Lessons for strengthening childhood immunization in low- and middle-income countries from a successful public-private partnership in rural Nigeria

Ahonkhai, Aima A.; Odusanya, Olumuyiwa O.; Meurice, François; Pierce, Leslie; Durojaiye, Temitope O; Alufohai, Ewan F; Clemens, Ralf; Ahonkhai, Vincent I.

doi:10.1093/inthealth/ihab089

Cited by 7 publications

(5 citation statements)

References 15 publications

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“…Our findings complement existing literature that supported the use of CFIR to explore factors related to implementation. Support from international partners, GAVI, WHO, USAID, UNICEF, and others, and local community partners, religious leaders, traditional leaders, local media stations, community-based organizations, and others, in service provision and delivery have led to the successful rollout of childhood vaccines in low-income countries [ 25 , 26 ]. Adoption and implementation of policy initiatives or mandates like Reaching Every District is instrumental in enhancing vaccination coverage.…”

Section: Discussionmentioning

confidence: 99%

Drivers of early childhood vaccination success in Nepal, Senegal, and Zambia: a multiple case study analysis using the Consolidated Framework for Implementation Research

Escoffery,

Ogutu,

Sakas

et al. 2023

Implement Sci Commun

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Introduction The fundamental components of a vaccine delivery system are well-documented, but robust evidence is needed on how the related processes and implementation strategies — including the facilitators and barriers — contribute to improvements in childhood vaccination coverage. The purpose of this study was to identify critical facilitators and barriers to the implementation of common interventions across three countries that have dramatically increased coverage of early childhood vaccination over the past 20 years, and to qualify common or divergent themes in their success. Methods We conducted 278 key informant interviews and focus group discussions with public health leaders at the regional, district, and local levels and community members in Nepal, Senegal, and Zambia to identify intervention activities and the facilitators and barriers to implementation. We used thematic analysis grounded in the Consolidated Framework for Implementation Research (CFIR) constructs of inner and outer settings to identify immunization program key facilitators and barriers. Results We found that the common facilitators to program implementation across the countries were the CFIR inner setting constructs of (1) networks and communications, (2) goals and feedback, (3) relative priority, and (4) readiness for implementation and outer setting constructs of (5) cosmopolitanism and (6) external policies and mandates. The common barriers were incentives and rewards, available resources, access to knowledge and information, and patients’ needs and resources. Critical to the success of these national immunization programs were prioritization and codification of health as a human right, clear chain of command and shared ownership of immunization, communication of program goals and feedback, offering of incentives at multiple levels, training of staff central to vaccination education, the provision of resources to support the program, key partnerships and guidance on implementation and adoption of vaccination policies. Conclusion Adequate organizational commitment, resources, communication, training, and partnerships were the most critical facilitators for these countries to improve childhood vaccination.

show abstract

Section: Discussionmentioning

confidence: 99%

Drivers of early childhood vaccination success in Nepal, Senegal, and Zambia: a multiple case study analysis using the Consolidated Framework for Implementation Research

Escoffery,

Ogutu,

Sakas

et al. 2023

Implement Sci Commun

View full text Add to dashboard Cite

show abstract

“…Support from international partners-GAVI, WHO, USAID, UNICEF and others, and local community partners-religious leaders, traditional leaders, local media stations, community based organizations and others, in service provision and delivery have led to successful rollout of childhood vaccines in low-income countries [25,26]. Adoption and implementation of policy initiatives or mandates like Reaching Every District is instrumental in enhancing vaccination coverage.…”

Section: Discussionmentioning

confidence: 99%

Drivers of Early Childhood Vaccination Success in Nepal, Senegal, and Zambia: A Multiple Case Study Analysis Using the Consolidated Framework of Implementation Research

Escoffery

Ogutu

Sakas

et al. 2023

Preprint

View full text Add to dashboard Cite

Introduction The fundamental components of a vaccine delivery system are well-documented, but robust evidence is needed on how the related processes and implementation strategies - including the facilitators and barriers- contribute to improvements in childhood vaccination coverage. The purpose of this study was to identify critical facilitators and barriers to the implementation of common interventions across three countries that have dramatically increased coverage of early childhood vaccination over the past 20 years, and to qualify common or divergent themes in their success. Methods We conducted 277 key informant interviews and focus group discussions with public health leaders at the regional, district, and local levels and community members in Nepal, Senegal, and Zambia to identify intervention activities and the facilitators and barriers to implementation. We used thematic analysis grounded in the Consolidated Framework for Implementation Research (CFIR) to identify immunization program key facilitators and barriers. Results We found that the common facilitators to program implementation across the countries were the CFIR inner setting constructs of 1) networks and communications, 2) goals and feedback, 3) relative priority, and 4) readiness for implementation; and outer setting constructs of 4) cosmopolitanism and 5) external policies and mandates. The common barriers were incentives and rewards, available resources, access to knowledge and information, and patients needs and resources. Critical to the success of these national immunization programs were prioritization and codification of health as a human right, clear chain of command and shared ownership of immunization, communication of program goals and feedback, offering of incentives at multiple levels, training of staff central to vaccination education, the provision of resources to support the program, key partnerships and guidance on implementation and adoption of vaccination policies. Conclusion Adequate organizational commitment, resources, communication, training, and partnerships were the most critical facilitators for these countries to improve childhood vaccination.

show abstract

“…Support from international partners-GAVI, WHO, USAID, UNICEF and others, and local community partnersreligious leaders, traditional leaders, local media stations, community based organizations and others, in service provision and delivery have led to successful rollout of childhood vaccines in low-income countries [24,25]. Adoption and implementation of policy initiatives or mandates like Reaching Every District is instrumental in enhancing vaccination coverage.…”

Section: Discussionmentioning

confidence: 99%

Drivers of Early Childhood Vaccination Success in Nepal, Senegal, and Zambia: A Multiple Case Study Analysis Using the Consolidated Framework of Implementation Research

Escoffery

Ogutu

Sakas

et al. 2023

Preprint

View full text Add to dashboard Cite

Introduction The fundamental components of a vaccine delivery system are well-documented, but robust evidence is needed on how the related processes and implementation strategies - including the facilitators and barriers- contribute to improvements in childhood vaccination coverage. The purpose of this study was to identify critical facilitators and barriers to the implementation of common interventions across three countries that have dramatically increased coverage of early childhood vaccination over the past 20 years, and to qualify common or divergent themes in their success. Methods We conducted 277 key informant interviews and focus group discussions with public health leaders at the regional, district, and local levels and community members in Nepal, Senegal, and Zambia to identify intervention activities and the facilitators and barriers to implementation. We used thematic analysis grounded in the Consolidated Framework for Implementation Research (CFIR) to identify immunization program key facilitators and barriers. Results We found that the common facilitators to program implementation across the countries were the CFIR inner setting constructs of 1) networks and communications, 2) goals and feedback, 3) relative priority, and 4) readiness for implementation; and outer setting constructs of 4) cosmopolitanism and 5) external policies and mandates. The common barriers were incentives and rewards, available resources, access to knowledge and information, and patients needs and resources. Critical to the success of these national immunization programs were prioritization and codification of health as a human right, clear chain of command and shared ownership of immunization, communication of program goals and feedback, offering of incentives at multiple levels, training of staff central to vaccination education, the provision of resources to support the program, key partnerships and guidance on implementation and adoption of vaccination policies. Conclusion Adequate organizational commitment, resources, communication, training, and partnerships were the most critical facilitators for these countries to improve childhood vaccination.

show abstract

Lessons for strengthening childhood immunization in low- and middle-income countries from a successful public-private partnership in rural Nigeria

Cited by 7 publications

References 15 publications

Drivers of early childhood vaccination success in Nepal, Senegal, and Zambia: a multiple case study analysis using the Consolidated Framework for Implementation Research

Drivers of early childhood vaccination success in Nepal, Senegal, and Zambia: a multiple case study analysis using the Consolidated Framework for Implementation Research

Drivers of Early Childhood Vaccination Success in Nepal, Senegal, and Zambia: A Multiple Case Study Analysis Using the Consolidated Framework of Implementation Research

Drivers of Early Childhood Vaccination Success in Nepal, Senegal, and Zambia: A Multiple Case Study Analysis Using the Consolidated Framework of Implementation Research

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