Implementation of an Immunisation Project for the Refugees Using the Logic Model

Abstract

Refugees worldwide have been a challenge to many countries. Threats of preventable immunisable diseases amongst children that disrupt the herd immunity have been a concern as many countries lack a structured national policy to administer full vaccines to these refugees. Full immunisation coverage not only protected the refugees but also safeguarded the children of the home country. We designed a collaborative university-based community service partnership with UNHCR and International-Organisation-for-Migration, implemented a practice-integrated immunisation service initiative with the local community. This paper described the implementation process of an immunisation project for the refugees using the evaluative Logic Model. This model diagrammatically shows the relationships between the program's objectives, program activities, process indicators, outcomes, and resources used. It applies to program planning, operation, evaluation and address questions for decision making. The aim was to provide refugees' children below 18-years the complete doses of the national scheduled immunisation. The immunisation was given in six refugees-learning-centres in a total of 31 visits. The workflow includes administering the immunisation, health education, triaging, data collection, and monitoring the children immunised. A total of 1116 children received full immunisation within a period of eighteen months. Vaccines given were Pentavalent, Hepatitis B, Tetanus-Diphtheria, and Mumps-Measles-Rubella. This project has achieved more than 80% immunisation coverage for all the vaccines except Pentavalent (<50%). The Logic Model is useful for developing, implementing, and evaluating knowledge co-production partnerships in the context of a community delivery system in this project.