Evaluation of Measles Vaccination Program in Diyala Governorate

Abstract

Background: Vaccination remains the main cause of the marked reduction in vaccinationpreventable diseases that were prevalent and often fatal, so vaccination remains the most costeffective preventive intervention at present. Measles is still a cause of childhood diseases and
deaths despite the availability of an effective and safe vaccine.
Objectives: To assess the extent of implementation of the measles vaccination program to know
which areas are achieving a good or poor evaluation of everything related to the implementation
of measles vaccination programs in health care centers in Diyala Governorate.
Materials and Methods: descriptive, cross-sectional study conducted at 40% not Random samples
(non-probability) quota sample (Designation) selected health facilities in Diyala governorate, The
data collection was made by WHO- UNICEF standardized questionnaire / indicators for
Evaluation Expanded Programme on Immunization The data collection started from February -
2021 till end of April 8 -2021.
Result: The overall scores of this assessment main domains concerning (Health Facility Based
Implementation) questionnaire, "Percent Grand Relative Sufficiency-PGRS%", as well as evaluation
grades adopting to indicates the levels of implementation of the system in the studied
questionnaire related with the studied protocol for assessment of measles vaccination on the
studied "PHCCs", which included of eleven main domains. Performance levels of (Training and
Document/data Optional section if time allows: observation of vaccine) were between about
98.29% and 93.0% while(Monitoring and Supervision and Vaccine wastage and Health care
worker knowledge and Waste disposal) were100% levels(Vaccine coverage and Observations)
were between 89.14% and 81.14% while (Administration and Documentation and Advocacy,
communication) 76.0%and75.0% while (Adverse events following immunization) were Pass about
51.43% while (Vaccine and cold chain) were Poor about 31.0%.
Conclusions: According to the Percent Grand Relative Sufficiency-PGRS% “Results shows that
studied items subjected to evaluation according to a proposed scoring scales were distributed
generally at the middle to high levels, since two scales (≥ 50%, and All) regard to all domains
Except The degree of evaluation of the measles vaccination program was"< 50%" weak/poor in
most items with regard vaccine and cold chain management.