Improving immunization coverage and equity - technical resources

Comparing Resources

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Resource Working Together: An integration resource guide for services throughout the life course
Purpose To summarize current knowledge and guidance on the integration of immunization with other health interventions, health policies or activities.
Content Benefits and risks of integration, types of integration as well as the types of services that can be integrated with immunization, planning integration of services, and monitoring and evaluation of implementation of integrated services.
Expected outcomes (a) More efficient use of resources, including trained health workers, transport and other logistical equipment.
(b) Increased convenience for the service users due to the reduced number of visits needed to address health needs.
(c) Reduced missed opportunities.
(d) Strengthened Primary health care system.
Strengths Provides a conceptual overview of “delivery platforms” across the life course (prenatal, infant, 2nd Year of Life, child, adolescent, adult, the aged) with interventions that can be delivered. The guide also defines integration as a continuum (rather than an extreme), so indicates how integration can be adapted to a specific country context.
Contraints/Limitations (a) There is no “single fit” strategy for integration, as each country has to adapt the strategy to its own country context.
(b) There are logistical challenges associated with delivering integrated interventions.
(c) Increased time is required to deliver multiple interventions.
Why use it (a) Assists alignment with broader PHC and UHC objectives.
(b) Provides opportunity to expand coverage and equity through service integration.
(c) Of high relevance to strategy to reduce zero dose and under immunised. Use of the guide / strategy may lead to benefit to immunization from increased integration by cost sharing and by reducing missed opportunities for vaccination. Demand can also be stimulated through cross promotion of other health services. Provision of integrated health services in a more efficient way particularly important in resource-constrained settings.
Who should use it National managers for EPI, reproductive health, maternal child and adolescent health programmes. Global, regional, and country level policymakers.
Additional Links
Link to access the resource /en/component/content/article/working-together-an-integration-resource-guide-for-services-throughout-the-life-course?catid=660&Itemid=101