Assessment of Delivery of Routine Immunization in Kashmir: A Qualitative Study

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dc.contributor.authorBashir, Khaliden_US
dc.contributor.authorQurieshi, Mariya Aminen_US
dc.contributor.authorKausar, Zeenaten_US
dc.contributor.authorKhan, S. Muhammad Salimen_US
dc.date.accessioned2023-07-21T11:36:07Z
dc.date.available2023-07-21T11:36:07Z
dc.date.issued2022-06
dc.description.abstractIntroduction: Immunization is one of the splendid public health interventions that remarkably reduced child morbidity, mortality, and disability. Despite attaining substantial immunization coverage in Kashmir, assessment of the immunization system is quintessential for sustaining the gains and exploring the gaps. Objective: To assess the gaps in the delivery of routine immunization services in Kashmir Valley. Method: In-depth face-to-face interviews were conducted with thirty-two (32) important stakeholders, who were purposively selected as they play an active role in the planning and implementation of the Immunization Program and devise strategies at different levels of healthcare delivery. At the state level, SEPIO and SMO were interviewed at the District level, DIO/Deputy CMO was interviewed in all ten (10) districts of Kashmir Valley. From all ten Districts, two Medical-Blocks were selected from each District, and one Block Medical Officer and one Medical Officer were interviewed alternatively from each Medical-Block. Results: The thematic qualitative analysis approach was used and the analysis process generated five themes. Each of these themes included many sub-themes. 1. Factors facilitating the implementation of Routine Immunization (RI), 2. Limitations and deficits related to knowledge, attitude, monitoring, 3. Constraints encountered in the implementation of (RI) program, 4. Difficulties in the implementation of RI revealed by respondents, 5. Transformational steps to bridge gaps in the delivery of Immunization (RI) Conclusion: There were visible deficits related to knowledge, attitude, and monitoring among health professionals. Certain constraints encountered in the implementation of the program were financial constraints in the training of health care professionals and human resources constraints. The study showed the need for transformational steps to bridge gaps in the delivery of the Immunization (RI), which included regular monitoring and review meetings, teamwork and peer learning, training, and improvement in cold chain maintenanceen_US
dc.identifier.affiliationsSenior Resident, Assistant Professor, Professor & Head, Department of Community Medicineen_US
dc.identifier.affiliationsSenior Resident, Department of Anatomy, Government Medical College, Srinagar, Indiaen_US
dc.identifier.citationBashir Khalid, Qurieshi Mariya Amin, Kausar Zeenat, Khan S. Muhammad Salim. Assessment of Delivery of Routine Immunization in Kashmir: A Qualitative Study. Healthline Journal of Indian Association of Preventive and Social Medicine. 2022 Jun; 13(2): 154-161en_US
dc.identifier.issn2320-1525
dc.identifier.issn2229-337X
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/220818
dc.languageenen_US
dc.publisherIndian Association of Preventive and Social Medicine (IAPSM)en_US
dc.relation.issuenumber2en_US
dc.relation.volume13en_US
dc.source.urihttps://doi.org/10.51957/Healthline_320_2022en_US
dc.subjectAssessmenten_US
dc.subjectCold Chainen_US
dc.subjectImmunizationen_US
dc.subjectKashmiren_US
dc.titleAssessment of Delivery of Routine Immunization in Kashmir: A Qualitative Studyen_US
dc.typeJournal Articleen_US
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