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Assessing Vaccinati...
Assessing Vaccination Delivery Strategies for Zero-Dose and Under-Immunized Children in the Fragile Context of Somalia
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Bile, Ahmed Said (author)
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Ali-Salad, Mohamed A (author)
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- Mahmoud, Amina J (author)
- Uppsala universitet,Institutionen för kvinnors och barns hälsa,Somali Institute for Development Research and Analysis (SIDRA), Garowe, Puntland State, Somalia
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Singh, Neha S (author)
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Abdelmagid, Nada (author)
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Sabahelzain, Majdi M (author)
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Checchi, Francesco (author)
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Mounier-Jack, Sandra (author)
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- Nor, Barni (author)
- Uppsala universitet,Internationell kvinno- och mödrahälsovård och migration,Birgitta Essen
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(creator_code:org_t)
- MDPI, 2024
- 2024
- English.
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In: Vaccines. - : MDPI. - 2076-393X. ; 12:2
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https://doi.org/10.3...
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https://uu.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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Abstract
Subject headings
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- Somalia is one of 20 countries in the world with the highest numbers of zero-dose children. This study aims to identify who and where zero-dose and under-vaccinated children are and what the existing vaccine delivery strategies to reach zero-dose children in Somalia are. This qualitative study was conducted in three geographically diverse regions of Somalia (rural/remote, nomadic/pastoralists, IDPs, and urban poor population), with government officials and NGO staff (n = 17), and with vaccinators and community members (n = 52). The data were analyzed using the GAVI Vaccine Alliance IRMMA framework. Nomadic populations, internally displaced persons, and populations living in remote and Al-shabaab-controlled areas are three vulnerable and neglected populations with a high proportion of zero-dose children. Despite the contextual heterogeneity of these population groups, the lack of targeted, population-specific strategies and meaningful engagement of local communities in the planning and implementation of immunization services is problematic in effectively reaching zero-dose children. This is, to our knowledge, the first study that examines vaccination strategies for zero-dose and under-vaccinated populations in the fragile context of Somalia. Evidence on populations at risk of vaccine-preventable diseases and barriers to vital vaccination services remain critical and urgent, especially in a country like Somalia with complex health system challenges.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- conflict
- crisis
- fragility
- populations at risk
- vaccination
- zero-dose children
- International Health
- Internationell hälsa
Publication and Content Type
- ref (subject category)
- art (subject category)
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