Evaluation of Measles Vaccination Program in Diyala Governorate

Abstract

Background: Vaccination remains the main cause of the marked reduction in vaccination-preventable diseases that were prevalent and often fatal, so vaccination remains the most cost-effective 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.