Health Campaign Effectiveness Bangladesh
Bangladesh has a long history of successful program campaign for the control of vaccine preventable diseases through its National Expanded Program on Immunization (EPI) since 1995. The Government of Bangladesh (GoB) used this popular platform of the campaign by integrating the National Vitamin A-Plus Campaign (NVAC) along with polio vaccine to the 12-59 months aged children during NIDs. Deworming tablets were also provided to 24-59 months old children. This is a wonderful example of campaign integration, where co-delivery of oral polio vaccine (OPV), Deworming, and Vitamin-A were delivered through a single program platform. The measles elimination activities were also conducted in 2014 along with the NID. Later, this campaign shared most of the NID campaign components, including micro-planning, human resources, volunteers, infrastructure, logistics, community engagement methods, training, advocacy meetings. The result of this integrated campaign strategy resulted in high routine immunization coverage for OPV, MR, and VIT-A and deworming figures all showed an upward trend. Although this integrated campaign strategy in Bangladesh was very effective, the reasons for its success have not been analyzed, and the lessons learned have not been documented for use in future campaigns like COVID-19.
BRAC James P Grant School of Public health is conducting a retrospective study will help us to gain a deeper understanding about the context and factors in integration of health campaigns, facilitating factors and challenges during implementation, and the overall impact on the success of the program outcome. Besides, it will help us to formulate recommendations and suggestions regarding integrating health campaign for future program. These insights will assist in creating a set of design principles and considerations that will reflect the need of conducting health campaign integration in current country context and guide our national policy makers to review national policies to build on solutions for emerging issues in the field of infectious disease by aligning with Immunization Agenda 2030 by World Health Organization.
- To find out the circumstances that lead to partially versus fully integrated EPI vaccination campaigns through the sharing of specific campaign components or platforms.
- To explore enabling and hindering factors at different levels of the health system to full vaccination campaign integration in the field of vaccine-preventable diseases.
- To interpret the impact of full VPD campaign integration on intervention or service delivery outcomes
- To see how VPD health campaign inputs, processes, and resources can be successfully used to strengthen routine immunization services and impact the health system