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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Community and health worker perceptions and preferences regarding integration of other health services with routine vaccinations: Four case studies
Journal of Infectious Diseases, Volume 205, No. SUPPL. 1, Year 2012
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Description
Background. Integration of routine vaccination and other maternal and child health services is becoming more common and the services being integrated more diverse. Yet knowledge gaps remain regarding community members and health workers acceptance, priorities, and concerns related to integration. Methods. Qualitative health worker interviews and community focus groups were conducted in 4 African countries (Kenya, Mali, Ethiopia, and Cameroon).Results.Integration was generally well accepted by both community members and health workers. Most integrated services were perceived positively by the communities, although perceptions around socially sensitive services (eg, family planning and human immunodeficiency virus) differed by country. Integration benefits reported by both community members and health workers across countries included opportunity to receive multiple services at one visit, time and transportation cost savings, increased service utilization, maximized health worker efficiency, and reduced reporting requirements. Concerns related to integration included being labor intensive, inadequate staff to implement, inadequately trained staff, in addition to a number of more broad health system issues (eg, stockouts, wait times). Conclusions. Communities generally supported integration, and integrated services may have the potential to increase service utilization and possibly even reduce the stigma of certain services. Some concerns expressed related to health system issues rather than integration, per se, and should be addressed as part of a wider approach to improve health services. Improved planning and patient flow and increasing the number and training of health staff may help to mitigate logistical challenges of integrating services. © 2012 The Author. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved.
Authors & Co-Authors
Ryman, Tove K.
United States, Atlanta
Centers for Disease Control and Prevention
Wallace, Aaron Stuart
United States, Atlanta
Centers for Disease Control and Prevention
Mihigo, Richard M.
Switzerland, Geneva
Organisation Mondiale de la Santé
Richards, Patricia
United States, Columbia
College of Arts and Sciences
Schlanger, Karen
United States, Athens
University of Georgia
Cappelier, Kelli
United States, Atlanta
Rollins School of Public Health
Ndiaye, Serigne M.
United States, Atlanta
Centers for Disease Control and Prevention
Modjirom, Ndoutabé
Switzerland, Geneva
Organisation Mondiale de la Santé
Tounkara, Baba
Switzerland, Geneva
Organisation Mondiale de la Santé
Grant, Gavin B.
Switzerland, Geneva
Organisation Mondiale de la Santé
Anya, Blanche Philomene Melanga
Switzerland, Geneva
Organisation Mondiale de la Santé
Kiawi, Emmanuel Chia
United States, Atlanta
Centers for Disease Control and Prevention
Ochieng, Cliff
Kenya, Nairobi
Safe Water and Aids Project
Kone, Sekou
Mali, Bamako
Ministry of Health
Tesfaye, Habtamu
Ethiopia, Addis Ababa
Federal Ministry of Health - Ethiopia
Trayner, Nathan
United States, Ann Arbor
University of Michigan Medical School
Watkins, Margaret Lyons
United States, Atlanta
Centers for Disease Control and Prevention
Luman, Elizabeth T.
United States, Atlanta
Centers for Disease Control and Prevention
Statistics
Citations: 22
Authors: 18
Affiliations: 9
Identifiers
Doi:
10.1093/infdis/jir796
ISSN:
00221899
Research Areas
Health System And Policy
Maternal And Child Health
Sexual And Reproductive Health
Study Approach
Qualitative
Study Locations
Cameroon
Ethiopia
Kenya
Mali