Between January and July 2018, JSI, in collaboration with local partners and the Republican Center for Immunoprophylaxis (RCI) conducted a situational analysis in Bishkek to identify potential factors contributing to low immunization rates in urban poor communities. This situational analysis used a mixed-method approach for data collection. Existing tools and surveys were adapted and approved by the RCI. Focus group discussions were conducted by JSI with mothers from the general population, NGOs, health workers, families with children of special needs, and families living in illegal settlements.
The results of this situational analysis complemented the MoH and UNICEF immunization knowledge, attitudes, and practices (KAP) study conducted in Bishkek and Osh, 2017–2018. Based on observations, some recommended next steps were developed through in-country discussions with partners and stakeholders, including the MoH and RCI. These strategies will need to be endorsed and implemented by the MoH and city health authorities using existing municipal funds to ensure they are sustainably country-driven.
For more on JSI's work in urban immunization, please learn about our Gavi-funded projects in Indonesia, Ghana, DRC, Haiti, and Pakistan.