POST 00996E : QUALITY VS IMMUNIZATION COVERAGE
Follow-up on Posts 00972E, 00976E and 00986E
20 October 2006
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This posting contains two contributions. The first originally in French is
from Lydie Maoungou Minguiel (mailto:
[email protected]) from
Congo-Brazza. And the second from Anthony Battersby
(mailto:
[email protected]) from the United Kingdom.
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Hello everybody,
I agree with all the issues raised by Adelaide and I'd like to add that
from my experience in Congo Brazzaville, systematic de-worming of children
during routine immunisation and distribution of paracetamol to mothers of
children who have received DPT to combat fever and the ensuing pain,
improves the acceptance of immunisation by mothers.
Thank you and good day.
Dr Lydie MAOUNGOU MINGUIEL,
EPI Deputy Administrator
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I am interested in the comment made by Giridhar:
"Northern Karnataka, some parts of Bihar and UP in India are classical
examples to watch for the phenomenon of " lack of demand for immunization
being a major reason for unsatisfactory coverage"." This highlights the
very limited usefulness of precoding the answers gathered during coverage
surveys.
What does "lack of demand" mean? Does it mean the mother/carer does not
understand about the benefits of immunisation? or does she understand but
not accept, or does she understand but she has other higher priorities such
as obtaining food.
The road to quality begins with our fully understanding both why people
have their children immunised as well as why they do not. To do this the
coverage survey protocol should always have the interviewer ask both those
who did have their children immunised as well as those who did not and
record the answer given verbatim so that it can be analysed later.
Operationally these answers are the most useful part of a coverage survey,
we should pay more attention to collecting the answers and their analysis.
Anthony Battersby
FBA Health Systems Analysts
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