Strengthening routine immunization in Papua New Guinea: a cross-sectional provincial assessment of front-line services.
Christopher Morgan, Olga PM Saweri, Nicholas Larme, Elizabeth Peach, Pele Melepia, Lucy Au, Scoullar JL Michelle, Reza S Mohammad, Lisa M Vallely, Barbara A McPake, James G Beeson
Abstract Background Routine immunization programs face many challenges in settings such as Papua New Guinea with dispersed rural populations, rugged geography and limited resources for transport and health. Low routine coverage contributes to disease outbreaks such as measles and the polio that re-appeared in 2018. We report on an in-depth local assessment that aimed to document immunization service provision so as to review a new national strategy, and consider how routine immunization could be better strengthened.Methods In East New Britain Province, over 2016 and 17, we carried out a cross-sectional assessment of 12 rural health facilities, staff and clients. The study was timed..View full abstract