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  • Policy opportunities and limitations of evidence-based planning for immunization: lessons learnt from a field trial in Bangladesh / John Grundy;Shukhrat Rakhimdjanov;Merina Adhikari
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Policy opportunities and limitations of evidence-based planning for immunization: lessons learnt from a field trial in Bangladesh / John Grundy;Shukhrat Rakhimdjanov;Merina Adhikari

Tác giả : John Grundy;Shukhrat Rakhimdjanov;Merina Adhikari

Nhà xuất bản : World Health Organization. Regional Office for South-East Asia

Năm xuất bản : 2016

Chủ đề : 1. Bangladesh. 2. bottleneck analysis. 3. evidence-based. 4. immunization. 5. planning. 6. Journal / periodical articles.

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Despite success in scaling up immunization, the national immunization programmein Bangladesh remains challenged by persisting inequities in health access relatedto geographic location and social factors, including income and education status.In order to tackle these inequities in access, the national immunization programmehas conducted a field trial of the evidence-based planning model in Bangladeshbetween 2011 and 2013, in 11 low-performing districts and 3 city corporations.The main elements of this intervention included bottleneck analysis in local areas,action planning and budgeting to correct the bottlenecks, and establishment of amonitoring system to track progress. Coverage improved in 8 out of 14 districts postintervention. The main success factors associated with the intervention includedmore analytic approaches to situation assessment and taking action on healthinequities at the local level, as well as more considered use of local data to trackimmunization drop-outs. The main factors associated with coverage declines in trialareas (6 districts) included poor financial resourcing and supervisory support, andgaps and turnover in human resources. In order to sustain and improve coverage,it will be necessary in future to link pro-equity approaches to subdistrict planningto higher-level health-system-strengthening strategy and planning systems. Thiswill ensure that local area planners have the required resources, comprehensiveoperational plans and political support to sustain implementation of correctiveactions to address identified system bottlenecks and inequities in health access atthe local level
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https://iris.who.int/handle/10665/329663