Provision of Integrated Services

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3.2.4 Provision of integrated services. Provision of integrated services was noted as innovative. A situation analysis is done before conducting the integrated services to find out who are they, where are they located and why are not being immunized or being missed. The next step is the integration immunization services with other programmes such as, Malaria (Insecticide Treated Nets) Vitamin A and plump nuts provision to increasing coverage , access and demand for immunization services with more focusing on rural remote areas , urban slums and hard to reach areas . 3.2.5 Utilization of community health worker and non health personnel. Utilization of community health worker and non health personnel (influential person in the community) was noted as innovative. In Burkina Faso, community health worker and community representatives, maintain lists of women and children who need immunizations, conduct house-to-house visits to identify eligible children and refer them to the nearest health centre or outreach session. Likewise, non health personnel are used to mobilize communities for immunization. The non health personnel are also incorporated at health centre level with the establishment of village health committee and Health Centre Management Committee (Comate de Gestion du Centre de Santé). The non health workers are the champions of immunization services and other health services in their own communities. They are used to identify children who are not immunised and this enhances community participation in health services with a goal of complete coverage of immunization services. 3.2.6. Involvement of political and religious’ leaders. Involvement of political leaders and religious leaders was one of the innovativ... ... middle of paper ... ...nt donor funded. The issue of future financing of the immunization programme was, and still is, an increasing concern for all the stakeholders involved in the EPI (Eie, 2008). The donor dependency has an impact on the introduction of new vaccines such as Hepatitis B which is found to be relatively expensive compared to the basic antigens, suggesting that their introduction needs to be carefully planned, and options such as phasing in by regions or targeted populations should be considered. MDG-4 will be missed unless the local resource of funding are tapped and mobilized It is also important to consider whether introducing a new vaccine will not adversely affect the use of the six traditional EPI antigens.( Ministere de la santé Côte d’Ivoire 2007°). In Benin, Burkina Faso and Côte d’ivoire political will is need to defeat child mortality (Richard 2006). CH
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