TABLE.

Examples of Key Strengths and Challenges Reported by District Health Management Teams in Implementing Capacity-Building Interventions to Improve Knowledge and Practice of Immunization in Ghana

Key Strengths	Key Challenges
HCWs have started school immunization.	Hard to reach communities in the zone
HCWs are conducting defaulter tracing and applying good communicating skills.	Inadequate child welfare clinic register and immunization monitoring chart; no permanent place to display chart
Various viewpoints are brought for discussion—effective participation.	Mothers reluctant to bring their children for vaccination
Good collaboration with the subdistrict is present.	Heavy workload for HCWs
Improvement in data documentation and defaulter tracing (i.e., list of children missing doses of recommended vaccines) is occurring.	Hard getting stationery from the health facility

Abbreviations: HCW, health care worker.