Evidence map›Paper›PMID 39772090›Full record

ArticleVaccines2024

Improving Childhood Immunization Service Delivery in Cameroon: A Synthesis of Caregiver Experiences and Recommendations.

Yauba Saidu, Jessica Gu, Budzi Michael Ngenge, Sangwe Clovis Nchinjoh, Amani Adidja, Nnang Edwidge, Nkwain Muteh, Clarence Mbanga, Diaby Ousmane, Andreas Njoh and 4 more

Abstract read
In one paragraph

Article in Vaccines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Yauba SaiduClinton Health Access Initiative Inc., Yaoundé P.O. Box 2664, Cameroon.ORCID 0000-0002-0571-0074
Jessica GuGlobal Vaccine Team, Clinton Health Access Initiative Inc., Boston, MA 02127, USA.
Budzi Michael NgengeClinton Health Access Initiative Inc., Yaoundé P.O. Box 2664, Cameroon.ORCID 0000-0002-1927-1981
Sangwe Clovis NchinjohClinton Health Access Initiative Inc., Yaoundé P.O. Box 2664, Cameroon.ORCID 0000-0002-5535-133X
Amani AdidjaFaculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé 3077, Cameroon.ORCID 0000-0002-4917-3995
Nnang EdwidgeClinton Health Access Initiative Inc., Yaoundé P.O. Box 2664, Cameroon.
Nkwain MutehGavi, the Vaccine Alliance, 1218 Geneva, Switzerland.
Clarence MbangaClinton Health Access Initiative Inc., Yaoundé P.O. Box 2664, Cameroon.ORCID 0000-0002-9738-4543
Diaby OusmaneDepartment of Studies and Projects, Ministry of Public Health, Yaoundé 3038, Cameroon.
Andreas NjohExpanded Program on Immunization, Cameroon Ministry of Public Health, P.O. Box 2084, Yaoundé 3038, Cameroon.
Junie FlegereGavi, the Vaccine Alliance, 1218 Geneva, Switzerland.
Demba DiackGavi, the Vaccine Alliance, 1218 Geneva, Switzerland.
Emanuele MontomoliInstitute for Global Health, University of Siena, 53100 Siena, Italy.
Sue Ann Costa ClemensInstitute for Global Health, University of Siena, 53100 Siena, Italy.

Funding

Bill & Melinda Gates Foundation Not available
6 · The paper itself

Abstract

BACKGROUND/

objectivesA "people-centered" approach is one of the core principles of the Immunization Agenda (IA) 2030 and emphasizes the need for services to be organized around the needs and expectations of individuals and the community. A better understanding of the immunization experience from the client's perspective is key to guiding the design of policies and interventions aimed at improving immunization delivery and coverage. This study provides a synthesis of the immunization experiences of children's caregivers in Cameroon, highlighting potential barriers for timely and complete immunization.

methodsA descriptive cross-sectional study was conducted, targeting caregivers of children brought to selected health facilities for immunization in all ten regions of Cameroon. Using structured questionnaires, data were collected from caregivers and analyzed using STATA version 13.

resultsIn total, 1230 caregivers were interviewed in 265 health facilities. The median age of participants was 27 years and the median number of children per caregiver was two children. Most (87%) of the study participants reported to be satisfied with immunization service delivery. The median waiting time for vaccination was 1 h 48 min, with regional median waiting times ranging from 18 min in the South region to 4 h 6 min in the North region. About a quarter (24%) of surveyed participants reported to have presented to a health facility for immunization services and were turned away without achieving the purpose for which they came at least once. About half (48%) of the caregivers had never heard about planned vaccination activities in their communities.

conclusionWhile most caregivers appeared to be satisfied with immunization service delivery in Cameroon, our study highlights some notable caregiver concerns (long waiting times, unproductive immunization visits and inadequate information about outreach activities) which, if addressed, may go a long way to enhance the immunization experience of caregivers in Cameroon, build trust in immunization services and thus improve vaccination uptake.

Indexed as

Camerooncaregiverexpanded program of immunizationimmunization experiencesatisfaction

Identifiers

PMID39772090
PMCPMC11728739

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.