ArticleJournal of pharmaceutical policy and practice2021
Impact of the first phase of COVID-19 pandemic on childhood routine immunisation services in Nepal: a qualitative study on the perspectives of service providers and users.
Article in Journal of pharmaceutical policy and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Impact of COVID-19 among women seeking abortion services in Nepal: results from a longitudinal study.Archives of public health = Archives belges de sante publique · 2025Article
- Intersectoral collaboration and health system resilience during COVID-19: learnings from Ahmedabad, India.Health policy and planning · 2024Article
- Effects of COVID-19, control measures, and program adaptation on prevention of mother-to-child HIV transmission service uptake in Central Region, Uganda.BMC public health · 2024Article
- COVID-19 related disruption and resilience in immunisation activities in LMICs: a rapid review.BMJ open · 2024Review
- Identifying characteristics that enable resilient immunisation programmes: a scoping review.BMJ open · 2024Article
- Effect of the COVID-19 pandemic on utilization of essential health services in Iran evidence from an interrupted time series analysis.BMC public health · 2024Article
- Factors affecting on compliance of childhood immunization in Ilam District of Nepal; A case-control study.Dialogues in health · 2023Article
- Balancing Routine and Pandemic: The Synergy of India's Universal Immunization Program and COVID-19 Vaccination Program.Vaccines · 2023Review
- Pandemic disruptions in vaccine uptake in a low-income setting: a qualitative inquiry.BMC proceedings · 2023Article
- Reasons for reductions in routine childhood immunisation uptake during the COVID-19 pandemic in low- and middle-income countries: A systematic review.PLOS global public health · 2023Article
- BACKSLIDING ON CHILDHOOD IMMUNIZATIONS DUE TO ONGOING COVID-19 PANDEMIC: A RETROSPECTIVE STUDY IN BANADIR REGION, SOMALIA.African journal of infectious diseases · 2023Article
- Impact of COVID-19 on routine childhood immunisations in low- and middle-income countries: A scoping review.PLOS global public health · 2023Article
- Primary Health Center: Can it be made mobile for efficient healthcare services for hard to reach population? A state-of-the-art review.Discover health systems · 2023Review
- Water, sanitation, hygiene practices, health and nutritional status among children before and during the COVID-19 pandemic: longitudinal evidence from remote areas of Dailekh and Achham districts in Nepal.BMC public health · 2022Article
- Assessment of Disruption of Routine Childhood Immunization in Developing Countries Due to Pandemic.Cureus · 2022Review
- Perception towards vaccine effectiveness in controlling COVID-19 spread in rural and urban communities: A global survey.Frontiers in public health · 2022Article
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe COVID-19 pandemic has disproportionately affected all essential healthcare services delivery in low-resource settings. This study aimed to explore the challenges and experiences of providers and users of childhood immunisation services in Nepal during the COVID-19 pandemic.
methodsSemi-structured qualitative interviews were conducted with childhood immunisation service providers and users (i.e., parents of children) from Kathmandu valley, Nepal. All interviews were conducted through phone or internet-based tools, such as Zoom, WhatsApp, and messenger. All interviews were audio-recorded, transcribed verbatim, and analysed using theme-based content analysis in an Excel spreadsheet.
resultsA total of 15 participants (n = 7 service providers and n = 8 service users) participated. Six themes were identified, namely: (1) impact of COVID-19 and lockdown on childhood immunisation services; (2) motivation and resilience for childhood immunisation; (3) Biosafety practices and Personal Protective Equipment (PPE) availability during the COVID-19 pandemic; (4) service adjustments and guidelines during pandemic; (5) availability of vaccines; and (6) immunisation program resilience in view of COVID-19. Service providers mentioned facing disruptions in services and some parents had decided to delay scheduled immunisation. However, most service providers showed determinations to deliver the services with high morale, while most service users reported taking their children for immunisation. Families migrating from urban to rural areas during the pandemic led to service providers having no means to confirm complete immunisation of migrating children. Service providers also experienced lack of adequate guidance to deal with the pandemic and personal protective equipment to protect themselves and service users.
conclusionDespite experiencing disruptions in childhood immunisation service due to the COVID-19 pandemic, service users and providers were determined to vaccinate the children. There is an urgent need for effective preparedness plans to be in place to address the observed barriers and to ensure resilient immunisation services during ongoing and future pandemics.
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