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Improving childhood immunization service delivery in Cameroon: A synthesis of caregiver experiences and recommendations

Article scientifique 2023 Anglais

Résumé

Abstract Background: A ‘people-centered’ approach is one of the core principles of the immunization agenda (IA) 2030 and emphasizes the need for services to be organized around the needs and expectations of individuals and the community. A better understanding of the immunization experience from the client’s perspective is key to guiding design of policies and interventions aimed at improving immunization delivery and coverage.This study provides a synthesis of the immunization experiences of children’s caregivers in Cameroon, highlighting potential barriers for timely and complete immunization. Methods: A descriptive cross-sectional study was conducted, targeting caregivers of children brought to selected health facilities for immunization in all ten regions of Cameroon. Using structured questionnaires, data were collected from caregivers and analyzed using STATA version 13. Results: In total, 1,230 caregivers were interviewed in 265 health facilities. The median age of participants was 27 years and the median number of children per caregiver was two children. Most (87%) of the study participants reported to be satisfied with immunization service delivery. The median waiting time for vaccination was 1 hour 48 minutes, with regional median waiting times ranging from 18 minutes in the South region to 4 hours 6 minutes in the North region. About a quarter (24%) of surveyed participants reported to have presented to a health facility for immunization services and were turned away without achieving the purpose for which they came at least once. About half (48%) of the caregivers had never heard about planned vaccination activities in their communities Conclusion: While most caregivers appeared to be satisfied with immunization service delivery in Cameroon, our study highlights some notable caregiver concerns which if addressed, may go a long way to enhance the immunization experience of caregivers in Cameroon, build trust in immunization services and thus improve vaccination uptake.

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Saidu, Y., Gu, J., Ngenge, B., Nchinjoh, S., Amani, A., Edwidge, N., Muteh, N., Zambou, V., Mbanga, C., Agbor, V., Diaby, O., Njoh, A., Flegere, J., Diack, D., Wiwa, O., Montomoli, E., Clemens, S. (2023). Improving childhood immunization service delivery in Cameroon: A synthesis of caregiver experiences and recommendations. https://doi.org/10.21203/rs.3.rs-3319252/v1

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Auteur(s)

Yauba Saidu Jessica Gu Budzi Michael Ngenge Sangwe Clovis Nchinjoh Adidja Amani Nnang Nadege Edwidge Nkwain Jude Muteh Vouking Marius Zambou Clarence Mbanga Valirie Ndip Agbor Ousmane Diaby Andreas Ateke Njoh Junie Flegere Demba Diack Owens Wiwa Emmanuele Montomoli Sue Ann Costa Clemens

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