TY - JOUR
T1 - Impact of measles elimination activities on immunization services and health systems
T2 - Findings from six countries
AU - Hanvoravongchai, P.
AU - Mounier-Jack, S.
AU - Oliveira Cruz, V.
AU - Balabanova, D.
AU - Biellik, R.
AU - Kitaw, Y.
AU - Koehlmoos, T.
AU - Loureiro, S.
AU - Molla, M.
AU - Nguyen, H.
AU - Ongolo-Zogo, P.
AU - Sadykova, U.
AU - Sarma, H.
AU - Teixeira, M.
AU - Uddin, J.
AU - Dabbagh, A.
AU - Griffiths, U. K.
N1 - Funding Information:
This work was supported by the Department of Immunization, Vaccines and Biologicals, World Health Organization to LSHTM.
Funding Information:
Supplement sponsorship: This article is part of a supplement entitled ''Global Progress Toward Measles Eradication and Prevention of Rubella and Congenital Rubella Syndrome,'' which was sponsored by the Centers for Disease Control and Prevention.
PY - 2011/7/1
Y1 - 2011/7/1
N2 - Background. One of the key concerns in determining the appropriateness of establishing a measles eradication goal is its potential impact on routine immunization services and the overall health system. The objective of this study was to evaluate the impact of accelerated measles elimination activities (AMEAs) on immunization services and health systems in 6 countries: Bangladesh, Brazil, Cameroon, Ethiopia, Tajikistan, and Vietnam. Methods. Primary data were collected from key informant interviews and staff profiling surveys. Secondary data were collected from policy documents, studies, and reports. Data analysis used qualitative approaches. Results. This study found that the impact of AMEAs varied, with positive and negative implications in specific immunization and health system functions. On balance, the impacts on immunization services were largely positive in Bangladesh, Brazil, Tajikistan, and Vietnam, while negative impacts were more significant in Cameroon and Ethiopia. Conclusions. We conclude that while weaker health systems may not be able to benefit sufficiently from AMEAs, in more developed health systems, disruptions to health service delivery are unlikely to occur. Opportunities to strengthen the routine immunization service and health system should be actively sought to address system bottlenecks in order to incur benefits to eradication program itself as well as other health priorities.
AB - Background. One of the key concerns in determining the appropriateness of establishing a measles eradication goal is its potential impact on routine immunization services and the overall health system. The objective of this study was to evaluate the impact of accelerated measles elimination activities (AMEAs) on immunization services and health systems in 6 countries: Bangladesh, Brazil, Cameroon, Ethiopia, Tajikistan, and Vietnam. Methods. Primary data were collected from key informant interviews and staff profiling surveys. Secondary data were collected from policy documents, studies, and reports. Data analysis used qualitative approaches. Results. This study found that the impact of AMEAs varied, with positive and negative implications in specific immunization and health system functions. On balance, the impacts on immunization services were largely positive in Bangladesh, Brazil, Tajikistan, and Vietnam, while negative impacts were more significant in Cameroon and Ethiopia. Conclusions. We conclude that while weaker health systems may not be able to benefit sufficiently from AMEAs, in more developed health systems, disruptions to health service delivery are unlikely to occur. Opportunities to strengthen the routine immunization service and health system should be actively sought to address system bottlenecks in order to incur benefits to eradication program itself as well as other health priorities.
UR - http://www.scopus.com/inward/record.url?scp=79960851883&partnerID=8YFLogxK
U2 - 10.1093/infdis/jir091
DO - 10.1093/infdis/jir091
M3 - Article
C2 - 21666218
AN - SCOPUS:79960851883
SN - 0022-1899
VL - 204
SP - S82-S89
JO - Journal of Infectious Diseases
JF - Journal of Infectious Diseases
IS - SUPPL. 1
ER -