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Updated: Jul 11, 2026

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model

Published on: October 31, 2010

Training needs for mid-level managers and immunisation coverage in Western Kenya.

S O Ayaya¹, E Liechty, J H Conway

¹Department of Child Health and Paediatrics, Faculty of Health Sciences, Moi University, Eldoret, Kenya.

East African Medical Journal

|September 25, 2007

Summary

This summary is machine-generated.

Low immunisation coverage and high dropout rates in Western Kenya highlight critical training gaps for mid-level managers in the Expanded Programme on Immunisation (EPI). Comprehensive training is urgently recommended to improve vaccine delivery services.

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Last Updated: Jul 11, 2026

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model

Published on: October 31, 2010

Area of Science:

Public Health
Vaccinology
Health Systems Management

Background:

Immunisation coverage is crucial for reducing child mortality.
Effective management of immunisation programmes relies on trained mid-level personnel.
The Kenya Expanded Programme on Immunisation (EPI) aims to improve vaccine access and uptake.

Purpose of the Study:

Assess current immunisation coverage in Western Kenya before interventions.
Identify strengths and weaknesses in the existing EPI programme.
Determine training needs for EPI mid-level managers to enhance service delivery.

Main Methods:

A cross-sectional descriptive study was conducted across 39 districts in Rift Valley, Western, and Nyanza provinces.
Data were collected from mid-level managers involved in the Kenya Expanded Programme on Immunisation.
Key outcome measures included staff training status, immunisation coverage rates, and perceived training needs.

Main Results:

Only 25% of District Health Management Team members had supervisory-level training; 43.6% of districts lacked such trained personnel.
Nyanza Province exhibited the highest immunisation dropout rate (Pentavalent 1 to measles), while Rift Valley had the lowest.
Annual cumulative coverage reached 80% for Pentavalent 1 and 2, but only 60% for measles; cold chain equipment maintenance was the top training priority.

Conclusions:

A significant proportion of EPI mid-level managers in the study area lack adequate training, potentially hindering effective programme management.
Low immunisation coverage and high dropout rates indicate systemic issues within the programme.
Comprehensive training for all EPI mid-level managers is recommended, utilizing WHO-approved curricula, possibly through the Merck Vaccine Network--Africa programme.