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Improving immunization coverage and equity - technical resources

Comparing Resources

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Resource A guide for exploring health worker/caregiver interactions on immunization
Purpose Guidance on conducting a mostly qualitative study of health workers’ knowledge, attitudes, and practices (KAP), and their interactions with caregivers and infants.
Content A KAP document for health workers describing the decision points and the pros and cons of various choices at different stages of planning, implementing, and using study findings. Includes question guides, job descriptions and practical aids, and a training plan. Also includes actionable recommendations for improving health worker / caregiver interactions based on study findings.
Potentially of high relevance to C & E, as the KAP studies may address supply side factors that reduce trust & utilisation of health services.
Expected outcomes Immediate outcome is better understanding of health worker attitudes and practices regarding client interactions. In the long term, the findings if the health workers’ studies could be used to improve quality of interactions with clients leading to improved caregivers’ trust.
Strengths Provides examples of health worker behaviours and decisions that impact on caregiver practices. Outlines steps in development of a research study, as well as an overview of methods. The sample study guides and questionnaires enable local researchers to adapt the study to context.
Contraints/Limitations This is not a research manual, although includes references to available manuals.
Why use it (a) As the critical link between clients and health services, health workers’ attitudes towards clients, the manner in which they treat clients, their technical performance, and the quality of their communication with caregivers all have important impacts on treatment effectiveness as well as on clients’ knowledge, trust, and willingness to use health services.
(b) In relation to zero dose and under immunised, health worker qualities are reflected in coverage and dropout rates, and therefore in use of health services and individual and community protection from VPDs.
Who should use it Primarily intended for district health management teams and any persons or organizations they may work with to carry out a mostly qualitative study of health workers’ knowledge, attitudes, and practices (KAP), focusing on their interactions with caregivers and infants.
Additional Links
Link to access the resource /en/resources/guidance/a-guide-for-exploring-health-worker-caregiver-interactions-on-immunization

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