| Author: Sarah Jane Sheldon and Cathrien Alons |
| InfoShare Partner: CHANGE Project (Academy for Educational Development and The Manoff Group) |
| Publication Date: July 2003 |
| Update Date: August 2003 |
| Type of Document: Article/Report/Paper |
| Topics: Immunization |
| Region: Sub-Saharan Africa |
| Language: English |
| Number of Pages: 47 |
| File Size: 735 KB |
| File Format: Adobe Acrobat (PDF) To read PDF files, you must have Acrobat Reader installed. Visit Adobe's web site to get a free copy of Acrobat Reader. [download here]
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The Ministry of Health’s (MOH) Expanded Program on Immunization (EPI) has recognized a number of barriers to higher and more timely vaccination coverage, including vaccine stock ruptures; lack of fixed facilities within easy access of approximately half of the population; shortage of well-trained field staff; and misconceptions regarding vaccination by primary care givers and families. Much of the population does not speak Portuguese, and 70 percent of women country-wide are illiterate, compounding the challenge of public education. A number of these factors are the legacy of decades of war, during which health facilities and schools were destroyed, trained staff were lost, and few new professionals were trained.
Little objective, systematic data exists to describe the Mozambican situation with regards to vaccination. An international country case study on communication support for immunization (UNICEF, WHO/AFRO, and USAID 1999) recommended formative research on barriers to and motivations for improving immunization performance.
USAID funded the MOH, through Project CHANGE, to conduct such a study during 2002/3. This report presents study results. Implementation
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