Journal article
Assessment of missed opportunities for vaccination (MOV) in Burkina Faso using the World Health Organization’s revised MOV strategy: Findings and strategic considerations to improve routine childhood immunization coverage
Background
Despite the remarkable achievements of the Expanded Programme on Immunization (EPI) in Burkina Faso, numerous challenges remain, including missed opportunities for vaccination (MOV) which occur when people visit a health facility with at least one vaccine due according to the national immunization schedule, are free of contraindications, and leave without receiving all due vaccine doses. In 2016, we used the revised World Health Organization’s (WHO) MOV strategy to assess the extent of and reasons for MOV in Burkina Faso.
Methods
We purposively selected 27 primary health facilities (PHFs) from the eight health districts with the highest absolute numbers of children who missed the first dose of measles-rubella (MR1) in 2015. We conducted exit interviews with caregivers of children aged 0–23 months, and requested health workers to complete a self-administered knowledge, attitudes and practices (KAP) questionnaire.
Results
A total of 489 caregivers were interviewed, of which 411 were eligible for inclusion in our analysis. Medical consultation (35%) and vaccination (24.5%) were the most frequent reasons for visiting PHFs. Among the 73% of children eligible for vaccination, 76% of vaccination opportunities were missed. Among eligible children, the percentage with MOV was significantly higher in those aged ≥12 months and also in those attending for a reason other than vaccination. A total of 248 health workers completed the KAP questionnaire. Of these, 70% (n = 168/239) considered their knowledge on immunization to be insufficient or outdated; 83% failed to correctly identify valid contraindications to vaccination.
Conclusion
Addressing MOV offers the potential for substantial increases in vaccine coverage and equity, and ultimately reducing the burden of vaccine-preventable diseases (VPDs). This will require the implementation of a series of interventions aimed at improving community knowledge and practices, raising health workers’ awareness, and fostering the integration of immunization with other health services.
Authors
Languages
- English
Publication year
2020
Publisher
Vaccine
Journal
Vaccine
Volume
48
Type
Journal article
Categories
- Service delivery
Countries
- Burkina Faso
Organisations
- World Health Organisation (WHO)
Tags
- Missed opportunities for vaccination (MOV)
WHO Regions
- African Region
Topic references
MOV-PUBLICATIONS
Title | Author | Year | Type | Language |
---|---|---|---|---|
A systematic literature review of missed opportunities for immunization in low- and middle-income countries | Anais Colombini, Bradford D. Gessner, Elise Guillermet, Nadira Maleq, Shruti Sridhar | 2014 | Journal article | English |
Assessment of missed opportunities for vaccination (MOV) in Burkina Faso using the World Health Organization’s revised MOV strategy: Findings and strategic considerations to improve routine childhood immunization coverage | Bertrand Meda, Colin Sanderson, Edouard Betsem, Ikechukwu Udo OGBUANU, Isaie Médah, Lassané Kaboré, Laura Nic Lochlainn, Mâ Ouattara, Stephanie Shendale, William M.F. Kaboré | 2020 | Journal article | English |
Assessment of missed opportunities for vaccination in Kenyan health facilities, 2016 | Anyie J. Li, Colin Sanderson, Collins TABU, Iheoma U. Onuekwusi, Ikechukwu Udo OGBUANU, Isaac K. Mugoya, Kibet Sergon, Peter O. Okoth, Stephanie Shendale, Zorodzai Machekanyanga | 2020 | Journal article | English |
Can vaccination coverage be improved by reducing missed opportunities for vaccination? Findings from assessments in Chad and Malawi using the new WHO methodology | Anyie J. Li, Blanche-philomene Melanga Anya, Colin Sanderson, Dah Cheikh, Geoffrey Chirwa, Ikechukwu Udo OGBUANU, Joseph Okeibunor, Kwame W. Chiwaya, Mbaihol Tamadji, Mohamed El-Hafiz Djalal, Richard Mihigo, Zorodzai Machekanyanga | 2019 | Journal article | English |
Increasing routine immunization coverage by reducing missed opportunities for vaccination | World Health Organization (WHO) | 2017 | Guidance | English, French |
Intervention guidebook for implementing and monitoring activities to reduce Missed Opportunities for Vaccination | World Health Organization (WHO) | 2019 | Guidance | English, French |
Missed opportunities for vaccination among children aged 0–23 months visiting health facilities in a southwest State of Nigeria, December 2019 | Akinola Ayoola Fatiregun, Elvis Isere, Fiona Braka, Francis Adegoke Akanbiemu, Itse Olaoye, Kofi Boateng, Lassané Kaboré, Laura Nic Lochlainn, Modupeola Dosumu, Richard Banda, Rosemary Onyibe, Yetunde Olagbuji | 2021 | Journal article | English |
Opportunities to improve vaccination coverage in a country with a fledgling health system: Findings from an assessment of missed opportunities for vaccination among health center attendees—Timor Leste, 2016 | Anyie J. Li, Colin Sanderson, Ikechukwu Udo OGBUANU, Laura Nic Lochlainn, Manuel Mausiry, Rosye Bela Joana Benevides Monizda Silva, Thelge Sudath Rohana Peiris | 2019 | Journal article | English |
Planning Guide to Reduce Missed Opportunities for Vaccination | World Health Organization (WHO) | 2017 | Guidance | English, French, Portuguese |
Qualitative insights into reasons for missed opportunities for vaccination in Kenyan health facilities | Anyie J. Li, Collins TABU, Ephantus Maree, Iheoma U. Onuekwusi, Ikechukwu Udo OGBUANU, Isaac K. Mugoya, Kibet Sergon, Peter O. Okoth, Stephanie Shendale, Zorodzai Machekanyanga | 2020 | Journal article | English |
Reducing missed opportunities for vaccination in Mozambique: findings from a cross-sectional assessment conducted in 2017 | Bvudzai Priscilla Magadzire, Gabriel Joao, Graça Matsinhe, Ikechukwu Udo OGBUANU, Laura Nic Lochlainn, Ruth Bechtel | 2021 | Journal article | English |
Reducing missed opportunities for vaccination in selected provinces of Mozambique: A study protocol | Ikechukwu Udo OGBUANU, Stephanie Shendale, Gabriel Joao, Bvudzai Priscilla Magadzire | Journal article | English | |
Studies of missed opportunities for immunization in developing and industrialized countries | H.A.F.M. Jansen, P. Evans, R.J. Kim-Farley, S.E. Robertson, S.S. Hutchins | 1993 | Journal article | English |