Training needs for mid-level managers and immunisation coverage in Western Kenya

S. O. Ayaya, E. Liechty, J. H. Conway, T. Kamau, P. O. Esamai

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objectives: To determine the current status of immunisation coverage in Western Kenya before intervention, to identify strengths and weaknesses of the existing programme in order to design educational interventions that could improve the services provided and find out the training needs of the mid-level managers of Kenya Expanded Programme of Immunisation. Design: Cross-sectional descriptive study. Setting: All thirty nine districts in Rift Valley, Western and Nyanza provinces. Subjects: Mid-level managers of Kenya Expanded Programme on Immunisation in the 39 districts and the provinces. These included Provincial Logisticians, Provincial Medical Officers of Health, District Medical Officers of Health, District Public Health Nurses, District Records and Health Information Officers, District Disease Surveillance Officers, and District Public Health Officers. Main outcome measures: Number of staff trained on EPI, coverage rates and perceived training needs of the mid-level managers. Results: A total of eighty eight mid-level managers participated in the interviews. Most of these were District Public Health Nurses (40.9%) and District Health Information and Records Officers (23.9%). Only 49 (25%) of the District Health Management Team members had undergone training at the supervisory level. Eighteen districts (43.6%) had no member of the District Health Management Team that had ever been trained at the supervisory level. Using rates of Pentavalent 1 and measles coverage, Nyanza Province had the highest immunisation dropout rate (Pentavalent 1 - measles) whereas Rift Valley Province had the lowest. The annual cumulative coverage for all the provinces by antigen was 80% for Pentavalent 1 and 2 and 60% for measles. The most requested need for inclusion in the training curriculum was maintenance of the cold chain equipment. Conclusions: Most of the members in the study area have not been trained on Expanded Programme on Immunisation and may be ill-equipped to manage the complicated programmes needed to maximise delivery of services. The immunisation coverage in this area is low while the dropout rates are high. We therefore recommend that all the mid-level managers of Expanded Programme on Immunisation in this area be trained comprehensively through the Merck Vaccine Network - Africa programme using the World Health Organisation approved mid-level managers course.

Original languageEnglish
Pages (from-to)342-352
Number of pages11
JournalEast African Medical Journal
Volume84
Issue number7
StatePublished - Jul 2007

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Immunization
Kenya
Immunization Programs
Managers
Health
Measles
Public health
Public Health Nurses
Refrigeration
Curriculum
Curricula
Vaccines
Public Health
Cross-Sectional Studies
Maintenance
Outcome Assessment (Health Care)
Interviews
Antigens
Equipment and Supplies

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

Ayaya, S. O., Liechty, E., Conway, J. H., Kamau, T., & Esamai, P. O. (2007). Training needs for mid-level managers and immunisation coverage in Western Kenya. East African Medical Journal, 84(7), 342-352.

Training needs for mid-level managers and immunisation coverage in Western Kenya. / Ayaya, S. O.; Liechty, E.; Conway, J. H.; Kamau, T.; Esamai, P. O.

In: East African Medical Journal, Vol. 84, No. 7, 07.2007, p. 342-352.

Research output: Contribution to journalArticle

Ayaya, SO, Liechty, E, Conway, JH, Kamau, T & Esamai, PO 2007, 'Training needs for mid-level managers and immunisation coverage in Western Kenya', East African Medical Journal, vol. 84, no. 7, pp. 342-352.
Ayaya SO, Liechty E, Conway JH, Kamau T, Esamai PO. Training needs for mid-level managers and immunisation coverage in Western Kenya. East African Medical Journal. 2007 Jul;84(7):342-352.
Ayaya, S. O. ; Liechty, E. ; Conway, J. H. ; Kamau, T. ; Esamai, P. O. / Training needs for mid-level managers and immunisation coverage in Western Kenya. In: East African Medical Journal. 2007 ; Vol. 84, No. 7. pp. 342-352.
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abstract = "Objectives: To determine the current status of immunisation coverage in Western Kenya before intervention, to identify strengths and weaknesses of the existing programme in order to design educational interventions that could improve the services provided and find out the training needs of the mid-level managers of Kenya Expanded Programme of Immunisation. Design: Cross-sectional descriptive study. Setting: All thirty nine districts in Rift Valley, Western and Nyanza provinces. Subjects: Mid-level managers of Kenya Expanded Programme on Immunisation in the 39 districts and the provinces. These included Provincial Logisticians, Provincial Medical Officers of Health, District Medical Officers of Health, District Public Health Nurses, District Records and Health Information Officers, District Disease Surveillance Officers, and District Public Health Officers. Main outcome measures: Number of staff trained on EPI, coverage rates and perceived training needs of the mid-level managers. Results: A total of eighty eight mid-level managers participated in the interviews. Most of these were District Public Health Nurses (40.9{\%}) and District Health Information and Records Officers (23.9{\%}). Only 49 (25{\%}) of the District Health Management Team members had undergone training at the supervisory level. Eighteen districts (43.6{\%}) had no member of the District Health Management Team that had ever been trained at the supervisory level. Using rates of Pentavalent 1 and measles coverage, Nyanza Province had the highest immunisation dropout rate (Pentavalent 1 - measles) whereas Rift Valley Province had the lowest. The annual cumulative coverage for all the provinces by antigen was 80{\%} for Pentavalent 1 and 2 and 60{\%} for measles. The most requested need for inclusion in the training curriculum was maintenance of the cold chain equipment. Conclusions: Most of the members in the study area have not been trained on Expanded Programme on Immunisation and may be ill-equipped to manage the complicated programmes needed to maximise delivery of services. The immunisation coverage in this area is low while the dropout rates are high. We therefore recommend that all the mid-level managers of Expanded Programme on Immunisation in this area be trained comprehensively through the Merck Vaccine Network - Africa programme using the World Health Organisation approved mid-level managers course.",
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