a job half done missed childhood vaccination opportunities in msf health structures
Download
Skip this Video
Download Presentation
A Job Half Done: missed childhood vaccination opportunities in MSF health structures

Loading in 2 Seconds...

play fullscreen
1 / 20

A Job Half Done: missed childhood vaccination opportunities in MSF health structures - PowerPoint PPT Presentation


  • 116 Views
  • Uploaded on

A Job Half Done: missed childhood vaccination opportunities in MSF health structures. OCB OR day Brussels, 13 th June 2014 Catherine Bachy. Background. 1983 : Vaccinate at every opportunity (WHO) MSF keeps focus on reactive mass campaigns 2008 : Vaccination becomes a priority for MSF

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' A Job Half Done: missed childhood vaccination opportunities in MSF health structures' - joie


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
a job half done missed childhood vaccination opportunities in msf health structures

A Job Half Done: missed childhood vaccination opportunities in MSF health structures

OCB OR day

Brussels, 13th June 2014

Catherine Bachy

background
Background
  • 1983: Vaccinate at every opportunity (WHO)
  • MSF keeps focus on reactive mass campaigns
  • 2008: Vaccination becomes a priority for MSF
  • 2010: EPI is integrated in some OCB projects
rationale
Rationale
  • Vaccination monitoring fragmented
  • Blind on what we DON’T do…

2011-2013

Missed vaccination opportunities surveys

in projects with routine vaccination

objectives
Objectives
  • Measure the magnitude of missed opportunities
  • Describe misses by age group and by vaccine
  • Understand the reasons for missed opportunities

 Is improvement needed?

  • Can we do something about it?
methods
Methods
  • Authorization by authorities
  • Standardized questionnaire
  • Exit interview of ALL children after consent
  • Vaccination cards or recall
  • Expanded age-group EPI calendar as reference
slide6

Received all vaccines for which eligible

Without contraindication

Eligible for at least one vaccine

Did not receive all vaccines for which eligible

Study population

With contraindication

Vaccination

up-to-date

missed vaccination opportunities
Missed vaccination opportunities

Received all vaccines for which eligible

Without contraindication

Eligible for at least one vaccine

Did not receive all vaccines for which eligible

Study population

With contraindication

Vaccination

up-to-date

= Prevalence of missed vaccination opportunities

missed vaccination in eligible
Missed vaccination in eligible

Received all vaccines for which eligible

Without contraindication

Eligible for at least one vaccine

Did not receive all vaccines for which eligible

Study population

With contraindication

Vaccination

up-to-date

= Inefficiency of the system

example
Example

Received all vaccines for which eligible = 2

Without contraindication = 4

Eligible = 4

Did not receive all vaccines for which eligible = 2

n = 100

With contraindication

Vaccination

up-to-date = 96

Missed vaccination opportunities = 2/100 = 2%

Missed vaccination in eligible = 2/4 = 50%

description of baseline surveys
Description of baseline surveys
  • 14 baseline surveys
  • 4 sub-Saharan countries
  • MSF-supported health structures
  • Duration: 6 days [1-15]
  • Children:
main results median range
Main results: median [range]

Vaccination card: 70% [20-100%]

100% [69-100%]

Received all vaccines for which eligible

72% [51-95%]

Without contraindication

147 [41-242]

Eligible for at least one vaccine

Did not receive all vaccines for which eligible

With contraindication

Study population

Vaccination

up-to-date

main results median range1
Main results: median [range]

Received all vaccines for which eligible

Without contraindication

Did not receive all vaccines for which eligible

Did not receive all vaccines for which eligible

Eligible for at least one vaccine

Eligible for at least one vaccine

With contraindication

Study population

Vaccination

up-to-date

Prevalence of missed opportunities: 48% [18-73%]

Missed opportunities in eligible: 77% [20-100%]

reasons for visit of misses n 14
Reasons for visit of misses (n=14)
  • Curative consultation: 48% [27-99%]
  • Ambulatory feeding centre: 18% [0-49%]
  • Vaccination: 9% [0-43%]
  • Accompanying a patient: 5% [0-23%]
  • MCH consultation: 2% [0-36%]
reasons for missed opportunities n 14
Reasons for missed opportunities (n=14)
  • Lack of information: 38% [10-79%]
  • Lack of vaccines: 31% [0-60%]
  • Unknown: 13% [0-44%]
  • Other: 11% [3-50%]
  • Long waiting time: 2% [0-6%]
  • Vaccinator absent: <1% [0-38%]
follow up surveys did it change
Follow-up surveys: Did it change?
  • PHCC Sae Saboa and Guidam Roumdji, Niger
  • November 2011 & January 2013
  • Missed vaccination opportunities in 0-11 months
conclusions
Conclusions
  • Performance needs to be improved
  • Reasons are easy to address
  • It can be done

 Where is the real missed opportunity in MSF?

recommendations
Recommendations
  •  Simplified tools available
  • Baseline study in EVERY project
  • Follow-up studies
  • … In the meantime: check and vaccinate!
acknowledgements

Acknowledgements

The national and international staff of all projects involved;

Marie-Eve Burny & Isabella Panunzi: Vaccination Referents;

Ilaria Porta & Ibrahim Barrie: MIO Vaccination;

Michel Van Herp: Head of the Disease Control Unit

The Operational Research Unit

ad