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Improving immunization coverage, a comparison between traditional MCH teams and MCH teams plus aid post orderlies
Papua and New Guinea Medical Journal
|June 1, 1989
Summary
Aid post orderlies trained in immunization achieved higher vaccination rates than traditional maternal and child health teams. Combining efforts of orderlies and health teams proved more successful in meeting national immunization goals.
Area of Science:
- Public Health
- Pediatric Medicine
- Health Services Research
Background:
- The Expanded Programme on Immunization (EPI) aims to increase childhood vaccination coverage.
- Traditional Maternal and Child Health (MCH) teams provide essential immunization services.
- Assessing novel approaches to enhance immunization delivery is crucial for public health.
Purpose of the Study:
- To evaluate the performance of aid post orderlies (APOs) as immunizers.
- To compare the effectiveness of APOs versus traditional MCH teams in delivering immunizations.
- To assess the impact of a combined APO-MCH effort on achieving national immunization targets.
Main Methods:
- Aid post orderlies in a pilot district received immunization training.
- Immunization performance of trained APOs was compared to traditional MCH teams.
- The combined APO-MCH approach in the pilot district was compared to a control district.
Main Results:
- Trained APOs demonstrated comparable or improved performance as immunizers.
- The joint APO-MCH effort significantly outperformed the traditional approach in the pilot district.
- The combined strategy was more successful in reaching national immunization targets.
Conclusions:
- Integrating APOs into immunization programs can enhance service delivery.
- Collaborative efforts between APOs and MCH teams are effective in improving vaccination coverage.
- This model shows promise for strengthening immunization programs in resource-limited settings.