Improving Immunization Service in Benin, Burkina Faso and Côte d'Ivoire

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1.1 Statement of the Problem The problems of formal health services and the challenges in sub-Saharan Africa have been widely documented. Findings from other current studies reveal a myriad of failures in the supply and demand side of health services. Access to formal services is also impinged by distance and financial factors; service quality is extremely very poor and is highly characterized by drug and staff shortages, lack of political commitment, poor infrastructure and negligence among health staff (Kadzandira and Chalowa, 2001). However in Benin, Burkina Faso and Côte d’ivoire these factors has lead to continued low (performance, coverage and stagnating) immunisation services since 2005.This lack of services is leading to both high incidents child mortality rates( Benin at 157, Burkina Faso at 184 and Côte d’ivoire,187) (GAVI, 2008), and morbidity rates as well. The observation of resurgence of vaccine preventable disease such as Measles, Polio (appendix III, map 1& 2), Meningitis and Yellow Fever is the clear indication for urgent solution and intervention. CHAPTER. 2. METHODOLOGY. 2.1 Study Objectives The overall goal was to isolate practical solutions available to improve immunization service in Benin, Burkina Faso and Côte d'Ivoire. This is part of the ongoing program for Agence de Médicine Préventive (AMP); ADVocacy for IMMunization (ADVIM) initiatives. ADVIM aims to strengthen the national capacities for advocating and financing immunization programs in three GAVI-eligible Francophone African countries. The primary objectives of this study were; 1) To explore problems with expanded program on immunization ranging from health system, social economic, cultural and access factors. 2) To explore financ... ... middle of paper ... ...developed subthemes about the underlying structure of experiences or processes which are evident in the text (raw data) (Creswell, 2002) Thereafter the researcher looked at common themes and subthemes and the relationship that need to be interpreted and synthesized (ibid). A summarization of the information gathered was done using tables according to the variables and objectives of the research. A premier qualitative report was written using Microsoft word. 2.4 Limitation of the Study No effort was made to verify and to validate the strength of the methodology for each paper we reviewed in the Memories Operational Research (MRO). Our major concern was to identify and analyze practices in the expanded programs on immunization Benin, Burkina Faso and Côte d'Ivoire and what intervention could be isolated as best practices to improve immunization services.

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