Effectiveness and Feasibility of Using Local Medical Universities for Capacity Building to Improve the Immunization Program in Ethiopia: Quasi-Experimental Study

Figures & data

Table 1 RED Implementation Score for Component Indicators for RED Strategy During Pre and Post Intervention Implementation

S.No.	Component Indicator	Pre Intervention			Post Intervention
		Maximum	Minimum	Mean	Maximum	Minimum	Mean
1	Planning Management	1	0	0.42	1	0.4	0.76
2	Use of data for action	1	0.2	0.71	1	0.8	0.95
3	Supportive supervision	1	0	0.38	1	0	0.85
4	Outreach	1	0	0.48	1	0.33	0.84
5	Community engagement	1	0	0.71	1	0.66	0.94
6	Overall RED implementation score	4.1	0.86	2.71	4.99	3.39	4.36

Table 2 The Effect of the CBMPI Intervention Package on RED Implementation Strategy Components

S.No.	Indicator	DID Estimator (Intervention×Time)	95% CI	P-value
1	Planning management	0.314	[0.027–0.6003]	0.032*
2	Data use for action	0.326	[0.117–0.534]	0.003*
3	Supervision	0.061	[−0.374–0.497]	0.778
4	Outreach	0.511	[0.217–0.805]	0.001*
5	Community	0.032	[−0.234–0.297]	0.812
6	Overall RED implementation	1.244	[0.507–1.981]	0.001*

Note: *Significant at p-value of 0.05.

Table 3 The Effect of the CBMPI Intervention Package on Vaccination Service Delivery Outcomes

S.No.	Indicators	DID Estimator (Intervention×Time)	95% CI	P-value
1	Penta III coverage	17.4159	[2.037, 32.793]	0.027*
2	Polio III coverage	17.31128	[1.921, 32.700]	0.028*
3	Penta dropout coverage	−2.672821	[−4.398, −0.947]	0.003*
4	Full vaccination coverage	16.63179	[1.33, 31.928]	0.034*

Note: *Significant at p-value of 0.05.

Table 4 Knowledge of Health Workers Pre- and Post-Intervention Implementation

S.No	Item	Correct Answer	Pre	Post	Chi-Square, P-value
1	Distance of ILR and DF from the wall	Yes	1(7.7%)	6(46.1%)	0.011*
		No	12(92.3%)	7(53.9%)
2	Temperature log maintenance	Yes	6(46.1%)	11(84.6%)	0.039*
		No	7(53.9%)	2(15.4%)
3	Appropriate cabinet temperature for ILRs	Yes	5(38.5%)	11(84.6%)	0.016*
		No	8(61.6%)	2(15.4%)
4	How many hours before distribution, diluents to be placed in ILR point	Yes	6(46.1%)	12(92.3%)	0.011*
		No	7(53.9%)	1(7.6%)
5	Correct manner of placing ice packs inside DF	Yes	6(46.1%)	10(76.9%)	0.107
		No	7(53.9%)	3(23.1%)

Note: *Significant at P = 0.05.

Table 5 Skills and Practice of Health Workers During Child Immunization Measured Pre- and Post-Intervention Implementation

Components	Correct Procedure for All Children	Intervention Districts		P-value
		Pre	Post
All the children received appropriate vaccines^#	Yes	7(53.9%)	12(92.3%)	0.027*
	No	6(46.1%)	1(7.7%)
The vaccinator communicates with the mother/care giver on the key messages	Yes	4(30.8%)	11(84.6%)	0.005*
	No	9(69.2%)	2(15.4%)
The vaccinator touches or recaps the needle	Yes	5(38.5%)	2(15.4%)	0.185
	No	8(61.5%)	11(84.6%)
Each vaccine administered using the correct route for the vaccine	Yes	11(84.6%)	13(100%)	0.141
	No	2(15.4%)	0(0%)
Used syringes/needles disposed of in safety boxes	Yes	5(38.5%)	12(92.3%)	0.004*
	No	8(61.5%)	1(7.7%)

Notes: ^#Five children were observed during vaccination sessions. *Significant at P = 0.05.