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Multi-Purpose House-to-House Immunization Survey

Multi-purpose house to house immunization survey as a basic essential tool for a new immunization management information system in Yemen

USAID/Yemen's Partners for Health Reformplus Project, in collaboration with the Ministry of Public Health and Population, conducted a household immunization survey in the Thula district of Amran in February. The main goals of the survey were to:

  1. Count the number of children under one year and women aged 15-45 years in catchments areas of four health facilities;
  2. Ddetermine their immunization status and provide vaccinations to eligible children and women;
  3. Identify what prevents people from being immunized in a timely fashion or at all.

Following a one-day training, the survey was conducted by mobile teams consisting of three district health workers and supervisors. The teams were provided with data collection forms, registers, EPI vaccines and vaccination cards.

The survey results provided evidence that the actual target population differed from administrative estimates by as much as 20-30%, that the actual TT2+ coverage of childbearing-aged women was nearly twice as low as the reported one, and that the lack of female vaccinators, the remoteness of health facilities and the fear of contraceptive effects of immunization (spread by rumours) were the leading reasons for not getting vaccinations. As part of the survey, 120 children under one were vaccinated for childhood diseases according to the EPI vaccination schedule. 757 women of childbearing age received TT vaccination.

After analyzing the survey results the governorate and the district EPI management modified the strategy for improving immunization coverage, which now places a greater emphasis on outreach immunization work, health education of women and the use of female vaccinators. The work also helped integrate the immunization and other programs using the same primary data. Periodic house-to-house visits performed by health facility staff in their catchments areas will become an essential tool for the development of a new immunization MIS in Yemen.