Objective 1: Health systems and supply-related determinants of immunisation coverage | Issues with recording and documentation of coverage by healthcare workers Human resources Vaccine quality and supply |
Objective 2: Service utilisation and community demand-related determinants of immunisation coverage | Community knowledge Poor knowledge of effectiveness and action of immunisation Uncertainty with campaign knowledge Multiple and unclear education sources Community attitudes Inadequate handling of immunisation card Being afraid of side effects High satisfaction with service Preference for fixed site provider Access determinants Distance between health facility and village making it difficult to access services Lack of time to access services – rice fields and household duties Lack of money deterring utilisation Seasonal variation in utilisation and ease of access |