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Roles of mobile teams in tracing lost to follow-up clients: evidence from the optimization of COVID-19 vaccination uptake and routine immunization in Ekiti State

Isiaka SD, Awobeku D, Jimoh AU, Dauda M, Samuel OW, Asaolu SO, Ayodeji OA, Atobatele S et al.

BMC health services research, 2025

4 citations

Abstract

Background: Evidence from literature has established that tracing lost to follow-up clients is an effective strategy for complementing other mechanisms for infectious disease control like human immunodeficiency virus (HIV), tuberculosis, and other diseases such as Ebola. As a long-standing successful public health method of optimizing acceptance and/or adherence to infectious disease treatment tracing lost to follow-up clients is usually carried out by manually investigating individuals who absconded or are absent from treatments designed to manage and/or promote their health status. This study seeks to explore the role of mobile teams in tracing clients lost to follow-up for immunization.

Methods: This study was premised on a qualitative research approach to elicit information from purposively selected populations across 9 local government areas (LGA) in Ekiti state, Nigeria. Focus group discussions, in-depth interviews, and key informant interviews were the selected methods of data collection on the roles of mobile teams in tracing lost to follow-up clients for the optimization of COVID-19 and routine immunization in Ekiti state.

Results: A total of 107 healthcare workers across Ekiti state were selected to participate in this study. Our study found tracing lost to follow-up clients resulted in two major successes for health workers. These are increased awareness of COVID-19 vaccination and routine immunization, and improved vaccination coverage for both categories of…

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