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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Immunization coverage in Mozambique: From concepts to decision-making
Health Policy, Volume 79, No. 1, Year 2006
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Description
Immunization is an effective strategy to reduce morbidity and mortality among children. This recognition has led many countries to concentrate efforts in establishing desirable achievements in the form of immunization coverage figures. However, less focus has been placed on effort made by different countries to attain high immunization coverage. During August 2002, 14 district health directors in a remote province of Mozambique (Niassa) were interviewed. The objective was to ascertain the construction of immunization coverage and how they implement the desired program strategies in order to improve the health status of the region. We found that most managers regarded the immunization coverage as data and thus high coverage as an end in itself, rather than as a reflection of the reality. We also found that there are uncertainties in population data which makes it difficult to plan activities bellow the level of a district. We argue further that the innovative distinction between the views proposed on the immunization coverage, provided us with an insight of the different challenges that district health directors face as leaders of the district health management team in Niassa. Clues on the implications of certain views of immunization coverage for policy and local decision-making in the national and global pursuit of immunization targets are provided. © 2005 Elsevier Ireland Ltd. All rights reserved.
Authors & Co-Authors
Mavimbe, João Carlos
Mozambique, Maputo
Universidade Eduardo Mondlane
Norway, Oslo
Universitetet I Oslo
Norway, Trondheim
Faculty of Medicine
Muquingue, Humberto Nelson
Mozambique, Maputo
Universidade Eduardo Mondlane
Norway, Oslo
Universitetet I Oslo
Norway, Trondheim
Faculty of Medicine
Braa, Jørn
Norway, Oslo
Universitetet I Oslo
Bjune, Gunnar Aksel
Norway, Trondheim
Faculty of Medicine
Statistics
Citations: 29
Authors: 4
Affiliations: 3
Identifiers
Doi:
10.1016/j.healthpol.2005.12.002
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cross Sectional Study
Study Locations
Mozambique