| Titre : | Factors Contributing to Varying levels of Success in Pneumococcal Conjugate Vaccine Program Implementation in LMICs : A Comparative Analysis on Kenya, Rwanda, and South Africa |
| Auteurs : | Paige Lewis ; Ecole des hautes études en santé publique (EHESP) (Rennes, FRA) |
| Type de document : | Mémoire |
| Année de publication : | 2024 |
| Description : | 29p. / fig., tabl., carte |
| Langues: | Anglais |
| Classement : | MPH/ (Mémoires MPH à partir de 2024) |
| Mots-clés : | Vaccination ; Vaccin ; Pneumonie ; Streptocoque ; Couverture vaccinale ; Prévention santé ; Kenya ; Rwanda ; Afrique du Sud |
| Résumé : |
Background: Pneumococcal disease, any infection caused by the bacterium Streptococcuspneumoniae (S. pneumoniae), is a major public health concern worldwide, especially on the African continent. Kenya, South Africa, and Rwanda have some of the more successful pneumococcal vaccination programs in Africa, but still face challenges that can impact success. It is important to study and examine these countries’ PCV programs to understand the similarities and differences of the programs and identify factors that contribute to a successful pneumococcal immunization program that can be implemented in other contexts.
Objective: The main objective is to answer the following research question: "What factors contribute to the varying levels of success in the implementation and sustainability of PCV programs in Kenya, Rwanda, and South Africa?" Method: This study used a comparative analysis approach in which data was collected from several databases on Kenya, Rwanda, and South Africa’s PCV programs. Data was coded according to the WHO IA2030 Framework for Action, and thematic analyzed for main themes of success. Result: After analysis of the data according to the IA2030 Framework, four main themes of a successful PCV program included implementation strategies, financial sustainability, community engagement, and healthcare infrastructure. Despite using different approaches, all three countries found success in introducing and scaling-up their PCV program with varying degrees of challenges in each of the four categories. Discussion: This study implies that vaccination coverage is feasible in resource-limited settings despite financial, logistical, and societal barriers. The implementation of and lessons learned from PCV programs in the three countries can provide a model for other LMICs that are aiming to bolster their immunization efforts and reduce mortality due to vaccine-preventable diseases. Conclusion: This study found that implementation strategies, financial sustainability, community engagement, and healthcare infrastructure are crucial areas to focus on for success of a PCV program. It is important to take lessons learned from these countries' diverse experiences and adapt the factors of success for other countries’ immunization programs to continue the trend of eliminating pneumococcal disease burden worldwide |
| Diplôme : | Master MPH of public health |
| Plan de classement simplifié : | Master of Public Health - master international de Santé Publique (MPH) |
| En ligne : | https://documentation.ehesp.fr/memoires/2024/mph/paige_lewis.pdf |
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