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Community engagement strategy for increased uptake of routine immunization and select perinatal services in north-west Ethiopia: A descriptive analysis

BACKGROUND: Routine immunization coverage has stagnated over the past decade and fallen short of WHO targets in Ethiopia. Community engagement strategies that reach beyond traditional health systems may reduce dropout and increase coverage. This evaluation assesses changes in immunization, postpartu...

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Autores principales: Demissie, Shiferaw Dechasa, Kozuki, Naoko, Olorunsaiye, Comfort Z., Gebrekirstos, Petros, Mohammed, Siraj, Kiapi, Lilian, Chantler, Tracey, Karafillakis, Emilie, Landegger, Justine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7595373/
https://www.ncbi.nlm.nih.gov/pubmed/33119604
http://dx.doi.org/10.1371/journal.pone.0237319
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author Demissie, Shiferaw Dechasa
Kozuki, Naoko
Olorunsaiye, Comfort Z.
Gebrekirstos, Petros
Mohammed, Siraj
Kiapi, Lilian
Chantler, Tracey
Karafillakis, Emilie
Landegger, Justine
author_facet Demissie, Shiferaw Dechasa
Kozuki, Naoko
Olorunsaiye, Comfort Z.
Gebrekirstos, Petros
Mohammed, Siraj
Kiapi, Lilian
Chantler, Tracey
Karafillakis, Emilie
Landegger, Justine
author_sort Demissie, Shiferaw Dechasa
collection PubMed
description BACKGROUND: Routine immunization coverage has stagnated over the past decade and fallen short of WHO targets in Ethiopia. Community engagement strategies that reach beyond traditional health systems may reduce dropout and increase coverage. This evaluation assesses changes in immunization, postpartum family planning, and antenatal care coverage after implementation of an enhanced community engagement and defaulter tracing strategy, entitled “Fifth Child” project, across two districts in Benishangul-Gumuz Regional State (BGRS), Ethiopia. METHODS AND FINDINGS: A formative evaluation was conducted to examine the contribution of the strategy on immunization, postpartum family planning and antenatal care utilization in Assosa and Bambasi districts of BGRS. The quantitative findings are presented here. Routine and project-specific data were analyzed to assess changes in uptake of childhood vaccinations, postpartum family planning and antenatal care. Between January 2013 and December 2016, pentavalent-3 coverage increased from 63% to 84% in Assosa, and from 78% to 93% in Bambasi. Similarly, measles vaccine coverage increased from 77% to 81% in Assosa, and from 59% to 86% in Bambasi. Approximately 54% of all eligible infants across both woredas defaulted on scheduled vaccinations at least once during the period. Among defaulting children, 84% were identified and subsequently caught up on the vaccinations missed. Secondary outcomes of postpartum family planning and antenatal care also increased in both woredas. CONCLUSION: The “Fifth Child” project likely contributed to enhanced immunization performance and increased utilization of immunization and select perinatal health services in two woredas of BGRS. Further research is required in order to determine the impact of this community engagement strategy.
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spelling pubmed-75953732020-11-02 Community engagement strategy for increased uptake of routine immunization and select perinatal services in north-west Ethiopia: A descriptive analysis Demissie, Shiferaw Dechasa Kozuki, Naoko Olorunsaiye, Comfort Z. Gebrekirstos, Petros Mohammed, Siraj Kiapi, Lilian Chantler, Tracey Karafillakis, Emilie Landegger, Justine PLoS One Research Article BACKGROUND: Routine immunization coverage has stagnated over the past decade and fallen short of WHO targets in Ethiopia. Community engagement strategies that reach beyond traditional health systems may reduce dropout and increase coverage. This evaluation assesses changes in immunization, postpartum family planning, and antenatal care coverage after implementation of an enhanced community engagement and defaulter tracing strategy, entitled “Fifth Child” project, across two districts in Benishangul-Gumuz Regional State (BGRS), Ethiopia. METHODS AND FINDINGS: A formative evaluation was conducted to examine the contribution of the strategy on immunization, postpartum family planning and antenatal care utilization in Assosa and Bambasi districts of BGRS. The quantitative findings are presented here. Routine and project-specific data were analyzed to assess changes in uptake of childhood vaccinations, postpartum family planning and antenatal care. Between January 2013 and December 2016, pentavalent-3 coverage increased from 63% to 84% in Assosa, and from 78% to 93% in Bambasi. Similarly, measles vaccine coverage increased from 77% to 81% in Assosa, and from 59% to 86% in Bambasi. Approximately 54% of all eligible infants across both woredas defaulted on scheduled vaccinations at least once during the period. Among defaulting children, 84% were identified and subsequently caught up on the vaccinations missed. Secondary outcomes of postpartum family planning and antenatal care also increased in both woredas. CONCLUSION: The “Fifth Child” project likely contributed to enhanced immunization performance and increased utilization of immunization and select perinatal health services in two woredas of BGRS. Further research is required in order to determine the impact of this community engagement strategy. Public Library of Science 2020-10-29 /pmc/articles/PMC7595373/ /pubmed/33119604 http://dx.doi.org/10.1371/journal.pone.0237319 Text en © 2020 Demissie 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
Demissie, Shiferaw Dechasa
Kozuki, Naoko
Olorunsaiye, Comfort Z.
Gebrekirstos, Petros
Mohammed, Siraj
Kiapi, Lilian
Chantler, Tracey
Karafillakis, Emilie
Landegger, Justine
Community engagement strategy for increased uptake of routine immunization and select perinatal services in north-west Ethiopia: A descriptive analysis
title Community engagement strategy for increased uptake of routine immunization and select perinatal services in north-west Ethiopia: A descriptive analysis
title_full Community engagement strategy for increased uptake of routine immunization and select perinatal services in north-west Ethiopia: A descriptive analysis
title_fullStr Community engagement strategy for increased uptake of routine immunization and select perinatal services in north-west Ethiopia: A descriptive analysis
title_full_unstemmed Community engagement strategy for increased uptake of routine immunization and select perinatal services in north-west Ethiopia: A descriptive analysis
title_short Community engagement strategy for increased uptake of routine immunization and select perinatal services in north-west Ethiopia: A descriptive analysis
title_sort community engagement strategy for increased uptake of routine immunization and select perinatal services in north-west ethiopia: a descriptive analysis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7595373/
https://www.ncbi.nlm.nih.gov/pubmed/33119604
http://dx.doi.org/10.1371/journal.pone.0237319
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