Mapping how information about childhood vaccination is communicated in two regions of Cameroon: What is done and where are the gaps?

BMC Public Health

Research Article

Jessica Kaufman¹  Sophie Hill¹  Diangha Mabel Njang²  Artur Muloliwa³  Gabriel Rada⁴  Julie Cliff⁵  Heather Ames⁶  Claire Glenton⁶  Simon Lewin⁷  Atle Fretheim⁸  Yuri Cartier⁹  Xavier Bosch-Capblanch^1,10  Afiong Oku^1,11  Angela Oyo-Ita^1,11 

[1] Centre for Health Communication and Participation, C/o Department of Human Biosciences, College of Science, Health and Engineering, La Trobe University, 3086, Melbourne campus, VIC, Australia;Department of Anthropology, University of Yaoundé 1, BP 337, Yaoundé, Central Province, Cameroon, Cameroon;Direcção Provincial de Saúde de Nampula, Departamento de Saúde, Av. Samora Machel n° 1016 R/C, C.P. N° 14, Nampula-Moçambique, Mozambique;Evidence-based Healthcare Program, Pontificia Universidad Católica de Chile, Avda. Libertador Bernardo O’Higgins 340, Santiago, Chile;Faculdade de Medicina, Universidade Eduardo Mondlane, Maputo, Mozambique, Mozambique;Global Health Unit, Norwegian Knowledge Centre for the Health Services, Boks 7004, St Olavs plass, N/0130, Oslo, Norway;Global Health Unit, Norwegian Knowledge Centre for the Health Services, Boks 7004, St Olavs plass, N/0130, Oslo, Norway;Health Systems Research Unit, South African Medical Research Council, PO Box 19070, Francie van Zijl Drive, Parowvallei, 7505, Cape Town, Tygerberg, South Africa;Global Health Unit, Norwegian Knowledge Centre for the Health Services, Boks 7004, St Olavs plass, N/0130, Oslo, Norway;Institute of Health and Society, University of Oslo, P.O box 1130 Blindern 0318, Oslo, Norway;International Union for Health Promotion and Education, 42 Blvd. de la Libération, 95203 St, Denis, Cedex, France;Swiss Tropical and Public Health Institute, Socinstrasse 57, 4051, Basel, Switzerland;University of Basel, Petersplatz 1, 4003, Basel, Switzerland;University of Calabar, Nigeria, P.M.B 1115, Calabar Municipal, Cross River State, Nigeria;

关键词: Childhood vaccination;    Immunization;    Communication;    Low- and middle-income country;    Cameroon;    Intervention;    Consumer;    Taxonomy;    Parents;    Caregivers;    Demand generation;    Vaccine hesitancy;   

DOI  :  10.1186/s12889-015-2557-9

 received in 2015-07-16, accepted in 2015-12-01,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundThe ‘Communicate to vaccinate’ (COMMVAC) project builds research evidence for improving communication with parents and communities about childhood vaccinations in low- and middle-income countries. Understanding and mapping the range of vaccination communication strategies used in different settings is an important component of this work. In this part of the COMMVAC project, our objectives were: (1) to identify the vaccination communication interventions used in two regions of Cameroon; (2) to apply the COMMVAC taxonomy, a global taxonomy of vaccination communication interventions, to these communication interventions to help us classify these interventions, including their purposes and target audiences; and identify whether gaps in purpose or target audiences exist; (3) to assess the COMMVAC taxonomy as a research tool for data collection and analysis.MethodsWe used the following qualitative methods to identify communication strategies in the Central and North West Regions of Cameroon in the first half of 2014: interviews with program managers, non-governmental organizations, vaccinators, parents and community members; observations and informal conversations during routine immunization clinics and three rounds of the National Polio Immunization Campaign; and document analysis of reports and mass media communications about vaccination. A survey of parents and caregivers was also done. We organised the strategies using the COMMVAC taxonomy and produced a map of Cameroon-specific interventions, which we presented to local stakeholders for feedback.ResultsOur map of the interventions used in Cameroon suggests that most childhood vaccination communication interventions focus on national campaigns against polio rather than routine immunisation. The map also indicates that most communication interventions target communities more broadly, rather than parents, and that very few interventions target health workers. The majority of the communication interventions aimed to inform or educate or remind or recall members of the community about vaccination. The COMMVAC taxonomy provided a useful framework for quickly and simply mapping existing vaccination communication strategies.ConclusionsBy identifying the interventions used in Cameroon and developing an intervention map, we allowed stakeholders to see where they were concentrating their communication efforts and where gaps exist, allowing them to reflect on whether changes are needed to the communication strategies they are using.

【 授权许可】

CC BY   
© Ames et al. 2015