N (%) | |
Routine vaccine stockout (n=565)* | |
No/Not sure | 210 (37.2) |
Yes | 355 (62.8) |
Stockouts for routine vaccines (n=355)*† | |
IPV | 227 (63.9) |
DTP-HB-Hib | 191 (53.8) |
BCG | 136 (38.3) |
MR | 131 (36.9) |
HepB | 39 (11.0) |
PCV | 61 (17.2) |
OPV | 36 (10.1) |
Other | 34 (9.6) |
Vaccine stockout for COVID-19 vaccines | |
No/Not sure | 378 (62.6) |
Yes | 214 (35.4) |
Do not stock | 12 (2.0) |
Formal training in COVID-19 immunisation | |
No | 287 (47.5) |
Yes | 317 (52.5) |
COVID-19 immunisation disrupted other priorities | |
Did not deliver COVID-19 immunisation | 72 (11.9) |
Not at all/Slightly | 407 (67.4) |
Moderately | 95 (15.7) |
Very | 30 (5.0) |
Service disruptions experienced by HCP†‡ | |
Staff providing COVID-19 relief | 531 (87.9) |
Change in vaccination policies | 363 (60.1) |
Fewer parents/caregivers attending for other reasons | 332 (55.0) |
Lockdowns hindering parent/caregiver access | 211 (34.9) |
Closure of service | 202 (33.4) |
Insufficient PPE | 185 (30.6) |
Not enough staff | 184 (30.5) |
Unavailability/Stockouts of vaccines or injecting equipment at health facility | 169 (28.0) |
Other | 23 (3.8) |
Strategies to overcome disruptions† | |
Community outreach | 456 (75.5) |
Phone calls to parents/caregivers | 437 (72.4) |
Task shifting/role delegation | 387 (64.1) |
Parents/Caregivers seen outdoors from facility | 358 (59.3) |
Redirection of parents/caregivers to alternative services | 230 (38.1) |
Government removal of user fees | 154 (25.5) |
Other (eg, home visits, online consultations) | 43 (7.1) |
*Only participants who provided routine immunisation services answered this question.
†Multiple response options allowed.
‡100% of respondents reported some type of service disruption.
DTP-HB-Hib, diphtheria-tetanus-pertussis, hepatitis B and Haemophilus influenzae type b; HepB, hepatitis B; IPV, inactivated polio vaccine; MR, measles and rubella; OPV, oral polio vaccine; PCV, pneumococcal conjugate vaccine; PPE, personal protective equipment.