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This longitudinal retrospective study describes the process of urban routine immunization strengthening interventions and reviews the progress for a decade analyzing administrative immunization coverage outcomes in Janakpur Municipality, Nepal.
This intervention was based on local need following available guidelines to improve immunization coverage in Janakpur. The strategies were designed to ensure an effective community involvement through establishing female community health volunteers (FCHVs) network, activation of municipal health unit with human resources, increase immunization service providing sites, improving vaccine and logistics supply mechanism, supportive supervision and monitoring including improved reporting and use of data for action.
Over a decade, the vaccination coverage was improved significantly which shows that the accessibility problem was addressed efficiently, however, to solve the dropout problem is a long-term process. This process invites more efforts through raising awareness and knowledge of parents to improve the utilization of the available services. The high immunity level is highly important to achieve and maintain to develop a protective shield against vaccine-preventable diseases.
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