Assessment of Quality of Expanded Program on Immunization In Oromia Zone of Amhara Region

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Addis Abeba Universty


One of the goals of global program on immunization for the last two decades has been to reach all children of the world with vaccination services. Though the program aimed to reach all children of the world, around three million children still die each year from vaccine preventable disease. These deaths mostly occur in developing countries where health systems may be weak and less able to cope with an overwhelming set of health problem. Moreover, in previous time much of the attention was given to increase the EPI coverage, but now the expanded program on immunization (EPI) is placing emphasis on the quality of the services and a review of existing literature strongly suggests that the quality of service provided is an important determinant of acceptance and compliance with the service. In Ethiopia, some of the important factors that impede progress towards the achievement of the expected EPI coverage are; poor staff motivation, infrequent in-services training and inadequate supervision, and most EPI service evaluation focused on achievements of coverage and give less regard to the quality of services. Therefore, this health service based cross-sectional descriptive study was carried out to assess the quality of EPI service in Oromia Zone of Amhara National Regional State. Health institutions were selected based on simple random sampling technique and level of client satisfaction was assed by interviewing mothers /caretakers at the exit site of the selected health institutions after taken the immunization service. Data from the health vii institutions were taken by Observing cold chain system, interview with immunization service providers and inventory of logistics. The result showed that 422 (93.7%) of mothers/ caretakers were satisfied with the quality of the services. Out of the nine selected health institutions, three (33.3%) had no refrigerator, all service providers working in the selected health institutions have adequate knowledge on immunization activities, and most health institutions were not supervised for the last 6 months. Adjusted Odds ratio results from multiple logistic regression for mothers /care takers satisfaction suggested that waiting time, history of facing problem after taking vaccination and discussion with health workers during immunization sessions were found to be significant determinants of mothers’/care takers satisfaction towards EPI services. Generally, the quality of EPI service in the study area was found to be good but for a generalization to be made, further studies has to be made with large sample size at regional and national level to assess the quality of the programme



Assessment of Quality of Expanded Program