Table 6 Evidence on community engagement for the immunization program
S.N | Author | Design | Sample | Topic | Study area | Major findings/Conclusions |
|---|---|---|---|---|---|---|
1 | Yihunie L (2011) | Cross-sectional | 1927 | Factors influencing full immunization coverage | National | • Women’s awareness of community conversation program is the predictor of full immunization |
2 | Shiferaw B (2013) | Cross-sectional | 634 | Knowledge, Attitude and Practice of Mothers Towards Immunization of | Addis Ababa, Ethiopia | • Only 55.0, 53.8, and 84% of respondents had good knowledge, positive attitude, and good practice towards immunization of infants, respectively |
3 | Hailay G (2015) | Case control study | 90 cases and 180 controls | Determinants of defaulting from completion of child immunization | Laelay Adiabo District, Tigray | • Households not visited by HEWs; poor participation in women’s developmental groups and poor knowledge were predictors of defaulting |
4 | Chantler T (2016) | Formative evaluation with qualitative design | A total of 46 interviews and six FGDs | We All Work Together to Vaccinate the Child’: A Formative Evaluation of a Community-Engagement Strategy | Assosa and Bambasi woredas, Benshangual_Gumuz region | • The Enat Mastawesha calendar enabled health discussions between family member • Involving communities and relevant leaders in immunization programs can be very effective |
5 | Nina B (2017) | cross-sectional survey | 350 caregivers | Vaccine hesitancy among caregivers and association with vaccination timeliness | Addis Ababa, Ethiopia | • 3.4% reported ever hesitating and 3.7% ever refusing Vaccine hesitancy increases the odds of untimely vaccination |
6 | Asamne Z(2015) | A qualitative study | Twenty-six in-depth interviews | Reasons for defaulting from childhood immunization program: a qualitative study | Two districts of Hadiya zone, Southern Ethiopia | • The main reason for defaulting from the immunization was inadequate counseling of mothers and poor provider-client relationships |
7 | Tefera T(2017) | A qualitative multiple case study design | 63 focus group of 630 samples | Factors and misperceptions of routine childhood immunization service uptake in Ethiopia: findings from a nationwide qualitative study | National | • Lack of information at times of vaccination day and prolonged waiting time were the barriers • Significant misperceived benefits of immunization in the community • Immunization is dependent on major factors: caretakers’ behavior, family characteristics, information and communication |
8 | Binyam T (2017) | Mixed methods approach | 21 key informant interviews | How can the use of data at each level of the health system be Increased to improve data quality, service delivery and shared accountability? | North Gondar Zone, North West, Ethiopia | • Community engagement and shared accountability are important to improve immunization program |