FACTORS AFFECTING ROUTINE IMMUNIZATION SERVICE DELIVERY IN PRIVATE HOSPITALS IN ADDIS ABABA, ETHIOPIA

Abstract

The immunization service provided in private hospitals where there is maternal and child health service. Currently, the Federal Ministry of Health gave a certificate of competency to 20 private hospitals, NGO clinics and middle level clinics to provide immunization service. A descriptive and inferential study design and census sampling technics is used. Primary qualitative and quantitative data, secondary data collected using an interview questionnaire and a record review and observation. SPSS is used for data analyses. The result reveals that all facilities under the study assign at least one focal person and significant of them not trained to render immunization service and lacks standard practice of annual planning and budgeting to service provision which affects service provision quality, performance and sustainability. The immunization service practice in private hospitals is violets standards and recommendation of World Health Organization. The study results indicate gaps which is a tip of the ice-burg of the immunization service provision in private hospitals. In conclusion the factors affecting immunization service in private hospital at input level are lack of standard practice of planning, budgeting, frequent stock out of vaccines, lack of standard equipment for vaccine storage and transportation. The finding is useful to take appropriate measure by the government in collaboration with the private sector in which is strengthening public-private partnership.