Implementation of reaching every child immunization strategy in Ghana: a qualitative exploration of the perspectives of the district health management team
Abstract Background Achieving immunization coverage and access rate of at least 80% in all districts in Ghana has been challenging. Evidence has shown considerable disparities in access to care, immunization coverage among mobile populations, hard-to-reach communities, and underserved communities. T...
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Springer
2025-07-01
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| Series: | Discover Public Health |
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| Online Access: | https://doi.org/10.1186/s12982-025-00784-3 |
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| author | Vickita Akosua Antwiwaa Harvey Augustine Adom-Afari Leonard Baatiema Emma Annan Kwadzo Duah Dwomoh Patricia Akweongo |
| author_facet | Vickita Akosua Antwiwaa Harvey Augustine Adom-Afari Leonard Baatiema Emma Annan Kwadzo Duah Dwomoh Patricia Akweongo |
| author_sort | Vickita Akosua Antwiwaa Harvey |
| collection | DOAJ |
| description | Abstract Background Achieving immunization coverage and access rate of at least 80% in all districts in Ghana has been challenging. Evidence has shown considerable disparities in access to care, immunization coverage among mobile populations, hard-to-reach communities, and underserved communities. The objective of this study was to explore the effectiveness of the implementation of the REC immunization strategy among health workers in ten health facilities in the Greater Accra Region of Ghana. Methods A qualitative study using in-depth interviews was conducted among 60 members of the District Health Management team in 10 health facilities in the Accra Metropolis. Purposive sampling was used to select eligible participants. Topic guides were used to facilitate face-to-face in-depth interviews. All the interviews and discussions were digitally audio-recorded. All transcripts and field notes were thematically analyzed. Results Overall, 60 participants were recruited for this study. Five components of the REC immunization strategy [Planning and management of resources, reaching all eligible population, community participation, supportive supervision, and monitoring and the use of data for action] were assessed for their effectiveness in the implementation. Three of the components of the REC immunization strategy (community participation, supportive supervision, and monitoring and the use of data for action) were found to be highly implemented. The other two components (planning and management of resources and reaching all eligible populations) were moderately implemented. Conclusion This study noted that two of the REC components (planning and management of resources and reaching all eligible populations) were moderately implemented in some of the facilities. Therefore, attention should be given to planning and management of resources at the facility level to identify communities that are still disadvantaged and establish more clinics at various market centers to ensure that all eligible populations are reached. Future research on regional comparison is needed. |
| format | Article |
| id | doaj-art-1ac52522ca59452dbc54692acf2a2db9 |
| institution | Kabale University |
| issn | 3005-0774 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Springer |
| record_format | Article |
| series | Discover Public Health |
| spelling | doaj-art-1ac52522ca59452dbc54692acf2a2db92025-08-20T03:42:47ZengSpringerDiscover Public Health3005-07742025-07-0122111510.1186/s12982-025-00784-3Implementation of reaching every child immunization strategy in Ghana: a qualitative exploration of the perspectives of the district health management teamVickita Akosua Antwiwaa Harvey0Augustine Adom-Afari1Leonard Baatiema2Emma Annan3Kwadzo Duah Dwomoh4Patricia Akweongo5Department of Health Policy, Planning and Management, School of Public Health, University of GhanaDepartment of Health Policy, Planning and Management, School of Public Health, University of GhanaDepartment of Health Policy, Planning and Management, School of Public Health, University of GhanaDepartment of Maternal and Child Health, SONM, University of GhanaDepartment of Biostatistics, School of Public Health, University of GhanaDepartment of Health Policy, Planning and Management, School of Public Health, University of GhanaAbstract Background Achieving immunization coverage and access rate of at least 80% in all districts in Ghana has been challenging. Evidence has shown considerable disparities in access to care, immunization coverage among mobile populations, hard-to-reach communities, and underserved communities. The objective of this study was to explore the effectiveness of the implementation of the REC immunization strategy among health workers in ten health facilities in the Greater Accra Region of Ghana. Methods A qualitative study using in-depth interviews was conducted among 60 members of the District Health Management team in 10 health facilities in the Accra Metropolis. Purposive sampling was used to select eligible participants. Topic guides were used to facilitate face-to-face in-depth interviews. All the interviews and discussions were digitally audio-recorded. All transcripts and field notes were thematically analyzed. Results Overall, 60 participants were recruited for this study. Five components of the REC immunization strategy [Planning and management of resources, reaching all eligible population, community participation, supportive supervision, and monitoring and the use of data for action] were assessed for their effectiveness in the implementation. Three of the components of the REC immunization strategy (community participation, supportive supervision, and monitoring and the use of data for action) were found to be highly implemented. The other two components (planning and management of resources and reaching all eligible populations) were moderately implemented. Conclusion This study noted that two of the REC components (planning and management of resources and reaching all eligible populations) were moderately implemented in some of the facilities. Therefore, attention should be given to planning and management of resources at the facility level to identify communities that are still disadvantaged and establish more clinics at various market centers to ensure that all eligible populations are reached. Future research on regional comparison is needed.https://doi.org/10.1186/s12982-025-00784-3Reaching every childImmunization strategyREC componentsDistrict health management teamImplementation |
| spellingShingle | Vickita Akosua Antwiwaa Harvey Augustine Adom-Afari Leonard Baatiema Emma Annan Kwadzo Duah Dwomoh Patricia Akweongo Implementation of reaching every child immunization strategy in Ghana: a qualitative exploration of the perspectives of the district health management team Discover Public Health Reaching every child Immunization strategy REC components District health management team Implementation |
| title | Implementation of reaching every child immunization strategy in Ghana: a qualitative exploration of the perspectives of the district health management team |
| title_full | Implementation of reaching every child immunization strategy in Ghana: a qualitative exploration of the perspectives of the district health management team |
| title_fullStr | Implementation of reaching every child immunization strategy in Ghana: a qualitative exploration of the perspectives of the district health management team |
| title_full_unstemmed | Implementation of reaching every child immunization strategy in Ghana: a qualitative exploration of the perspectives of the district health management team |
| title_short | Implementation of reaching every child immunization strategy in Ghana: a qualitative exploration of the perspectives of the district health management team |
| title_sort | implementation of reaching every child immunization strategy in ghana a qualitative exploration of the perspectives of the district health management team |
| topic | Reaching every child Immunization strategy REC components District health management team Implementation |
| url | https://doi.org/10.1186/s12982-025-00784-3 |
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