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Missed opportunities for immunisation in health facilities in the Western Cape metro
Background: Childhood immunisations are a cost effective public health intervention for prevention of infectious diseases. Immunisation coverage, however, is still sub-optimal which may result in disease outbreaks. Immunisation at every contact with a health facility is a strategy developed by the W...
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| Format: | Thesis |
| Language: | English |
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Department of Public Health and Family Medicine
2016
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| _version_ | 1867613291758485504 |
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| access_status_str | Open Access |
| author | Jacob, Nisha Anne Sunny |
| author2 | Coetzee, David |
| author_browse | Coetzee, David Jacob, Nisha Anne Sunny |
| author_facet | Coetzee, David Jacob, Nisha Anne Sunny |
| author_sort | Jacob, Nisha Anne Sunny |
| collection | Thesis |
| description | Background: Childhood immunisations are a cost effective public health intervention for prevention of infectious diseases. Immunisation coverage, however, is still sub-optimal which may result in disease outbreaks. Immunisation at every contact with a health facility is a strategy developed by the World Health Organization (WHO) in order to improve immunisation coverage. Objectives: The aim of this study was to estimate the prevalence of missed opportunities for immunisation at different levels of healthcare in the Western Cape and assess factors associated with missed opportunities. Methods: The study included a health-facility based cross-sectional exit survey of caregivers with children up to 5 years of age, followed by a qualitative exploration of staff attitudes towards immunisation. Results: The prevalence of missed opportunities for immunisation was 4.6%; 81.3% of caregivers brought Road-To-Health- Booklets (RTHB's) to consultations. Overall, 56.0% of health workers requested to see the RTHB's during consultations. Children attending primary level facilities were significantly more likely to have their RTHB's requested than children attending a tertiary level facility. Lack of training, resources and heavy workloads were the main challenges reported at secondary/tertiary level facilities. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/20371 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:33:48.261Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2016 |
| publishDateRange | 2016 |
| publishDateSort | 2016 |
| publisher | Department of Public Health and Family Medicine |
| publisherStr | Department of Public Health and Family Medicine |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/20371 Missed opportunities for immunisation in health facilities in the Western Cape metro Jacob, Nisha Anne Sunny Coetzee, David Public Health Medicine Background: Childhood immunisations are a cost effective public health intervention for prevention of infectious diseases. Immunisation coverage, however, is still sub-optimal which may result in disease outbreaks. Immunisation at every contact with a health facility is a strategy developed by the World Health Organization (WHO) in order to improve immunisation coverage. Objectives: The aim of this study was to estimate the prevalence of missed opportunities for immunisation at different levels of healthcare in the Western Cape and assess factors associated with missed opportunities. Methods: The study included a health-facility based cross-sectional exit survey of caregivers with children up to 5 years of age, followed by a qualitative exploration of staff attitudes towards immunisation. Results: The prevalence of missed opportunities for immunisation was 4.6%; 81.3% of caregivers brought Road-To-Health- Booklets (RTHB's) to consultations. Overall, 56.0% of health workers requested to see the RTHB's during consultations. Children attending primary level facilities were significantly more likely to have their RTHB's requested than children attending a tertiary level facility. Lack of training, resources and heavy workloads were the main challenges reported at secondary/tertiary level facilities. 2016-07-15T11:20:11Z 2016-07-15T11:20:11Z 2016 Master Thesis Masters MMed http://hdl.handle.net/11427/20371 eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences University of Cape Town |
| spellingShingle | Public Health Medicine Jacob, Nisha Anne Sunny Missed opportunities for immunisation in health facilities in the Western Cape metro |
| thesis_degree_str | Master's |
| title | Missed opportunities for immunisation in health facilities in the Western Cape metro |
| title_full | Missed opportunities for immunisation in health facilities in the Western Cape metro |
| title_fullStr | Missed opportunities for immunisation in health facilities in the Western Cape metro |
| title_full_unstemmed | Missed opportunities for immunisation in health facilities in the Western Cape metro |
| title_short | Missed opportunities for immunisation in health facilities in the Western Cape metro |
| title_sort | missed opportunities for immunisation in health facilities in the western cape metro |
| topic | Public Health Medicine |
| url | http://hdl.handle.net/11427/20371 |
| work_keys_str_mv | AT jacobnishaannesunny missedopportunitiesforimmunisationinhealthfacilitiesinthewesterncapemetro |