Evaluation of Container Clinics as an Urban Immunization Strategy: Findings from the First Year of Implementation in Ghana, 2017–2018
Date
2023
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Vaccines
Abstract
Background: In 2017, the Expanded Programme on Immunization in Ghana opened two
container clinics in Accra, which were cargo containers outfitted to deliver immunizations. At each
clinic, we assessed performance and clinic acceptance during the first 12 months of implementation. Methods: We employed a descriptive mixed-method design using monthly administrative
immunization data, exit interviews with caregivers of children of <5 years (N = 107), focus group
discussions (FGDs) with caregivers (n = 6 FGDs) and nurses (n = 2 FGDs), and in-depth interviews
(IDIs) with community leaders (n = 3) and health authorities (n = 3). Results: Monthly administrative
data showed that administered vaccine doses increased from 94 during the opening month to 376
in the 12th month across both clinics. Each clinic exceeded its target doses for the 12–23 month
population (second dose of measles). Almost all (98%) exit interview participants stated that the
clinics made it easier to receive child health services compared to previous health service interactions.
The accessibility and acceptability of the container clinics were also supported from health worker
and community perspectives. Conclusions: Our initial data support container clinics as an acceptable
strategy for delivering immunization services in urban populations, at least in the short term. They
can be rapidly deployed and designed to serve working mothers in strategic areas.
Description
Research Article
Keywords
vaccines, healthcare access, routine immunization
Citation
Citation: Shaum, A.; Wardle, M.T.; Amponsa-Achiano, K.; Aborigo, R.; Opare, J.; Wallace, A.S.; Bandoh, D.; Quaye, P.; Osei-Sarpong, F.; Abotsi, F.; et al. Evaluation of Container Clinics as an Urban Immunization Strategy: Findings from the First Year of Implementation in Ghana, 2017–2018. Vaccines 2023, 11, 814. https:// doi.org/10.3390/vaccines11040814