Publication: Impact of measles elimination activities on immunization services and health systems: Findings from six countries
Issued Date
2011-07-01
Resource Type
ISSN
00221899
Other identifier(s)
2-s2.0-79960851883
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Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Infectious Diseases. Vol.204, No.SUPPL. 1 (2011)
Suggested Citation
P. Hanvoravongchai, S. Mounier-Jack, V. Oliveira Cruz, D. Balabanova, R. Biellik, Y. Kitaw, T. Koehlmoos, S. Loureiro, M. Molla, H. Nguyen, P. Ongolo-Zogo, U. Sadykova, H. Sarma, M. Teixeira, J. Uddin, A. Dabbagh, U. K. Griffiths Impact of measles elimination activities on immunization services and health systems: Findings from six countries. Journal of Infectious Diseases. Vol.204, No.SUPPL. 1 (2011). doi:10.1093/infdis/jir091 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/12464
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Title
Impact of measles elimination activities on immunization services and health systems: Findings from six countries
Other Contributor(s)
Mahidol University
London School of Hygiene & Tropical Medicine
Independent Department
Independent Department
ICDDRB, Division of Health Systems and Infectious Diseases
Universidade Federal da Bahia
Addis Ababa University
Hanoi School of Public Health
Central Hospital of Yaounde FMBS
Organisation Mondiale de la Sante
London School of Hygiene & Tropical Medicine
Independent Department
Independent Department
ICDDRB, Division of Health Systems and Infectious Diseases
Universidade Federal da Bahia
Addis Ababa University
Hanoi School of Public Health
Central Hospital of Yaounde FMBS
Organisation Mondiale de la Sante
Abstract
Background. One of the key concerns in determining the appropriateness of establishing a measles eradication goal is its potential impact on routine immunization services and the overall health system. The objective of this study was to evaluate the impact of accelerated measles elimination activities (AMEAs) on immunization services and health systems in 6 countries: Bangladesh, Brazil, Cameroon, Ethiopia, Tajikistan, and Vietnam. Methods. Primary data were collected from key informant interviews and staff profiling surveys. Secondary data were collected from policy documents, studies, and reports. Data analysis used qualitative approaches. Results. This study found that the impact of AMEAs varied, with positive and negative implications in specific immunization and health system functions. On balance, the impacts on immunization services were largely positive in Bangladesh, Brazil, Tajikistan, and Vietnam, while negative impacts were more significant in Cameroon and Ethiopia. Conclusions. We conclude that while weaker health systems may not be able to benefit sufficiently from AMEAs, in more developed health systems, disruptions to health service delivery are unlikely to occur. Opportunities to strengthen the routine immunization service and health system should be actively sought to address system bottlenecks in order to incur benefits to eradication program itself as well as other health priorities. © The Author 2011. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved.