Publications

Drivers of Routine Immunization System Performance at the District Level: Ghana Case Study, Research Brief No. 1

Download this publicationThe Africa Routine Immunization System Essentials (ARISE) project was created in late 2009 to consolidate experience and learn about what drives improvement in RI coverage in Africa. Overall, the countries of sub-Saharan Africa have achieved solid advances in immunization performance in the past decade. The proportion of infants vaccinated with a third dose of the vaccine for diphtheria tetanus-pertussis (DTP3) grew from 55 percent in 2000 to 77 percent in 2010. However, in 2012 DTP3 coverage rates vary greatly among and within countries, and pockets of low vaccination coverage still exist. Some of Africa’s most populous countries– Nigeria, South Africa, Democratic Republic of the Congo, and Uganda – have overage rates well below the target of 80 percent, and many districts throughout Africa fall short of the 80 percent mark, as well. ARISE aims to learn from African experience with RI, particularly from countries whose RI systems are performing well. It seeks to explain why some RI systems achieve improvements in immunization performance and others do not, and then translate these findings into actions to improve African RI systems whose performance continues to falter. The research in Ghana is a large part of the study that extends into Ethiopia and Cameroon as well. This research brief reports the results of the Ghana Case Study. Arise/JSI, 2011

Download    (PDF, 838 KB)