| dc.description.abstract | Background: There is still low level of immunisation as a result of failure to comply with immunisation schedules of children under five years which results into increased mortality from the vaccine preventable diseases. The aim of this study was therefore to examine parents and care givers’ views on factors affecting compliance with immunisation schedules of children under five years.
Methods: In this qualitative study, secondary data inform of interview transcripts was used already generated from a child immunization services delivery project, pathways and land scape analysis in rural and urban health care settings in Uganda recorded from health care providers, parents and caregivers. This data set was accessed through the website: http://aqcid.mak.ac.ug/. The parent study observed and recorded ten different immunization sessions (1 hospital, 3 health centers (H.C) IV, 1 H.C III, 2 H.C II, 3 outreaches). There were 10 transcripts were analyzed for parents and care givers and health care providers.
Results: Parents and care givers’ identified enablers to compliance with immunisation schedules and hindrances to compliance. Enablers included: motivations and knowledge updates, while. hindrances to compliance were mostly misconception, socio cultural influence, and lack of access to health Centre. Heath facility related factors affecting compliance with immunisation were categorized as misconceptions, geographical mobility, socio- cultural impacts, adequate knowledge and adequate resources. The challenges of geographical accessibility and coverage exist in immunization services in both public and private health facilities. Stock out frustrates clients and necessitates extra appointments. Supplies used are sometimes insufficient to meet the numbers of clients and some vaccines were missing. Need for time sensitive schedules including afternoon or evenings was highlighted. The health facility scheduled routine immunization days are not sufficient to handle all the women, some people routinely miss their scheduled dates.
Conclusion: Key barriers that need improvement include: access to immunization services in remote areas; quality of services; vaccine shortage in rural areas. There is need for prioritization of hard-to-reach communities, connecting health centers and these communities to reduce social distance. Improving access, quality and use of immunization services is critical for compliance. | en_US |
