Kassaye, Mesfin(PhD)Taffa, Nigussie(PhD)Berhane, Yemane(PhD)Teklu, Teshome2018-07-162023-11-052018-07-162023-11-051997-12http://etd.aau.edu.et/handle/123456789/8733Many developed and developing countries have achieved the 1990 uel target. However ,few countries, like Ethiopia, have neither achieved nor maintained it. The coverage in Western Gojjam in 1995\6 for three doses of DPT was below 40%, far below the coverage level expected to bring morbidity and mortality reduction. A cross-sectional health facility based study to assess the quality of immunization service delivery using qualitative and quantitative methods was conducted from March to May 1997 in 10 districts of Western Gojjam zone. All hospitals and health centres in the zone and randomly selected health stations were included in the study . Exit interview, observations of client-provider interaction, document review, inventory of equipment, interview with service providers, and focus group discussions with service providers and mothers were the techniques uti! ized. Though the geographical access is satisfactory, vaccine shqrtage, lack of incentives and transport facilities , delayed replacement of needles and syringes were among the structural factors that affect the quality of service delivery , while poor communication, lack of aseptic procedure, lack of proper screening, weak supervision, and absence of EPI target disease surveillance were weakness in the process of service delivery. More than 98 % satisfaction rate was reported by clients of the service during the exit interview on the dichotomous scale. But the finding was not consistent with the FGDs and the specific items addressed to assess the satisfaction. Therefore, it is concluded that quality of service delivery in immunization was not satisfactory and hence need improvement to have an effect on coverage and mortality and morbidity reduction targetsenImmunizationThesis