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EVALUATION OF SOCIAL MOBILIZATION COMPONENT OF THE SECOND YEAR OF LIFE (2YL) PROJECT ON IMMUNIZATION COVERAGE IN ADAKLU DISTRICT, GHANA

Year 2022, , 1 - 14, 29.04.2022
https://doi.org/10.33457/ijhsrp.1012176

Abstract

Ghana has had relatively high immunization coverage of more than 85% for infant antigens in the first year of life. However, there is decline in immunization coverage for vaccines provided during the second year of life (2YL) of the child. As part of the 2YL project implemented in Ghana to strengthen the 2YL immunization platform, social mobilization strategies were utilized to help improve coverage for vaccines provided in the 2YL of a child. This study aims to evaluate the impact of social mobilization components of the 2YL project on immunization coverage in Adaklu district, Volta region, Ghana. A pre-experimental design; single-group pretest-posttest design was utilized to assess whether there was a significant change in immunization coverage pre- and post-intervention. Data on health facilities’ immunization coverage were collected from DHMIS II before, during and after the intervention. The Pearson chi square, fisher’s exact, Wilcoxon sign rank test and paired t-test were used to evaluate the impact of the intervention implemented in 2017 on identified outcomes mainly Penta3, MR1, MR2 and MenA. The results indicated a significant improvement in dropout rate between first and second dose of Measles Rubella vaccines in health facilities within the district. The number of health facilities that recorded negative rate increased to 70% in 2018 from 25% in 2016. Also, the annual district immunization coverage for Second dose of Measles increased form 73% in 2016 to 84% in 2017 and 82.5% in 2018. The implementation of the social mobilization had a positive effect on immunization coverage in the district. The intervention resulted in increased immunization coverage and significantly reduced measles Rubella dropout rate.

References

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  • 4. Nyaku, M., Wardle, M., Eng, J. Vanden, Ametewee, L., Bonsu, G., Larbi Opare, J. K., Conklin, L., “Immunization delivery in the second year of life in Ghana: the need for a multi- faceted approach” The Pan African Medical Journal, 27(Supp 3), 4, 2017. doi.org/10.11604/pamj.supp.2017.27.3.12182
  • 5. Yawson, A. E., Bonsu, G., Senaya, L. K., Yawson, A. O., Eleeza, J. B., Awoonor-Williams, J. K., … Agongo, E. E. A., “Regional disparities in immunization services in Ghana through a bottleneck analysis approach: Implications for sustaining national gains in immunization”, Archives of Public Health, 75(1), 1–10, 2017. doi.org/10.1186/s13690-017-0179-7
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  • 8. Pradhan, N., Ryman, T. K., Varkey, S., Ranjan, A., Gupta, S. K., Krishna, G., … Young, R., “Expanding and improving urban outreach immunization in Patna, India”, Tropical Medicine and International Health, 17(3), 292–299, 2012. doi.org/10.1111/j.1365- 3156.2011.02916.x
  • 9. Deutsch, N., Singh, P., Singh, V., Curtis, R., Siddique, A. R., “Legacy of Polio - Use of India’s Social Mobilization Network for Strengthening of the Universal Immunization Program in India”, Journal of Infectious Diseases, 216(Suppl 1), S260–S266, 2017. doi.org/10.1093/infdis/jix068
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  • 13. McArthur-Lloyd, A., McKenzie, A., Findley, S. E., Green, C. & Adamu, F. “Community Engagement, Routine Immunization, and the Polio Legacy in Northern Nigeria”, Global Health Communication, 2:1, 1-10, 2016. DOI: 10.1080/23762004.2016.1205887
  • 14. Demissie, S. D., Kozuki, N., Olorunsaiye, C. Z., Gebrekirstos, P., Mohammed, S., Kiapi, L., et al. “Community engagement strategy for increased uptake of routine immunization and select perinatal services in north-west Ethiopia: A descriptive analysis”. PLoS ONE, 15(10): e0237319., 2020 https://doi.org/10.1371/journal.pone.0237319
  • 15. Samadhan Prakashrao Debaje, S. P. “Communication and mobilization campaigns for immunization (CMCI): need of time for strengthening Immunization services in India”, International Journal of Research in Medical Science, 2(3):830-833, 2014. DOI: 10.5455/2320-6012.ijrms20140889
  • 16. Haldane, V., Chuah, F. L. H., Srivastava, A., Singh, S. R., Koh, G. C. H., Seng, C. K., et al. “Community participation in health services development, implementation, and evaluation: A systematic review of empowerment, health, community, and process outcomes”. PLoS ONE, 14 (5): e0216112, 2019. https://doi.org/10.1371/journal.pone.0216112
  • 17. Giné, X., Khalid, S. & Ghazala, M. “The Impact of Social Mobilization on Health Service Delivery and Health Outcomes Evidence from Rural Pakistan”, Oxford Scholarship Online, 2018. DOI:10.1093/oso/9780198829591.003.0011
  • 18. UNICEF (2018). Bangladesh Humanitarian Situation Report No.22 (Rohingya Influx). UNICEF
  • 19. Jalloh, M. F., Wilhelm, E., Abad, N. & Prybylski, D. “Mobilize to vaccinate: lessons learned from social mobilization for immunization in low and middle- income countries”, Human Vaccines & Immunotherapeutics, 16:5, 1208-1214, 2020. DOI: 10.1080/21645515.2019.1661206
Year 2022, , 1 - 14, 29.04.2022
https://doi.org/10.33457/ijhsrp.1012176

Abstract

References

  • 1. Anil Chandran, Srikrishna S., Ramachandra, S. S., Satya Sekhar, P., “National Family Health Survey-3 reported, low full immunization covrage rates in Andhra Pradesh, india: who is to be blamed”? Journal of Public Health, 33 (4): 489-495, 2011. doi: 10.1093/pubmed/fdr022
  • 2. European Public Health Alliance, Access to Childhood Vaccination, Brussels, 2015
  • 3. World Health Organization, Assessment report of the Global Vaccine Action Plan. Strategic Advisory Group of Experts on Immunization. Geneva: World Health Organization; 2018 (WHO/IVB/18.11). Licence: CC BY-NC-SA 3.0 IGO, 2018. https://doi.org/Licence: CC BY-NC-SA 3.0 IGO.
  • 4. Nyaku, M., Wardle, M., Eng, J. Vanden, Ametewee, L., Bonsu, G., Larbi Opare, J. K., Conklin, L., “Immunization delivery in the second year of life in Ghana: the need for a multi- faceted approach” The Pan African Medical Journal, 27(Supp 3), 4, 2017. doi.org/10.11604/pamj.supp.2017.27.3.12182
  • 5. Yawson, A. E., Bonsu, G., Senaya, L. K., Yawson, A. O., Eleeza, J. B., Awoonor-Williams, J. K., … Agongo, E. E. A., “Regional disparities in immunization services in Ghana through a bottleneck analysis approach: Implications for sustaining national gains in immunization”, Archives of Public Health, 75(1), 1–10, 2017. doi.org/10.1186/s13690-017-0179-7
  • 6. GHS, Ghana Health Service 2014 Annual Report, 2015.
  • 7. Uddin, M. J., Larson, C. P., Oliveras, E., Khan, A. I., Quaiyum, M. A., Saha, N. C., “Child immunization coverage in urban slums of Bangladesh: Impact of an intervention package”, Health Policy and Planning, 25(1), 50–60, 2010. doi.org/10.1093/heapol/czp041
  • 8. Pradhan, N., Ryman, T. K., Varkey, S., Ranjan, A., Gupta, S. K., Krishna, G., … Young, R., “Expanding and improving urban outreach immunization in Patna, India”, Tropical Medicine and International Health, 17(3), 292–299, 2012. doi.org/10.1111/j.1365- 3156.2011.02916.x
  • 9. Deutsch, N., Singh, P., Singh, V., Curtis, R., Siddique, A. R., “Legacy of Polio - Use of India’s Social Mobilization Network for Strengthening of the Universal Immunization Program in India”, Journal of Infectious Diseases, 216(Suppl 1), S260–S266, 2017. doi.org/10.1093/infdis/jix068
  • 10. Dienye, P., Itimi, K., Ordinioha, B., “Community participation and childhood immunization coverage: A comparative study of rural and urban communities of Bayelsa State, south-south Nigeria”, Nigerian Medical Journal, 53(1), 21, 2012. doi.org/10.4103/0300-1652.99826
  • 11. WHO’s Reproductive Maternal and Child Health (RMCH) score card platform, accessed 21-02-2020.
  • 12. Hanson, C. M., Mirza, I., Kumapley, R., Ogbuanu, I., Kezaala, R., & Nandy, R. “Enhancing immunization during second year of life by reducing missed opportunities for vaccinations in 46 countries”. Vaccine, 36(23), 3260–3268, 2018. doi.org/10.1016/j.vaccine.2018.04.070
  • 13. McArthur-Lloyd, A., McKenzie, A., Findley, S. E., Green, C. & Adamu, F. “Community Engagement, Routine Immunization, and the Polio Legacy in Northern Nigeria”, Global Health Communication, 2:1, 1-10, 2016. DOI: 10.1080/23762004.2016.1205887
  • 14. Demissie, S. D., Kozuki, N., Olorunsaiye, C. Z., Gebrekirstos, P., Mohammed, S., Kiapi, L., et al. “Community engagement strategy for increased uptake of routine immunization and select perinatal services in north-west Ethiopia: A descriptive analysis”. PLoS ONE, 15(10): e0237319., 2020 https://doi.org/10.1371/journal.pone.0237319
  • 15. Samadhan Prakashrao Debaje, S. P. “Communication and mobilization campaigns for immunization (CMCI): need of time for strengthening Immunization services in India”, International Journal of Research in Medical Science, 2(3):830-833, 2014. DOI: 10.5455/2320-6012.ijrms20140889
  • 16. Haldane, V., Chuah, F. L. H., Srivastava, A., Singh, S. R., Koh, G. C. H., Seng, C. K., et al. “Community participation in health services development, implementation, and evaluation: A systematic review of empowerment, health, community, and process outcomes”. PLoS ONE, 14 (5): e0216112, 2019. https://doi.org/10.1371/journal.pone.0216112
  • 17. Giné, X., Khalid, S. & Ghazala, M. “The Impact of Social Mobilization on Health Service Delivery and Health Outcomes Evidence from Rural Pakistan”, Oxford Scholarship Online, 2018. DOI:10.1093/oso/9780198829591.003.0011
  • 18. UNICEF (2018). Bangladesh Humanitarian Situation Report No.22 (Rohingya Influx). UNICEF
  • 19. Jalloh, M. F., Wilhelm, E., Abad, N. & Prybylski, D. “Mobilize to vaccinate: lessons learned from social mobilization for immunization in low and middle- income countries”, Human Vaccines & Immunotherapeutics, 16:5, 1208-1214, 2020. DOI: 10.1080/21645515.2019.1661206
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Details

Primary Language English
Subjects Primary Health Care
Journal Section Article
Authors

Justice Baah 0000-0003-2177-6409

Justice Nonvignon This is me 0000-0002-7484-9491

Moses Aikins This is me 0000-0002-2370-4006

Genevieve Cecilia Aryeetey 0000-0002-0530-8675

Publication Date April 29, 2022
Submission Date October 22, 2021
Acceptance Date March 30, 2022
Published in Issue Year 2022

Cite

IEEE J. Baah, J. Nonvignon, M. Aikins, and G. C. Aryeetey, “EVALUATION OF SOCIAL MOBILIZATION COMPONENT OF THE SECOND YEAR OF LIFE (2YL) PROJECT ON IMMUNIZATION COVERAGE IN ADAKLU DISTRICT, GHANA”, IJHSRP, vol. 7, no. 1, pp. 1–14, 2022, doi: 10.33457/ijhsrp.1012176.

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