Volume 36, Issue 3, June 2022, Pages 818–831
Kakule Muhindo Omer1, Rosebela Onyango2, and Careena Otieno Odawa3
1 Great Lakes University of Kisumu, Department of community health, RD Congo
2 Great Lakes University of Kisumu, Department of community health, RD Congo
3 Great Lakes University of Kisumu, Department of community health, RD Congo
Original language: English
Copyright © 2022 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Nowadays, public health interventions remain the driving force in promoting population health, especially in developing countries where communicable diseases still present a very worrying frequency. Despite the establishment of structured outreach teams, follow-up and monitoring are essential activities to ensure correction and catalyze effective delivery of immunization services. During this study, we conducted regular monitoring of AVM vaccination and motivated community health workers on sensitization, rumor management, and minimizing resistance to AVM vaccination in order to improve the AVM coverage rate and increase measles case reporting. Methods: A Quasi-Experimental Study and action research, led in the Karisimbi as an experimental Zone and Goma Health zone as a control Zone. Supervision of Community Health Workers was done by the team consisting of researchers at the health areas and the district-level health staff conducted supportive supervision of community health workers. During these supervisory visits, the team ensured knowledge of signal definitions and checked that community health workers correctly identified the measles cases, and the unvaccinated children and managed messages correctly. A structured interview was conducted for data collection and Focus Group Discussions (FGDs) were organized in the health areas for qualitative data to collect the opinions of community health workers on non-participation in measles social mobilization activities. A questionnaire grid and a focused discussion guide were used as data collection tools. The data collection was done in Kobo collection while the analysis and processing were SPSS 18 software. To estimate the degree of significance between the effectiveness of community health workers' training and the AVM vaccine administration, the study used the Odds Ratio test at a Confidence interval of 5%. Findings: The frequency of cases increased progressively over the months following the different techniques used for intervention. More than 4346 CHILDREN cases were vaccinated in routine activities and 4346 unvaccinated children at the VAR were recovered and 152 measles cases were identified. Resistance and rumors were circumvented by using model lessons from the presidents of the community relays through vaccination of relatives. Conclusion: The results showed that monitoring and follow-up had an important influence on the motivation of workers.
Author Keywords: anti-vaccine measles, vaccination, community health workers, monitoring and fellow up, training.
Kakule Muhindo Omer1, Rosebela Onyango2, and Careena Otieno Odawa3
1 Great Lakes University of Kisumu, Department of community health, RD Congo
2 Great Lakes University of Kisumu, Department of community health, RD Congo
3 Great Lakes University of Kisumu, Department of community health, RD Congo
Original language: English
Copyright © 2022 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Nowadays, public health interventions remain the driving force in promoting population health, especially in developing countries where communicable diseases still present a very worrying frequency. Despite the establishment of structured outreach teams, follow-up and monitoring are essential activities to ensure correction and catalyze effective delivery of immunization services. During this study, we conducted regular monitoring of AVM vaccination and motivated community health workers on sensitization, rumor management, and minimizing resistance to AVM vaccination in order to improve the AVM coverage rate and increase measles case reporting. Methods: A Quasi-Experimental Study and action research, led in the Karisimbi as an experimental Zone and Goma Health zone as a control Zone. Supervision of Community Health Workers was done by the team consisting of researchers at the health areas and the district-level health staff conducted supportive supervision of community health workers. During these supervisory visits, the team ensured knowledge of signal definitions and checked that community health workers correctly identified the measles cases, and the unvaccinated children and managed messages correctly. A structured interview was conducted for data collection and Focus Group Discussions (FGDs) were organized in the health areas for qualitative data to collect the opinions of community health workers on non-participation in measles social mobilization activities. A questionnaire grid and a focused discussion guide were used as data collection tools. The data collection was done in Kobo collection while the analysis and processing were SPSS 18 software. To estimate the degree of significance between the effectiveness of community health workers' training and the AVM vaccine administration, the study used the Odds Ratio test at a Confidence interval of 5%. Findings: The frequency of cases increased progressively over the months following the different techniques used for intervention. More than 4346 CHILDREN cases were vaccinated in routine activities and 4346 unvaccinated children at the VAR were recovered and 152 measles cases were identified. Resistance and rumors were circumvented by using model lessons from the presidents of the community relays through vaccination of relatives. Conclusion: The results showed that monitoring and follow-up had an important influence on the motivation of workers.
Author Keywords: anti-vaccine measles, vaccination, community health workers, monitoring and fellow up, training.
How to Cite this Article
Kakule Muhindo Omer, Rosebela Onyango, and Careena Otieno Odawa, “The effectiveness of the vaccine monitoring and follow up of community health workers on the uptake vaccine measles vaccine coverage among children under 5 years: A quasi-experimental study led in Goma and Karisimbi health zone in Goma city North Kivu, Democratic Republic of Congo,” International Journal of Innovation and Applied Studies, vol. 36, no. 3, pp. 818–831, June 2022.
