Methodology for the Assessment of Missed Opportunities for Vaccination

This manual provides the detailed instructions, standardized methodology, and tools for conducting field work (including sample health facility exit interviews and health worker knowledge, attitude, and practice (KAP) questionnaires), and detailed guidance for conducting in-depth interviews and focus group discussions. Although in some countries it may be desirable to obtain an estimate of the proportion of missed opportunities in health facilities, the major outcome of the MOV assessment field work is to build a strong case for reducing MOV by convening multiple in-country immunization partners to identify the underlying causes and address these problems. The brainstorming sessions following the field work are intended to achieve this outcome.