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2017 ; 216
(suppl_1
): S273-S279
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Routine Immunization Service Delivery Through the Basic Package of Health
Services Program in Afghanistan: Gaps, Challenges, and Opportunities
#MMPMID28838158
Mbaeyi C
; Kamawal NS
; Porter KA
; Azizi AK
; Sadaat I
; Hadler S
; Ehrhardt D
J Infect Dis
2017[Jul]; 216
(suppl_1
): S273-S279
PMID28838158
show ga
BACKGROUND: The Basic Package of Health Services (BPHS) program has increased
access to immunization services for children living in rural Afghanistan.
However, multiple surveys have indicated persistent immunization coverage gaps.
Hence, to identify gaps in implementation, an assessment of the BPHS program was
undertaken, with specific focus on the routine immunization (RI) component.
METHODS: A cross-sectional survey was conducted in 2014 on a representative
sample drawn from a sampling frame of 1858 BPHS health facilities. Basic
descriptive analysis was performed, capturing general characteristics of survey
respondents and assessing specific RI components, and ?2 tests were used to
evaluate possible differences in service delivery by type of health facility.
RESULTS: Of 447 survey respondents, 27% were health subcenters (HSCs), 30% were
basic health centers, 32% were comprehensive health centers, and 12% were
district hospitals. Eighty-seven percent of all respondents offered RI services,
though only 61% of HSCs did so. Compared with other facility types, HSCs were
less likely to have adequate stock of vaccines, essential cold-chain equipment,
or proper documentation of vaccination activities. CONCLUSIONS: There is an
urgent need to address manpower and infrastructural deficits in RI service
delivery through the BPHS program, especially at the HSC level.
|Afghanistan/epidemiology
[MESH]
|Cross-Sectional Studies
[MESH]
|Health Facilities/statistics & numerical data
[MESH]
|Health Services Accessibility/*statistics & numerical data
[MESH]
|Health Services/statistics & numerical data
[MESH]
|Humans
[MESH]
|Immunization Programs/*statistics & numerical data
[MESH]