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Tandiara, N.

TitelImproving immunization coverage : a review of EPI in west Sulawesi province, Indonesia  
AuteurN. Tandiara
InstellingKIT (Royal Tropical Institute)
AfdelingDevelopment Policy & Practice
OpleidingMaster of Public Health / International Course in Health Development (ICHD)
Jaar2009
Pagina'sviii, 53
OrganisatieKIT - Royal Tropical Institute
OnderwerpHealth and Nutrition
Trefwoorddisease prevention and control
RegioSoutheast Asia
LandIndonesia
SamenvattingBACKGROUND: Expanded program on immunization aims to protect children from vaccine preventable diseases. However, the coverage of immunization program in Indonesia particularly in West Sulawesi remains low. The target, achieving 80% of villages by UCI by 2010 is facing many challenges. OBJECTIVES: To describe current situation of EPI in Indonesia particularly in West Sulawesi, to describe government strategies to improve EPI coverage, to analyze and compare coverage of EPI amongst districts in West Sulawesi, to identify and analyze the barriers on the implementation of EPI in West Sulawesi, and to formulate recommendations in order to strengthen EPI. METHODOLOGY: This thesis is based on literature review. Journals reviewed and secondary data has been used. PRSP framework was used to analyze the coverage amongst 5 districts in West Sulawesi. Indicators were measured against the MOH standards. RESULT: This study revealed that EPI coverage in West Sulawesi was low. The comparison of the five districts showed that Majene district had higher levels of accessibility, availability of resources, organizational quality, social accountability, EPI utilization, continuity of services and technical quality than the other 4 districts. CONCLUSION AND RECOMMENDATION: Inadequate support from local government was the root cause of low immunization coverage. Limited budget support affects the EPI services. Therefore, advocacy to local governments and parliament is necessary in order to strengthen EPI services.  
TaalEngels
CategorieResearch
Soort documentMaster thesis
Rechten© 2009 Tandiara
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