Title:
Factors Relevant for the Introduction of Rubella Vaccine in Namibia
Authors:
Nakafingo, Erwin
Year:
2015
PAGE:
viii, 59
Language:
En
Keywords:
Rubella, Vaccine, Namibia, Introduction, Immunization
Abstract:
Background: Vaccination against rubella is not publicly available in Namibia. The country has recently considered introducing rubella vaccine within its national immunization programme. In spite of past experience in introducing new vaccines, no in-depth study has been conducted to analyze pre-existing conditions and implications related the introduction of rubella vaccine. Objectives: This study describes and critically analyses factors relevant for the introduction of rubella vaccine in Namibia, in order to make recommendations to the government and stakeholders on the decision making and implementation processes for the introduction of rubella vaccine. Methods: The study is based on literature review and rubella case-based surveillance data for 2009-2014 was analysed. An analytical framework adopted from the WHO which identifies both policy and programmatic factors affecting decisions for the introduction of new vaccines was used. Results: The Namibian EPI enjoys high political support. Rubella infection is endemic and transmission is countrywide. Of the confirmed rubella cases (n=582), 45% were among children below 15 years old. Women of reproductive age accounted for 16.6 %. Safe, effective and highly efficacious rubella vaccine is available. The performance of EPI in Namibia is relatively sufficient. However, poor performance was noted in vaccine management. Conclusions and Recommendations: The country’s decision to introduce the rubella vaccine is a step in the right direction. Namibia seems to be meeting some conditions for the introduction of rubella vaccine. However, there is need to improve vaccine management. The country should conduct epidemiological studies to establish the burden of CRS.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Department:
Development, Policy and Practice
Country:
Namibia
Region:
South-Western Africa
Training:
Master of Public Health / International Course in Health Development (MPH/ICHD)
Category:
Research
Right:
© 2015 Nakafingo
Document type:
Thesis/dissertation
File:
gTEyC7IRI6_20161026135205401.pdf