Integration of Routine Immunization and COVID-19 Vaccination in Ekiti State Primary Health Care Facilities: A Qualitative Assessment of the Enablers and Barriers
Abstract
Abstract Background The development of the COVID-19 vaccine influenced the discussion on the importance of exploring the interaction between COVID-19 vaccination and routine immunization. Subsequently, the WHO Strategic Advisory Group Experts (SAGE) on immunization plausibly advised countries to leverage the COVID-19 vaccination rollout as a transformative opportunity to establish a resilient immunization system, through the integration of routine immunization, resulting in strengthened primary healthcare services. Objective This study assesses the enablers and barriers to integrating COVID-19 vaccination and routine immunization in Ekiti state, Nigeria. Methods This study adopted a qualitative research approach to obtain information from 40 participants selected purposively across the primary healthcare facilities, LGA, and state levels. A three-tier approach was used in selecting the LGAs. At the same time, In-depth interviews were conducted to elicit relevant information on the assessment of enablers and barriers to integrating COVID-19 vaccination and routine immunization through an interview guide. All audio interview files were transcribed in the English language, coded, and presented using a thematic approach (inductive and deductive approaches) Results A total of 40 healthcare workers across Ekiti state were selected to participate in this study. Our study found the enablers of integrating COVID-19 into routine immunization to include demand generation and social…
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