IMPLEMENTATION REPORT PHASE II OF THE VACCINATION APPOINTEMENTS REMINDERS BY MOBILE TELEPHONY IN THE HEALTH DISTRICT OF KORHOGO November 2015 1 SUMMARY ABREVIATIONS ........................................................................................................................................................................ 5 ILLUSTATIONS TABLES ........................................................................................................................................................ 6 1. SUMMARY ......................................................................................................................................................................... 7 2. CONTEXT AND JUSTIFICATION ............................................................................................................................... 9 3. RESEARCH QUESTION ................................................................................. Error! Bookmark not defined. 4. GOAL AND OBJECTIVES OF THE PROJECT ........................................................................................................ 10 4.1. Goal of the project ...................................................................................... Error! Bookmark not defined. 4.2. Overall objective ......................................................................................... Error! Bookmark not defined. 4.3. Specific Objectives ................................................................................................................................................. 11 4.4. Attained results ........................................................................................... Error! Bookmark not defined. 5. METHODOLOGY ........................................................................................................................................................... 11 5.1. Type of study............................................................................................................................................................. 11 5.2. Zone of study ............................................................................................................................................................. 12 5.3. Population of study ................................................................................................................................................ 12 5.3.1. Inclusion criteria ................................................................................................................................................. 12 5.3.2. Criteria of non-inclusion ................................................................................................................................... 12 5.3.3. Sampling .................................................................................................... Error! Bookmark not defined. 6. IMPLEMENTATION OF THE PROJECT ................................................................................................................ 15 6.1. Conceptual framework ............................................................................ Error! Bookmark not defined. 6.1.1. Conception of the mobile web interface of the project ......................................................................... 15 6.1.4. Vaccination monitoring after enrolement ................................................................................................ 17 6.2.1. Basic evaluation and planning with the district ...................................................................................... 19 6.2.2. Training of Health agents ................................................................... Error! Bookmark not defined. 6.2.3. Equipping and putting in place of imputs in the health centres ........................................................ 20 6.2.4. Post-Training monitoring ................................................................... Error! Bookmark not defined. 6.2.5. Supportive supervisions .................................................................................................................................... 20 6.2.6. Mid-term assesment meeting ............................................................. Error! Bookmark not defined. 6.3.1. Data management and information sharing ............................... Error! Bookmark not defined. 6.3.2. Data auditing .............................................................................................................................................. 22 6.3.3. Data Analysis .................................................................................. Error! Bookmark not defined. 7. DIFFICULTES ENCOUNTERED DURING THE STUDY ..................... Error! Bookmark not defined. 2 7.1.1. Type of study ............................................................................................................................................... 22 7.1.2. Limitations in selection of targets ....................................................................................................... 23 7.1.3. Limitations in Muli-vaccine data management ............................................................................ 24 7.2. Operational constraints ........................................................................... Error! Bookmark not defined. 7.2.1. Constraints related to health structures .......................................................................................... 25 7.2.2. Technical constraints related to targets ........................................................................................... 25 8. RESULTS .......................................................................................................................................................................... 25 8.1. Descriptive analysis .................................................................................. Error! Bookmark not defined. 8.1.1. Type of health structure .......................................................................................................................... 25 8.1.2. Charectaristics of the mothers .............................................................................................................. 26 8.1.3. Charectaristics of the children ................................................. Error! Bookmark not defined. 8.1.4. Charectaristics of messages .................................................................................................................. 32 8.1.5. Charectaristics linked to vaccination coverage .............................................................................. 35 8.1.6. Completeness .................................................................................. Error! Bookmark not defined. 8.1.7. Dropout rate ................................................................................... Error! Bookmark not defined. 8.1.8. Characteristics related to deceased children and the lost in sight .......................................... 40 8.2. Analysis of variables .............................................................................................................................................. 41 8.3. Qualitative monitoring ............................................................................. Error! Bookmark not defined. 8.3.1. Perception on the project by the interviewed vaccination agents .................................................... 42 8.3.2. Perception on the project by the interviewed mothers ........................................................................ 43 8.3.2.1. Received messages .......................................................................... Error! Bookmark not defined. 8.3.2.2. Reasons for not attending vaccination appointements ................................................................. 44 8.3.2.3. Concerning knowledge of the mothers about vitamin A and reasons for their children not receiving vitamin A supplementation ...................................................... Error! Bookmark not defined. 8.3.2.4. Suggestions made by the mothers .......................................................................................................... 46 9. DISCUSSIONS ................................................................................................................................................................. 47 9.1. Effects of the intervention ................................................................................................................................... 47 9.2. Lessons learnt ........................................................................................................................................................... 48 10. RECOMMANDATIONS ........................................................................................................................................... 49 11. CONCLUSION ............................................................................................................................................................ 50 ANNEXE 1 : VACCINATION CALENDAR OF THE CHILD AND OF THE MOTHER....... Error! Bookmark not defined. ANNEXE 2 : IMPLEMENTATION CALENDAR OF THE PROJECT ........... Error! Bookmark not defined. 3 ANNEXE 3: RANDOMISATION ALGORITHIMIC OF THE MOTHER-CHILD COUPLES ...................... Error! Bookmark not defined. ANNEXE 4 : PROJECT DIRECTIVES .................................................................. Error! Bookmark