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Title: Factors influencing the uptake of the revised expanded immunisation programme at Umlazi Township, KwaZulu-Natal Province, South Africa : maternal and child care
Authors: Ngxongo, Thembelihle Sylvia Patience 
Chonco, Nomfundo Prudence Hedwig 
Sibiya, Maureen Nokuthula 
Keywords: Child care givers;Expanded programme on immunisation;Immunisation coverage;Immunisation uptake
Issue Date: Oct-2015
Publisher: AFAHPER-SD
Source: Ngxongo, T.S.P., Chonco, N.P.H. & Sibiya, M.N. 2015. Factors influencing the uptake of the revised expanded immunisation programme at Umlazi Township, KwaZulu-Natal Province, South Africa. African Journal for Physical, Health Education, Recreation and Dance, (Suppl. 1:2): 529-548.
Journal: National sun 
The Expanded Programme on Immunisation (EPI) is one of the most powerful and cost-effective
global public health programmes to improve child survival. In South Africa, the programme
remained fragmented because of the system of apartheid until 1995 when the national EPI was
formed through the unification of all immunisation services in the country. Since then there have
been significant advances in immunisation service delivery in South Africa with numerous
revisions in the schedule, last of which was in 2009. The data information system for eThekwini
district reflects remarkably low immunisation coverage for children aged 6 to12 years compared
to the other age groups from the time the 2009 revision was made. The aim of the study was to
investigate the factors that influence the uptake of the revised EPI for children between the ages
of 6 to 12 years at Umlazi Township, KwaZulu-Natal (KZN). A descriptive quantitative design
was used to conduct the study. All (n=10) primary health care (PHC) clinics from Umlazi
Township were included in the study. Data was collected from 1009 child caregivers (CCGs) and
all (n=12) health care workers (HCWs) who were involved in EPI services using self-directed
questionnaires. The study revealed that although the EPI programme was well-implemented in
Umlazi Township, EPI coverage for children between 6 to 12 years old remained low. Several
factors that influenced the uptake of the immunisations were identified. The positive factors
which could be used to strengthen the programme were mainly in relation to how the EPI
programme was implemented and a few other factors in relation to the CCGs and their access to
the PHC clinics. The negative factors were in relation to emergency ordering and supply of
vaccines and the knowledge of the children care givers regarding the immunisation. These
highlighted a need to strengthen how the EPI was implemented.
ISSN: 1117-4315 (Print)
Appears in Collections:Research Publications (Health Sciences)

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