Post-epidemic health system recovery: A comparative case study analysis of routine immunization programs in the Republics of Haiti and Liberia.

Post-epidemic health system recovery: A comparative case study analysis of routine immunization programs in the Republics of Haiti and Liberia.

Blog Article

Large-scale epidemics in resource-constrained settings disrupt delivery of core health services, such as routine immunization.Rebuilding and strengthening Cyclist Accessories - Clothing - Bottoms routine immunization programs following epidemics is an essential step toward improving vaccine equity and averting future outbreaks.We performed a comparative case study analysis of routine immunization program recovery in Liberia and Haiti following the 2014-16 West Africa Ebola epidemic and 2010s cholera epidemic, respectively.

First, we triangulated data between the peer-reviewed and grey literature; in-depth key informant interviews with subject matter experts; and quantitative metrics of population health and health system functioning.We used these data to construct thick descriptive narratives for each case.Finally, we performed a cross-case comparison by applying a thematic matrix based on the Essential Public Health Services framework to each case narrative.

In Liberia, post-Ebola routine immunization coverage surpassed pre-epidemic levels, a feat attributable to investments in surveillance, comprehensive risk communication, robust political support for and leadership around immunization, and strong public-sector recovery planning.Recovery efforts in Haiti were fragmented across a broad range of non-governmental agencies.Limitations in funding, workforce development, and community engagement further impeded vaccine uptake.

Consequently, Haiti reported significant disparities in subnational immunization coverage following the epidemic.This study suggests that embedding in-country expertise within Trot Harness outbreak response structures, respecting governmental autonomy, aligning post-epidemic recovery plans and policies, and integrating outbreak response assets into robust systems of primary care contribute to higher, more equitable levels of routine immunization coverage in resource-constrained settings recovering from epidemics.