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Evaluation of the Quality of Expanded Program on Immunization Service Delivery in Primary Health Care Institutions of Jigjiga Zone Somali Region, Eastern Ethiopia

Received: 7 June 2015    Accepted: 21 June 2015    Published: 8 July 2015
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Abstract

Introduction: quality is an integral part in EPI. Being pastoralist life style, poor infrastructure was considered the main reasons behind low coverage in this region. Therefore, the main aim of this study was to assess the quality of EPI service delivery in primary health care institutions of jigjiga zone Somali of region. Method: institution based cross-sectional study was carried out to assess the status of EPI service in PHCU of Jijiga zone, Somali region, from December 2011 to March 2012. Institutions were selected based on simple random sampling technique using mixed approaches. Results: This study has described the characteristics of quality of EPI service input, service process and service outcome main finding disclosed by this study, showed that almost the service is accessible to the care takers, most of the institution visited have adequate logistics and supplies and the service providers claiming, more than half of the mothers were satisfied with EPI services. The overall satisfaction in this study was 53.3%. Out of 422 study participants, 405 (96%) of the mothers/care takers were satisfied with the reception of the health workers. Conclusion: the study showed that half of the mothers yet not satisfied with the quality of the services. Therefore, to improve client satisfaction, waiting time should be kept as short as possible, in-service training/communication skill, outreach allowance should be considered for the service providers should be concerned woreda health offices, and further study in the area has to be made to dig out more factors affecting the service utilization of EPI.

Published in European Journal of Preventive Medicine (Volume 3, Issue 4)
DOI 10.11648/j.ejpm.20150304.14
Page(s) 117-123
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Quality, Pastoralist Community, Evaluation, Ethiopia

References
[1] WHO, 2009 World Health Organization ensuring the quality of vaccine at country level: Guidelines for health staff WHO: 2009: 1-30.
[2] Koumaré AD. Traore, F. et al. 2009. Evaluation of immunization coverage within the Expanded Program on Immunization in Kita Circle, Mali: a cross-sectional survey BMC International Health and Human Rights9(1):13.
[3] WHO, UNICEF, World Bank. State of the world’s vaccines andimmunization, 3rd ed. Geneva, World Health Organization, 2009
[4] Ronveaux O. et al.The Immunization data audit. Verifying the quality and consistency of immunization monitoring systems, Bull world Health org. 2005, 83: 503-10
[5] Yemane B, 2008. Universal Childhood Immunization: a realistic yet not achieved goal, Ethiopian journal of Health Development; 22 (2)
[6] United Nations children fund (UNICEF), World health Organization (WHO); 2007. Quarterly technical bulletin for managers of immunization services and health professionals, vaccines and immunization, Issue No. 1 Vol. 1, accessed on December 15, 2011
[7] Ethiopia Demographic and Health Survey (EDHS), 2011. Preliminary Report Central statistical Agency Addis Ababa, Ethiopia Measure DHS, Icf Macro Calverton, Maryland, USA
[8] Abdosh B: The quality of hospital services in eastern Ethiopia: Patient's Perspective.Ethiop J Health Dev 2006, 20:199-200.
[9] Stephen J & R. Paul, 2003 Introduction to health service the 5thedition. Assessing and implementing quality of care 2005, 467-73.
[10] Peabody, W.John, M. Taguiwalo, Robalino, A. David and J. Frenk, 2004 Disease control priorities in developing countries: Improving the Quality of Care in Developing Countries.
[11] Teshome, T. Assessment of quality of service delivery in immunization in West Gojam. AAU (unpublished)
[12] Berhane, y. Bekele, A. Tesfaye, F. A special issue on immunization (EPI) in Ethiopia: Acceptance coverage, and sustainability ENJ April 2004; 38 (supplement) 35-55.North showa
[13] Donabedian A. 1999. The quality of care how it can be measured? Archives of pathology and laboratory medicine
[14] Jalal-EddeenAbubakar Saleh, HarunaIsmailaAdamu, Adamu Ibrahim Ningi. NNT Elimination and the Nigeria’s Health System: Where is the Missing Link. Science Journal of Public Health. Vol. 3, No. 3, 2015, pp. 417-422. doi: 10.11648/j.sjph.20150303.28.
[15] MedozaAldana J. etal client satisfaction and quality of health care in rural Bangladesh. Bull world Health org. 2005, 79 (6): 512-7
[16] Yibeltal K etal, 2010. Quality of Expanded Program on Immunization In Primary Health Care Facilities In Wolaita Zone, South Ethiopia, 2010
[17] Hennery P. et al. a comprehensive assessment of quality of immunization service in one major area of Dhaka city Bangladesh, Tropical Medicine and international health. December 1998 3/1/:981-992.
[18] Ethiopia Demographic and Health Survey (EDHS), 2005. Central statistical Agency Addis Ababa, Ethiopia Measure Dhs, Icf Macro Calverton, Maryland, USA
[19] Kidane T. and Takie M. Factors influencing child immunization coverage in rural district of Ethiopia, Ethiopian Journal of health development 2000, 17(2):105-110.
[20] Lankester T. Setting up community health programmes. Practical manual for use in developing countries, 2nd ed., London, pp 153-165
[21] NugusseAshene, 2006.Assessment of Quality of Expanded Program on Immunization in Oromia Zone of Amhara Region, (unpublished theses) Addis Ababa University School of Graduates Studies, Addis Ababa
[22] Birhanu Z , Assefa T, Woldie M, Morankar S. Quality of vaccination services and social demand for vaccinations in Africa and Asia. BMC Health Services Research 2010, 10:78.
[23] YeshambelAgumasAmbelie, AmsaluFelekeDemssie, MeashoGbreslassieGebregziabher. Patients’ Satisfaction and Associated Factors among Private Wing Patients at BahirdarFelegeHiwot Referral Hospital, North West Ethiopia. Science Journal of Public Health. Vol. 2, No. 5, 2014, pp. 417-423. doi: 10.11648/j.sjph.20140205.17
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  • APA Style

    Ali Abdi Salah, Nega Baraki, Gudina Egata, Wanzahun Godana. (2015). Evaluation of the Quality of Expanded Program on Immunization Service Delivery in Primary Health Care Institutions of Jigjiga Zone Somali Region, Eastern Ethiopia. European Journal of Preventive Medicine, 3(4), 117-123. https://doi.org/10.11648/j.ejpm.20150304.14

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    ACS Style

    Ali Abdi Salah; Nega Baraki; Gudina Egata; Wanzahun Godana. Evaluation of the Quality of Expanded Program on Immunization Service Delivery in Primary Health Care Institutions of Jigjiga Zone Somali Region, Eastern Ethiopia. Eur. J. Prev. Med. 2015, 3(4), 117-123. doi: 10.11648/j.ejpm.20150304.14

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    AMA Style

    Ali Abdi Salah, Nega Baraki, Gudina Egata, Wanzahun Godana. Evaluation of the Quality of Expanded Program on Immunization Service Delivery in Primary Health Care Institutions of Jigjiga Zone Somali Region, Eastern Ethiopia. Eur J Prev Med. 2015;3(4):117-123. doi: 10.11648/j.ejpm.20150304.14

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  • @article{10.11648/j.ejpm.20150304.14,
      author = {Ali Abdi Salah and Nega Baraki and Gudina Egata and Wanzahun Godana},
      title = {Evaluation of the Quality of Expanded Program on Immunization Service Delivery in Primary Health Care Institutions of Jigjiga Zone Somali Region, Eastern Ethiopia},
      journal = {European Journal of Preventive Medicine},
      volume = {3},
      number = {4},
      pages = {117-123},
      doi = {10.11648/j.ejpm.20150304.14},
      url = {https://doi.org/10.11648/j.ejpm.20150304.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20150304.14},
      abstract = {Introduction: quality is an integral part in EPI. Being pastoralist life style, poor infrastructure was considered the main reasons behind low coverage in this region. Therefore, the main aim of this study was to assess the quality of EPI service delivery in primary health care institutions of jigjiga zone Somali of region. Method: institution based cross-sectional study was carried out to assess the status of EPI service in PHCU of Jijiga zone, Somali region, from December 2011 to March 2012. Institutions were selected based on simple random sampling technique using mixed approaches. Results: This study has described the characteristics of quality of EPI service input, service process and service outcome main finding disclosed by this study, showed that almost the service is accessible to the care takers, most of the institution visited have adequate logistics and supplies and the service providers claiming, more than half of the mothers were satisfied with EPI services. The overall satisfaction in this study was 53.3%. Out of 422 study participants, 405 (96%) of the mothers/care takers were satisfied with the reception of the health workers. Conclusion: the study showed that half of the mothers yet not satisfied with the quality of the services. Therefore, to improve client satisfaction, waiting time should be kept as short as possible, in-service training/communication skill, outreach allowance should be considered for the service providers should be concerned woreda health offices, and further study in the area has to be made to dig out more factors affecting the service utilization of EPI.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Evaluation of the Quality of Expanded Program on Immunization Service Delivery in Primary Health Care Institutions of Jigjiga Zone Somali Region, Eastern Ethiopia
    AU  - Ali Abdi Salah
    AU  - Nega Baraki
    AU  - Gudina Egata
    AU  - Wanzahun Godana
    Y1  - 2015/07/08
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ejpm.20150304.14
    DO  - 10.11648/j.ejpm.20150304.14
    T2  - European Journal of Preventive Medicine
    JF  - European Journal of Preventive Medicine
    JO  - European Journal of Preventive Medicine
    SP  - 117
    EP  - 123
    PB  - Science Publishing Group
    SN  - 2330-8230
    UR  - https://doi.org/10.11648/j.ejpm.20150304.14
    AB  - Introduction: quality is an integral part in EPI. Being pastoralist life style, poor infrastructure was considered the main reasons behind low coverage in this region. Therefore, the main aim of this study was to assess the quality of EPI service delivery in primary health care institutions of jigjiga zone Somali of region. Method: institution based cross-sectional study was carried out to assess the status of EPI service in PHCU of Jijiga zone, Somali region, from December 2011 to March 2012. Institutions were selected based on simple random sampling technique using mixed approaches. Results: This study has described the characteristics of quality of EPI service input, service process and service outcome main finding disclosed by this study, showed that almost the service is accessible to the care takers, most of the institution visited have adequate logistics and supplies and the service providers claiming, more than half of the mothers were satisfied with EPI services. The overall satisfaction in this study was 53.3%. Out of 422 study participants, 405 (96%) of the mothers/care takers were satisfied with the reception of the health workers. Conclusion: the study showed that half of the mothers yet not satisfied with the quality of the services. Therefore, to improve client satisfaction, waiting time should be kept as short as possible, in-service training/communication skill, outreach allowance should be considered for the service providers should be concerned woreda health offices, and further study in the area has to be made to dig out more factors affecting the service utilization of EPI.
    VL  - 3
    IS  - 4
    ER  - 

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Author Information
  • Somili Region Health Bureau, EPI coordinator, Jigjga, EasternEthiopia

  • School of Public Health, College Health and Medical Sciences, HaramayaUniversity, Harar, Ethiopia

  • School of Public Health, College Health and Medical Sciences, HaramayaUniversity, Harar, Ethiopia

  • Department of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia

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