Report
Fortalecimento da experiência do serviço de imunização: Mozambique
Depois de um aumeno durante duas ou mais décadas, as taxas de cobertura de vacinação de rotina, começaram a estagnarem em 2010. Uma estimativa feita em 2018, cerca de 19,4 milhões de crianças com menos de um ano de idade, não recebem vacinas básicas. Embora os serviços de imunização historicamente tenham se concentrado nas funções de distribuição e oferta, as iniquidades destacaram a importância da geração da demanda - e a necessidade de um modelo de oferta de serviços centrado nas pessoas que incorpore as perspectivas do trabalhador de saúde e do utente para uma experiência de serviço de imunização mais positiva.
Os parceiros de imunização, no fluxo de trabalho de experiência de serviço do Centro de Demanda de Vacinação colaboram para melhor informar uma nova direção na prestação de serviços de imunização de qualidade centrada nas pessoas e reorientar os serviços de imunização para incluir as perspectivas e necessidades do cuidador, utente e profissional de saúde. Em apoio a este esforço, a John Snow Research & Training Institute, Inc. (JSI), em colaboração com Gavi, a Vaccine Alliance, consolidou o conhecimento existente e conduziu uma rápida avaliação sobre a experiência de serviço de imunização aníveis global e regional por meio de análises documentais e entrevistas com informantes chaves (EICs). Os resultados desses EIC’s foram organizados em nove componentes principais.
Esses componentes formaram a base para coleta de percepções adicionais em quatro países, incluindo Moçambique. Estabelecido logo após a independência de Moçambique em 1979, o Programa Alargado
de Imunização (PAV) viu um aumento de 59% na imunização nacional Cobertura(DPT3) entre 1985 e 2019. Nos últimos cinco anos, no entanto, Moçambique enfrentou várias crises e a cobertura DPT3 estabilizou em %,1 sugerindo a necessidade de continuar a fortalecer os serviços, investigando também o que impulsiona os utentes e os cuidadores a procurem ou evitarem os serviços de imunização.
Languages
- Portuguese
- English: Strengthening Immunization Service Experience: Mozambique
Publication year
2022
Type
Report
Categories
- Vaccines & delivery devices
Countries
- Mozambique
Organisations
- John Snow, Inc (JSI)
Tags
- Demand
- EQUIP
- Immunization information systems
Demand Hub
The resource is included in the following table:
| Title | Author | Year | Type | Language |
|---|---|---|---|---|
| Service Experience Orientation Presentation | JSI Research & Training Institute, Inc, Gavi, the Vaccine Alliance, Vaccination Demand Hub | 2022 | Tool | English |
| Service Experience Getting Started Guide | JSI Research & Training Institute, Inc, Vaccination Demand Hub, Gavi, the Vaccine Alliance | 2022 | Tool | English, French |
| Nigeria - Messages and Trusted mesengers acceptance_Chizoba Wonodi | Chizoba Wonodi | 2021 | Presentation | English |
| Facteurs comportementaux et sociaux de la vaccination : outils et conseils pratiques pour parvenir à une adoption vaccinale élevée | World Health Organization (WHO), UNICEF | 2022 | Case study | French |
| Human-centred design for tailoring immunization programmes | World Health Organization (WHO) | 2022 | Guidance | English, French, Portuguese, Spanish |
| Behavioural and social drivers of vaccination: tools and practical guidance for achieving high uptake | World Health Organization (WHO) | 2022 | Guidance | Arabic, English, French, Portuguese, Russian, Spanish |
| Quality immunization services: a planning guide | World Health Organization (WHO) | 2022 | Guidance | Arabic, English, Russian, French, Portuguese, Spanish |
| Health worker communication for COVID-19 vaccination - Flow diagram for communicating during COVID-19 vaccination sessions | World Health Organization (WHO) | 2021 | Poster/infographic | English |
| Conducting community engagement for COVID-19 vaccines: Interim guidance | World Health Organization (WHO), UNICEF | 2021 | Guidance | Arabic, Chinese, English, French, Portuguese, Russian, Spanish |
| Acceptance and demand for COVID-19 vaccines: Interim guidance | World Health Organization (WHO), UNICEF | 2021 | Guidance | English |
| Vaccine misinformation management guide: Guidance for addressing a global infodemic and fostering demand for immunization | UNICEF, First Draft, Yale Institute for Global Health (YIGH), The Public Good Projects (PGP) | 2020 | Guidance | Arabic, French, Italian, Spanish, Turkish |
| RDC - Ecouter et Agir les plus vulnerables - Croix Rouge RDC | RDC Red cross | 2021 | Presentation | French |
| DRC - High Volume Vaccination Site Experience | Carla Toko | 2022 | Presentation | English |
| India - Assam Mobile Vans and Community Engagement to increase uptake in hard to reach | Anumegha Bhatnagar | 2022 | Presentation | English |
| Bangladesh - Community Radio in Bangladesh | Breakthrough ACTION | 2023 | Presentation | English |
| Cote d'Ivoire - Using rumor management system data to develop adaptive COVID-19 vaccination strategies | Breakthrough ACTION | 2022 | Presentation | English |
| Syria - Bringing the service closer to communities | Syrian Arab Red Crescent | 2022 | Presentation | English |
| Sierra Leone - RCT of last mile vaccine delivery | Maarten Voors | 2022 | Case study | English |
| Cameroon - Community Dialogue and Microplanning - Value Health Africa | Mbianke Livancliff | 2022 | Presentation | English |
| Cote d'Ivoire - Hackathon - Geneva Learning Foundation | Charlotte Mbuh | 2022 | Presentation | English |
| Fiji - Social Listening - UNICEF Pacific | Kshitij Joshi | 2022 | Presentation | English |
| Ghana - Closing Loop Digital Media - UNICEF | Hameed Kashan, Anastasiia Nurzhynska | 2022 | Presentation | English |
| Malawi - SMS to address rumours - Malawi Red Cross | Arnav Kapur, Joseph Mwase | 2022 | Presentation | English |
| Nigeria - Demand creation - Red Cross | Nigerian Red Cross | 2022 | Presentation | English |
| Pakistan - Vaccination Related Restrictions - Faisal Khalil | Muhammad Faisal Khalil | 2022 | Presentation | English |
| Solomon Islands - Transfer knowledge and promoting community actions - Red Cross | Kennedy Waitara | 2022 | Presentation | English |
| Tanzania - Evidence to Action - Chima Onuekwe | Chima E. Onuekwe | 2022 | Presentation | English |
| Viet Nam - Hearing and addressing vaccine related concerns - UNICEF Viet Nam | Giap Nguyen | 2022 | Presentation | English |
| Tanzania - COVID-19 vaccine equity and access for older people | HelpAge International, Joseph Mbasha | 2022 | Presentation | English |
| Operational Framework for Demand Promotion - Integration | UNICEF, World Health Organization (WHO), Gavi, the Vaccine Alliance, Centers for Disease Control and Prevention (CDC), United States Agency for International Development (USAID), Vaccination Demand Hub, International Federation of Red Cross and Red Crescent Societies (IFRC) | 2023 | Guidance | English, French, Portuguese |
| Cadre Opérationnel Pour la Promotion de la Demande - Intégration de la vaccination contre la COVID-19 | UNICEF, World Health Organization (WHO), United States Agency for International Development (USAID), Centers for Disease Control and Prevention (CDC), Gavi, the Vaccine Alliance, Vaccination Demand Hub, International Federation of Red Cross and Red Crescent Societies (IFRC) | 2024 | Guidance | French, English, Portuguese |
| Quadro operacional para promoção da procura - Integração da vacinação contra a COVID-19 | UNICEF, World Health Organization (WHO), Gavi, the Vaccine Alliance, Vaccination Demand Hub, International Federation of Red Cross and Red Crescent Societies (IFRC), United States Agency for International Development (USAID), Centers for Disease Control and Prevention (CDC) | 2024 | Guidance | Portuguese, English, French |
| Understanding the behavioural and social drivers of vaccine uptake WHO position paper – May 2022 | World Health Organization (WHO) | 2022 | Guidance | English, French |
| HPV Vaccination: A Guide for Planning and Designing Demand Promotion Interventions | UNICEF | 2024 | User guide | English |
| Misinformation: A Strategic Approach | Sabin Vaccine Institute, UNICEF | 2020 | Webinar | English |
| GENDER AND IMMUNIZATION DEMAND (FINAL REPORT) | UNICEF, Gavi, the Vaccine Alliance | 2022 | Guidance | English, French, Spanish |
| GENDER AND IMMUNIZATION DEMAND (checklist) | UNICEF, Gavi, the Vaccine Alliance | 2021 | Guidance | English, French, Spanish |
| From coverage to empowerment: Integrating gender in immunization demand. Promising practices from six countries. | UNICEF, Gavi, the Vaccine Alliance | 2022 | Case study | English, French, Spanish |
| Social Listening (Cameroon) | Vaccination Demand Hub | 2023 | Case study | English |
| Renforcement de l'engagement communautaire pour la vaccination de routine et l'enregistrement des naissances | Vaccination Demand Hub | 2023 | Case study | French |
| Plan Mashako, atteindre les "zéro dose" | Vaccination Demand Hub | 2023 | Case study | French |
| DRC Red Cross experience in integrating Covid-19 vaccination into routine immunization | International Federation of Red Cross and Red Crescent Societies (IFRC) | 2022 | Case study | English |
| Application of Human Centered Design and Behavioral and Social Drivers of Vaccination in Ethiopia | Vaccination Demand Hub | 2023 | Case study | English |
| Demand Intensification through Community Engagement (D.I.C.E) | Jayne Kariuki | 2022 | Presentation | English |
| Use of Human-Centered Design (HCD) in Madagascar | Vaccination Demand Hub | 2023 | Case study | English |
| Integration of COVID-19 vaccination, RI, and MNCAH together and with other sectors in Madagascar | Vaccination Demand Hub | 2023 | Case study | English |
| Rapid assessment on caregiver’s perceptions of immunization services | Vaccination Demand Hub | 2023 | Case study | English |
| Integration of immunization and other primary health care services in Nigeria | Vaccination Demand Hub | 2023 | Case study | English |
| Case Study: Somalia. RCCE for COVID-19 Vaccine Demand in Eastern and Southern Africa. | UNICEF | 2023 | Case study | English |
| Tanzania: Working with multiple partners to shift community perception and increase uptake of the COVID-19 vaccine. | UNICEF, Vaccination Demand Hub | 2023 | Case study | English |
Immunization Service Experience
The resource is included in the following table:
