Title:
Factors Influencing Measles Vaccine Coverage With the Routine Immunization Schedule in Myanmar: A Literature Review
Authors:
Shein, Khin Thawdar
Place:
Amsterdam, The Netherlands
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2022
PAGE:
vii, 28
Language:
En
Subject:
Health and Poverty
Keywords:
Measles, Vaccine Coverage
Abstract:
Background: Myanmar has recent measles outbreak in 2019 has highlighted that there is low coverage areas. Immunisation coverage of both measles vaccine never reached at optimal vaccine coverage which is 95% to develop herd immunity. Moreover, Myanmar has failed to achieve measles elimination status in 2020 and the timelime was extended to 2023. Objective: This study aimed to explore the factors influencing measles vaccine coverage in Myanmar in order to inform strategy to increase vaccination coverage and make recommendations to strengthen strategy of measles elimination in Myanmar Methodology A literature review is conducted using “conceptual framework for vaccine coverage” by David E. Phillips et.al to determine three principal factors such as “Intent to vaccinate”, “Facility Readiness” and “Community Access”. Using several databases, we retrieved published literatures, scientific publications, and grey literatures, as well as reports from UNICEF, GAVI, and WHO, all of which are relevant to the measles vaccine and vaccination in Myanmar. The timeframe used was 2000 through 2021. Literatures not relevant to immunization are excluded. Results Literatures related with knowledge was segmented and cannot determine status of knowledge level. Antenatal care visit was found significant to increase MCV1 coverage. Village leaders and women groups play a role to increase vaccine coverage in community. Financial and educational level of mothers are related with intent to vaccinate. In facility readiness, workforce shortage, insufficient capacity building, low government spending and high dependency on external funding are seen. Geographical , pollical barriers are hindering access to measles vaccine. Conculsion To improve measles vaccine coverage, all stakeholders are important. To plan KAP survey. To strengthen cold chain management and to advocate MoHS to invest in allocation of human resources and budget are key recommendations. In short term, EPI should plan for outbreak response.
Organization:
KIT - Royal Tropical Institute , VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
The Republic of Union of Myanmar
Region:
Southeast Asia
Training:
Master of Science in International Health
Category:
Research
Right:
@ 2022 Shein
Document type:
Thesis/dissertation
File:
st2vQFqL4x_2023050915570484.pdf