Perceptions of the usefulness of external support to immunization coverage in Guinea-Bissau: a Delphi analysis of the GAVI-Alliance cash-based support
INTRODUCTION: Although many countries have improved vaccination coverage in recent years, some, including Guinea-Bissau, failed to meet expected targets. This paper tries to understand the main barriers to better vaccination coverage in the context of the GAVI-Alliance (The Global Alliance for Vacci...
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ftdoajarticles:oai:doaj.org/article:e26fd70f02674dff8b29df82f792aa90 2023-05-15T15:11:00+02:00 Perceptions of the usefulness of external support to immunization coverage in Guinea-Bissau: a Delphi analysis of the GAVI-Alliance cash-based support Paulo Ferrinho Mohamed Dramé Sidu Biai Orlando Lopes Fernando de Sousa Jr Wim Van Lerberghe 2013-01-01T00:00:00Z https://doi.org/10.1590/0037-868216612013 https://doaj.org/article/e26fd70f02674dff8b29df82f792aa90 EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822013000100007&lng=en&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-868216612013 https://doaj.org/article/e26fd70f02674dff8b29df82f792aa90 Revista da Sociedade Brasileira de Medicina Tropical, Vol 46, Iss 1, Pp 07-14 (2013) Africa Coverage GAVI Alliance Guinea-Bissau Vaccination Arctic medicine. Tropical medicine RC955-962 article 2013 ftdoajarticles https://doi.org/10.1590/0037-868216612013 2022-12-31T02:02:32Z INTRODUCTION: Although many countries have improved vaccination coverage in recent years, some, including Guinea-Bissau, failed to meet expected targets. This paper tries to understand the main barriers to better vaccination coverage in the context of the GAVI-Alliance (The Global Alliance for Vaccines and Immunisation) cash-based support provided to Guinea-Bissau. METHODS: The analysis is based on a document analysis and a three round Delphi study with a final consensus meeting. RESULTS: Consensus attributed about 25% of the failure to perform better to implementation problems; and about 10% to governance and also 10% to scarce resources. The qualitative analysis validates the importance of implementation issues and upgraded the relevance of the human resources crisis as an important drawback. The recommendations were balanced in their upstream-downstream focus but were blind to health information issues and logistical difficulties. CONCLUSIONS: It is commendable that such a fragile state, with all sorts of barriers, manages to sustain a slow steady growth of its vaccination coverage. Not reaching the targets set reflects the inappropriateness of those targets rather than a lack of commitment of the health workforce. In the unstable context of countries such as Guinea-Bissau, the predictability of the funds from global health initiatives like the GAVI-Alliance seem to make all the difference in achieving small consistent health gains even in the presence of other major bottlenecks. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista da Sociedade Brasileira de Medicina Tropical 46 1 07 14 |
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ftdoajarticles |
language |
English |
topic |
Africa Coverage GAVI Alliance Guinea-Bissau Vaccination Arctic medicine. Tropical medicine RC955-962 |
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Africa Coverage GAVI Alliance Guinea-Bissau Vaccination Arctic medicine. Tropical medicine RC955-962 Paulo Ferrinho Mohamed Dramé Sidu Biai Orlando Lopes Fernando de Sousa Jr Wim Van Lerberghe Perceptions of the usefulness of external support to immunization coverage in Guinea-Bissau: a Delphi analysis of the GAVI-Alliance cash-based support |
topic_facet |
Africa Coverage GAVI Alliance Guinea-Bissau Vaccination Arctic medicine. Tropical medicine RC955-962 |
description |
INTRODUCTION: Although many countries have improved vaccination coverage in recent years, some, including Guinea-Bissau, failed to meet expected targets. This paper tries to understand the main barriers to better vaccination coverage in the context of the GAVI-Alliance (The Global Alliance for Vaccines and Immunisation) cash-based support provided to Guinea-Bissau. METHODS: The analysis is based on a document analysis and a three round Delphi study with a final consensus meeting. RESULTS: Consensus attributed about 25% of the failure to perform better to implementation problems; and about 10% to governance and also 10% to scarce resources. The qualitative analysis validates the importance of implementation issues and upgraded the relevance of the human resources crisis as an important drawback. The recommendations were balanced in their upstream-downstream focus but were blind to health information issues and logistical difficulties. CONCLUSIONS: It is commendable that such a fragile state, with all sorts of barriers, manages to sustain a slow steady growth of its vaccination coverage. Not reaching the targets set reflects the inappropriateness of those targets rather than a lack of commitment of the health workforce. In the unstable context of countries such as Guinea-Bissau, the predictability of the funds from global health initiatives like the GAVI-Alliance seem to make all the difference in achieving small consistent health gains even in the presence of other major bottlenecks. |
format |
Article in Journal/Newspaper |
author |
Paulo Ferrinho Mohamed Dramé Sidu Biai Orlando Lopes Fernando de Sousa Jr Wim Van Lerberghe |
author_facet |
Paulo Ferrinho Mohamed Dramé Sidu Biai Orlando Lopes Fernando de Sousa Jr Wim Van Lerberghe |
author_sort |
Paulo Ferrinho |
title |
Perceptions of the usefulness of external support to immunization coverage in Guinea-Bissau: a Delphi analysis of the GAVI-Alliance cash-based support |
title_short |
Perceptions of the usefulness of external support to immunization coverage in Guinea-Bissau: a Delphi analysis of the GAVI-Alliance cash-based support |
title_full |
Perceptions of the usefulness of external support to immunization coverage in Guinea-Bissau: a Delphi analysis of the GAVI-Alliance cash-based support |
title_fullStr |
Perceptions of the usefulness of external support to immunization coverage in Guinea-Bissau: a Delphi analysis of the GAVI-Alliance cash-based support |
title_full_unstemmed |
Perceptions of the usefulness of external support to immunization coverage in Guinea-Bissau: a Delphi analysis of the GAVI-Alliance cash-based support |
title_sort |
perceptions of the usefulness of external support to immunization coverage in guinea-bissau: a delphi analysis of the gavi-alliance cash-based support |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
publishDate |
2013 |
url |
https://doi.org/10.1590/0037-868216612013 https://doaj.org/article/e26fd70f02674dff8b29df82f792aa90 |
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Arctic |
geographic_facet |
Arctic |
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Arctic |
genre_facet |
Arctic |
op_source |
Revista da Sociedade Brasileira de Medicina Tropical, Vol 46, Iss 1, Pp 07-14 (2013) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822013000100007&lng=en&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-868216612013 https://doaj.org/article/e26fd70f02674dff8b29df82f792aa90 |
op_doi |
https://doi.org/10.1590/0037-868216612013 |
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Revista da Sociedade Brasileira de Medicina Tropical |
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46 |
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07 |
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