Table 4.
Health Facility (HF) organizational practices in three regions in Ghana, baseline survey, March 2016
| Northern RegionN = 52 HFs | Volta RegionN = 55 HFs | Greater Accra RegionN = 53 HFs | ||||
|---|---|---|---|---|---|---|
| Number of responses | % (95%CI)++ | Number of responses | % (95%CI)++ | Number of responses | % (95%CI)++ | |
| Written list of defaulters prepared | ||||||
| Yes, seen | 0 | 0 (0-0) | 5 | 9 (4-20) | 2 | 4 (1-13) |
| Yes, not seen | 3 | 6 (2-16) | 8 | 15 (8-26) | 6 | 11 (5-23) |
| No | 49 | 94 (84-98) | 42 | 76 (64-86) | 45 | 85 (73-92) |
| Phone or text messaging used to remind parents when to come for immunizations | ||||||
| Yes, phone calls | 6 | 12 (5-23) | 24 | 44 (31-57) | 25 | 47 (34-60) |
| Both text messaging and phone calls or text messaging only | 0 | 0 (0-0) | 0 | 0 (0-0) | 3 | 6 (2-15) |
| No | 46 | 89 (77-95) | 31 | 56 (43-67) | 25 | 47 (34-60) |
| Most common forms of communication with supervisor | ||||||
| Phone calls | 45 | 87 (75-93 | 42 | 76 (64-86) | 35 | 66 (53-77) |
| Text messaging | 7 | 14 (7-25)) | 20 | 36 (25-50) | 14 | 26 (16-40) |
| Most common reasons for communicating with supervisor | ||||||
| Immunization-related stock needs | 35 | 78 (64-88) | 27 | 60 (46-73) | 21 | 55 (40-70) |
| Immunization data reporting | 12 | 27 (16-41) | 12 | 27 (16-41) | 12 | 32 (19-48) |
| Immunization specific questions | 14 | 31 (20-46) | 28 | 62 (48-75) | 12 | 32 (19-48) |
| Impact of MCV2 introduction on health facility workload* | N = 14 | N = 25 | N = 38 | |||
| The number of immunization sessions held (fixed or outreach) | ||||||
| Increased | 10 | 71 (45-88) | 14 | 56 (37-73) | 28 | 74 (58-85) |
| Stayed the same | 4 | 29 (12-55) | 11 | 44 (27-63) | 10 | 26 (15-42) |
| Decreased | 0 | 0 (0-0) | 0 | 0 (0-0) | 0 | 0 (0-0) |
| The time needed to hold an immunization session | ||||||
| Increased | 9 | 64 (39-84) | 16 | 64 (45-80) | 21 | 55 (40-70) |
| Stayed the same | 5 | 36 (16-61) | 9 | 36 (20-56) | 17 | 45 (30-60) |
| Decreased | 0 | 0 (0-0) | 0 | 0 (0-0) | 0 | 0 (0-0) |
| The time needed to document immunizations in the register | ||||||
| Increased | 11 | 73 (48-89) | 17 | 68 (48-83) | 28 | 74 (58-85) |
| Stayed the same | 4 | 27 (11-52) | 7 | 28 (14-48) | 10 | 26 (15-42) |
| Decreased | 0 | 0 (0-0) | 1 | 4 (1-20) | 0 | 0 (0-0) |
Abbreviations: second-dose measles-containing vaccine (MCV); confidence intervals (CI)
+
Among healthcare workers in the immunization workforce prior to 2012
++
percentages account for clustering at the primary sampling unit (district) level and sampling weights