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Original Articles
Open Access

Factors limiting immunization coverage in urban Dili, Timor-Leste

Ruhul Amin, Telma Joana Corte Real De Oliveira, Mateus Da Cunha, Tanya Wells Brown, Michael Favin and Kelli Cappelier
Global Health: Science and Practice November 2013, 1(3):417-427; https://doi.org/10.9745/GHSP-D-13-00115
Ruhul Amin
aMCHIP-Maternal and Child Health Integrated Program, John Snow, Inc., Washington, DC, USA
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  • For correspondence: dr_ruhul{at}yahoo.com
Telma Joana Corte Real De Oliveira
bThe Ministry of Health, Dili, Timor-Leste
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Mateus Da Cunha
bThe Ministry of Health, Dili, Timor-Leste
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Tanya Wells Brown
cU.S. Agency for International Development, Dili, Timor-Leste
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Michael Favin
aMCHIP-Maternal and Child Health Integrated Program, John Snow, Inc., Washington, DC, USA
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Kelli Cappelier
aMCHIP-Maternal and Child Health Integrated Program, John Snow, Inc., Washington, DC, USA
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Figures & Tables

Figures

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  • Figure 1.
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    Figure 1.

    Four Themes Associated With Immunization Coverage in Urban Dili, Timor-Leste

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    Figure 2.

    Immunization Status of Caregivers' Children

    Among caregivers who participated in focus group discussions (N = 70).

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    Figure 3.

    Relationship of Caregiver to Child Taken for Immunization

    Based on analysis of health facility observations (N = 83).

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    Figure 4.

    Caregivers' Assessments of Waiting Times and Satisfaction With Services

    Based on analysis of data from exit interviews (N = 37).

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    Figure 5.

    Quality of Counseling and Health Education

Tables

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    Table 1. Study Sample
    Methodology and Types of ParticipantsNo. of Participants
    Observed Immunization Encounters
     Mothers69
     Fathers3
     Mothers and fathers together4
     Other caregivers7
    Subtotal83
    Exit Interviews
     Caregivers37
    Subtotal37
    In-Depth Interviews
     Health staff18
     Community leaders6
    Subtotal24
    Focus Group Discussions
     Mothers52
     Fathers10
     Grandmothers8
    Subtotal70
    TOTAL214
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    Table 2. Reasons for Child Having Complete, Partial, and No Immunizations, Compiled From Focus Group Discussions
    Sociocultural FactorsFully ImmunizedPartially ImmunizedNot Immunized
    Understand the benefits✓✓
    Motivated✓
    Collaboration with husband✓
    Conflicting priorities (working parents)✓
    Afraid, shy✓
    Misunderstood schedule and came late✓
    Children got ill✓
    Raining and distance✓
    Bad experiencesa✓✓
    Perception that child is too weak for vaccination✓
    False beliefs that vaccination does not prevent diseases✓
    Lost health card or no card✓
    Lack of interest or motivation✓
    Delivered at home✓
    • ↵a Includes fear of provider or of interrogation, adverse events, unavailable vaccine, and miscellaneous reasons.

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Global Health: Science and Practice: 1 (3)
Global Health: Science and Practice
Vol. 1, No. 3
November 01, 2013
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Factors limiting immunization coverage in urban Dili, Timor-Leste
Ruhul Amin, Telma Joana Corte Real De Oliveira, Mateus Da Cunha, Tanya Wells Brown, Michael Favin, Kelli Cappelier
Global Health: Science and Practice Nov 2013, 1 (3) 417-427; DOI: 10.9745/GHSP-D-13-00115

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Factors limiting immunization coverage in urban Dili, Timor-Leste
Ruhul Amin, Telma Joana Corte Real De Oliveira, Mateus Da Cunha, Tanya Wells Brown, Michael Favin, Kelli Cappelier
Global Health: Science and Practice Nov 2013, 1 (3) 417-427; DOI: 10.9745/GHSP-D-13-00115
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