Yıl 2020, Cilt 5 , Sayı 2, Sayfalar 81 - 90 2020-08-29

HEALTH WORKER AND CAREGIVER INTERACTION DURING CHILD VACCINATION SESSIONS AT HEALTH FACILITIES IN SOMALI REGION OF ETHIOPIA: A QUALITATIVE STUDY

Melaku TSEHAY [1] , Tenager TADESSE [2] , Samuel TESEMA [3] , Filimona BİSRAT [4]


Abstract Introduction: Somali Region is one of the largest region in Ethiopia which has performed persistently low with immunization coverage. communication during vaccination sessions at health facilities is one of the key factors that influence caregiver’s decision to bring back their children for vaccination. The Objective of this study was to evaluate health worker and caregiver interaction during immunization session and identify communication gaps in Somali region Material and Methods: This was a cross sectional qualitative study. The study was carried out using in depth interview with health workers responsible for vaccination, observation of vaccinator and caregiver interaction during immunization session and exit interview of caregivers who brought their children for vaccination or whose child was vaccinated at the health facility. Results: Health workers responsible for vaccination in twelve health facilities from central and remote part of the region were interviewed. A total of 63 vaccination sessions in the 12 health facilities were observed and caregivers were interviewed on exit. Most caregivers described the vaccinators as friendly and supportive. Some mothers who did not bring the immunization card with them were returned with out child getting the service. The return date for vaccination was written on immunization card in most cases. Most caregivers do not identify vaccines by name or purpose, however they all want their children get all vaccines as recommended by health workers. Conclusion Health worker do not communicate required information for continued use of immunization service at health facilities during vaccination session. caregiver interaction in Somali region will need to be improved though training of health workers on immunization basics and communication
Communication, Ethiopia, health facility, health worker, vaccination
  • 1 Casey, R.; Dumolard, L.; Danovaro, C.; Gacic-Dobo, M.; Diallo, M.; Hampton, L.; Wallace, A.S. “Global routine vaccination coverage”, Wkly. Epidemiol. Rec, 91, 537–548, 2016
  • 2 Wolfson LJ, Gasse F, Lee-Martin S-P, Lydon P, Magan A, Tibouti A, et al. “Estimating the costs of achieving the WHO-UNICEF Global Immunization Vision and Strategy, 2006–2015”, Bulletin of the World Health organization, 86(1):27–39, 2008. https://doi.org/10.2471/BLT.07.045096 PMID: 18235887 

  • 3 Maurice JM, Davey S. “State of the World’s Vaccines and Immunization”, World Health Organization; 2009. 

  • 4 Rutherford ME, Dockerty JD, Jasseh M, Howie SR, Herbison P, Jeffries DJ, et al. “Preventive measures in infancy to reduce under-five mortality: a case—control study in The Gambia”, Tropical Medicine & International Health, 14(2):149–55, 2009
  • 5 World health Organization. “WHO vaccine-preventable diseases: monitoring system: 2010”. global summary, 2010
  • 6 Federal Ministry of Health. “Ethiopia National Expanded Program on Immunization, Comprehensive Multi-Year Plan 2016–2020, Addis Ababa”, FMOH April, 2015
  • 7 Ethiopian Public Health Institute and ICF. “Ethiopia Mini Demographic and Health Survey”, EDHS 2019
  • 8 CSA Ethiopia and ICF. “Ethiopia Demographic and Health Survey; Key Indicators Report, Addis Ababa, Ethiopia and Rockville, Maryland, USA”. DHS 2016: 27-28
  • 9 Sawhney M, Favin, M. “Epidemiology of the unimmunized child. Findings from the grey literature, Arlington, VA”, IMMUNIZATIONbasics Project, 2009
  • 10 Favin M, Steinglass R, Fields R, Banerjee K, Sawhney M. “Why children are not vaccinated: a review of the grey literature”, International Health, 4:229–38, 2012.
  • 11 Federal Ministry of Health: “Health Sector Transformation plan : Woreda Based Health Sector Annual Core Plan”, FMOH 2019-2020
  • 12 Ministry of Health, UNICEF/Ethiopia. “National Immunization KABP Survey Report, Addis Ababa, Ethiopia”, 2001 [unpublished]
  • 13 Razum O. “Mothers voice their opinion on immunization services”. World Health Forum, 14:282–6, 1993
  • 14 Perry, HB, El Arifeen S, Hossein I, Weirbach R. “The quality of urban EPI services in Bangladesh: findings from the Urban Initiatives’ Needs Assessment Study in Zone 3 of Dhaka City, Dhaka, Bangladesh”, ICDDR, B, Working Paper No. 24, 1996
  • 15 UNICEF: “Social-Cultural Context of Immunization in Benin”, Evaluation Newsletter [UNICEF] 12:5, 1991
  • 16 Millimouno D, Diallo AA, Fairhead J, Leach M. “The social dynamics of infant ehaveation in Africa, perspectives from the Republic of Guinea, Brighton, UK”, Institute for Development Studies, University of Sussex, Working Paper 262, 2006
  • 17 Tadesse H, Deribew A, Woldie M. “Explorative assessment of factors affecting child immunization in Wonago district, Gedeo zone, South Ethiopia”, Archives of Medical Science, 5(2):233–40), 2009
  • 18 Leach M, Fairhead J. “Understandings of immunization: some West African perspectives”, Bull World Health Organ 2008;86:418
  • 19 Habimana P, Bararwandika A. “Knowledge, attitudes and behaveior of parents concerning immunization”, Imboneza- muryango/Famille, Sante, Development, 20:8–13, 1991
  • 20 M. Favin et al. “Why children are not vaccinated: a review of the gray literature”, International Health 4, 229–238, 2012
  • 21 World Health Organization. “Epidemiology of the unvaccinated child: Findings from the gray Literature”, WHO, October 2009.
Birincil Dil en
Konular Temel Sağlık Hizmetleri
Bölüm Article
Yazarlar

Orcid: 0000-0002-4661-2737
Yazar: Melaku TSEHAY
Kurum: CORE Group Ethiopia
Ülke: Ethiopia


Orcid: 0000-0002-7880-1268
Yazar: Tenager TADESSE
Kurum: CORE Group Ethiopia
Ülke: Ethiopia


Orcid: 0000-0002-6394-9104
Yazar: Samuel TESEMA (Sorumlu Yazar)
Kurum: CORE Group Ethiopia
Ülke: Ethiopia


Orcid: 0000-0002-3628-7141
Yazar: Filimona BİSRAT
Kurum: CORE Group Ethiopia
Ülke: Ethiopia


Destekleyen Kurum USAID Ethiopia
Proje Numarası AID-OAA-A-17-00026
Teşekkür We are thankful to the health workers and caregivers who took their time to participate in the in-depth and exit interviews. We also thank the data collectors, the Somali Region Health Bureau, all study area health facility heads and CGPP admin and Finance team, who made this study possible. This study was supported by USAID through grant to CORE Group Polio Project.
Tarihler

Başvuru Tarihi : 31 Aralık 2019
Kabul Tarihi : 2 Haziran 2020
Yayımlanma Tarihi : 29 Ağustos 2020

Bibtex @araştırma makalesi { ijhsrp668406, journal = {International Journal of Health Services Research and Policy}, issn = {}, eissn = {2602-3482}, address = {Dicle Üniversitesi Teknokenti Silvan Bulvarı 222/3 21280 SUR/DİYARBAKIR}, publisher = {Rojan GÜMÜŞ}, year = {2020}, volume = {5}, pages = {81 - 90}, doi = {10.33457/ijhsrp.668406}, title = {HEALTH WORKER AND CAREGIVER INTERACTION DURING CHILD VACCINATION SESSIONS AT HEALTH FACILITIES IN SOMALI REGION OF ETHIOPIA: A QUALITATIVE STUDY}, key = {cite}, author = {Bi̇srat, Filimona} }
APA Tsehay, M , Tadesse, T , Tesema, S , Bi̇srat, F . (2020). HEALTH WORKER AND CAREGIVER INTERACTION DURING CHILD VACCINATION SESSIONS AT HEALTH FACILITIES IN SOMALI REGION OF ETHIOPIA: A QUALITATIVE STUDY . International Journal of Health Services Research and Policy , 5 (2) , 81-90 . DOI: 10.33457/ijhsrp.668406
MLA Tsehay, M , Tadesse, T , Tesema, S , Bi̇srat, F . "HEALTH WORKER AND CAREGIVER INTERACTION DURING CHILD VACCINATION SESSIONS AT HEALTH FACILITIES IN SOMALI REGION OF ETHIOPIA: A QUALITATIVE STUDY" . International Journal of Health Services Research and Policy 5 (2020 ): 81-90 <https://dergipark.org.tr/tr/pub/ijhsrp/issue/56530/668406>
Chicago Tsehay, M , Tadesse, T , Tesema, S , Bi̇srat, F . "HEALTH WORKER AND CAREGIVER INTERACTION DURING CHILD VACCINATION SESSIONS AT HEALTH FACILITIES IN SOMALI REGION OF ETHIOPIA: A QUALITATIVE STUDY". International Journal of Health Services Research and Policy 5 (2020 ): 81-90
RIS TY - JOUR T1 - HEALTH WORKER AND CAREGIVER INTERACTION DURING CHILD VACCINATION SESSIONS AT HEALTH FACILITIES IN SOMALI REGION OF ETHIOPIA: A QUALITATIVE STUDY AU - Melaku Tsehay , Tenager Tadesse , Samuel Tesema , Filimona Bi̇srat Y1 - 2020 PY - 2020 N1 - doi: 10.33457/ijhsrp.668406 DO - 10.33457/ijhsrp.668406 T2 - International Journal of Health Services Research and Policy JF - Journal JO - JOR SP - 81 EP - 90 VL - 5 IS - 2 SN - -2602-3482 M3 - doi: 10.33457/ijhsrp.668406 UR - https://doi.org/10.33457/ijhsrp.668406 Y2 - 2020 ER -
EndNote %0 International Journal of Health Services Research and Policy HEALTH WORKER AND CAREGIVER INTERACTION DURING CHILD VACCINATION SESSIONS AT HEALTH FACILITIES IN SOMALI REGION OF ETHIOPIA: A QUALITATIVE STUDY %A Melaku Tsehay , Tenager Tadesse , Samuel Tesema , Filimona Bi̇srat %T HEALTH WORKER AND CAREGIVER INTERACTION DURING CHILD VACCINATION SESSIONS AT HEALTH FACILITIES IN SOMALI REGION OF ETHIOPIA: A QUALITATIVE STUDY %D 2020 %J International Journal of Health Services Research and Policy %P -2602-3482 %V 5 %N 2 %R doi: 10.33457/ijhsrp.668406 %U 10.33457/ijhsrp.668406
ISNAD Tsehay, Melaku , Tadesse, Tenager , Tesema, Samuel , Bi̇srat, Filimona . "HEALTH WORKER AND CAREGIVER INTERACTION DURING CHILD VACCINATION SESSIONS AT HEALTH FACILITIES IN SOMALI REGION OF ETHIOPIA: A QUALITATIVE STUDY". International Journal of Health Services Research and Policy 5 / 2 (Ağustos 2020): 81-90 . https://doi.org/10.33457/ijhsrp.668406
AMA Tsehay M , Tadesse T , Tesema S , Bi̇srat F . HEALTH WORKER AND CAREGIVER INTERACTION DURING CHILD VACCINATION SESSIONS AT HEALTH FACILITIES IN SOMALI REGION OF ETHIOPIA: A QUALITATIVE STUDY. IJHSRP. 2020; 5(2): 81-90.
Vancouver Tsehay M , Tadesse T , Tesema S , Bi̇srat F . HEALTH WORKER AND CAREGIVER INTERACTION DURING CHILD VACCINATION SESSIONS AT HEALTH FACILITIES IN SOMALI REGION OF ETHIOPIA: A QUALITATIVE STUDY. International Journal of Health Services Research and Policy. 2020; 5(2): 81-90.