Title:
Analyzing factors associated with immunization uptake in Puntland State, Somalia - A literature review.
Authors:
Warsame, Jamal Mohamed
Place:
Amsterdam, The Netherlands
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2022
PAGE:
x, 51
Language:
En
Subject:
Health and Poverty
Keywords:
Vaccine Preventable Diseases, Immunization, Coverage, Access, Puntland state of Somalia
Abstract:
Background: Vaccine-preventable diseases (VPDs) are a significant public health concern in developing countries. Somalia has one of the lowest immunization coverage rates globally. Only 11% are fully immunized, while 60% have not received any vaccine. This study aimed to analyze the factors influencing immunization uptake and propose possible interventions to increase immunization coverage. Methods: A literature review was performed using an analytical framework for studying determinants of vaccination by Acosta-Ramirez et al. Findings: The study found maternal education, income, nomadic life, attitudes and perceptions of vaccines and VPDs are the most critical demand factors. The attitudes and perceptions are shaped partly by education, rural residence, ethnic group, and religious affiliation. Physical access to immunization services and a shortage of human resources have impacted the EPI's proper management. Further poor supply management, poor coordination with concerned stakeholders and lack of community strategies affecting people's expectations and trust are linked to demand factors that worsen the functioning of health systems. These factors are interlinked and influenced by external factors, such as conflict and disasters related to displacement Conclusion: The immunization coverage of Puntland state was extremely low in all regions. Underlying interlinked factors require a multisectoral and multidisciplinary response. Local and international stakeholders should support rebuilding the health system, especially primary care services and prioritising EPI. This should include sufficient, competent health workers. Further, to develop specific strategies like outreach and community-based initiatives to reach communities in slums, rural and nomadic areas.
Organization:
KIT - Royal Tropical Institute , VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
Somalia
Region:
Horn of Africa
Training:
Master of Science in Public Health
Category:
Research
Right:
@ 2022 Warsame
Document type:
Thesis/dissertation
File:
FnUmFKMWbq_20231128105314217.pdf