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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Impact of measles elimination activities on immunization services and health systems: Findings from six countries
Journal of Infectious Diseases, Volume 204, No. SUPPL. 1, Year 2011
Notification
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Description
Background. One of the key concerns in determining the appropriateness of establishing a measles eradication goal is its potential impact on routine immunization services and the overall health system. The objective of this study was to evaluate the impact of accelerated measles elimination activities (AMEAs) on immunization services and health systems in 6 countries: Bangladesh, Brazil, Cameroon, Ethiopia, Tajikistan, and Vietnam. Methods. Primary data were collected from key informant interviews and staff profiling surveys. Secondary data were collected from policy documents, studies, and reports. Data analysis used qualitative approaches. Results. This study found that the impact of AMEAs varied, with positive and negative implications in specific immunization and health system functions. On balance, the impacts on immunization services were largely positive in Bangladesh, Brazil, Tajikistan, and Vietnam, while negative impacts were more significant in Cameroon and Ethiopia. Conclusions. We conclude that while weaker health systems may not be able to benefit sufficiently from AMEAs, in more developed health systems, disruptions to health service delivery are unlikely to occur. Opportunities to strengthen the routine immunization service and health system should be actively sought to address system bottlenecks in order to incur benefits to eradication program itself as well as other health priorities. © The Author 2011. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved.
Authors & Co-Authors
Hanvoravongchai, Piya
Unknown Affiliation
Mounier-Jack, Sandra
Unknown Affiliation
Oliveira Cruz, V.
Unknown Affiliation
Balabanova, Dina C.
Unknown Affiliation
Biellik, Robin Julian
Unknown Affiliation
Kitaw, Yayehyirad
Unknown Affiliation
Koehlmoos, Tracey Pérez
Unknown Affiliation
Loureiro, S.
Unknown Affiliation
Molla, Mitike
Unknown Affiliation
Nguyen, H.
Unknown Affiliation
Ongolo-Zogo, Pierre
Unknown Affiliation
Sadykova, U.
Unknown Affiliation
Sarma, Haribondhu
Unknown Affiliation
Teixeira, M.
Unknown Affiliation
Uddin, Jasim
Unknown Affiliation
Dabbagh, Alya J.
Unknown Affiliation
Griffiths, Ulla Kou
Unknown Affiliation
Statistics
Citations: 58
Authors: 17
Affiliations: 10
Identifiers
Doi:
10.1093/infdis/jir091
ISSN:
00221899
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Study Approach
Qualitative
Study Locations
Cameroon
Ethiopia