insights into reasons for missed opportunities for vaccination in kenyan health facilities
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7105087/
https://www.ncbi.nlm.nih.gov/pubmed/32226039
http://dx.doi.org/10.1371/journal.pone.0230783
work_keys_str_mv AT lianyiej qualitativeinsightsintoreasonsformissedopportunitiesforvaccinationinkenyanhealthfacilities
AT tabucollins qualitativeinsightsintoreasonsformissedopportunitiesforvaccinationinkenyanhealthfacilities
AT shendalestephanie qualitativeinsightsintoreasonsformissedopportunitiesforvaccinationinkenyanhealthfacilities
AT okothpetero qualitativeinsightsintoreasonsformissedopportunitiesforvaccinationinkenyanhealthfacilities
AT sergonkibet qualitativeinsightsintoreasonsformissedopportunitiesforvaccinationinkenyanhealthfacilities
AT mareeephantus qualitativeinsightsintoreasonsformissedopportunitiesforvaccinationinkenyanhealthfacilities
AT mugoyaisaack qualitativeinsightsintoreasonsformissedopportunitiesforvaccinationinkenyanhealthfacilities
AT machekanyangazorodzai qualitativeinsightsintoreasonsformissedopportunitiesforvaccinationinkenyanhealthfacilities
AT onuekwusiiheomau qualitativeinsightsintoreasonsformissedopportunitiesforvaccinationinkenyanhealthfacilities
AT ogbuanuikechukwuudo qualitativeinsightsintoreasonsformissedopportunitiesforvaccinationinkenyanhealthfacilities