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Co-constructing fishbone diagram to understand the barriers to immunization in an urban community in Mysuru, Karnataka: A brief report of a qualitative study

Meghana Narendran, Smitha M C, Jose Jom Thomas, Praveen Kulkarni, Narayana Murthy M R.

Abstract
Background: Despite improvements in immunization coverage during the 1990s, full immunization coverage for 1223 months according to National Family Health Survey 4 still remains low. To change the quality of care outcome within a system, quality improvement initiatives must first understand the causes contributing to the outcome and accordingly can administer the changes.

Objectives: The objective of this study were as follows: (1) To understand the barriers to Routine Immunization among Caregivers and health personnel through participatory group discussions and (2) cocreation of a fishbone diagram illustrating the barriers, in an Urban Primary Health Center in Mysuru, Karnataka.

Materials and Methods: The barriers to immunization were unveiled by participatory focus group discussions conducted among caregivers and health workers in an urban primary health center in Mysuru. A fishbone diagram depicting the root causes of delayed immunization/drop-outs was constructed with the participants.

Results: The barriers include social factors, individual/family factors, barriers associated with private clinics, and problems in the public health system. The major cause was information system which did not reach the parents periodically by health workers, carelessness by the parents for delaying or skipping, migrating population, and non-accounting of child immunization in private clinics.

Conclusion: Lack of timely administration and drop-outs of key childhood vaccines and improper functioning of the health system remains a major challenge in this area. An effective, regular, and universal monitoring of the sessions are necessary for appropriate action which is very much essential.

Key words: Immunization; Barriers to Vaccination; Fishbone Diagram


 
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How to Cite this Article
Pubmed Style

Narendran M, C SM, Thomas JJ, Kulkarni P, R NMM. Co-constructing fishbone diagram to understand the barriers to immunization in an urban community in Mysuru, Karnataka: A brief report of a qualitative study. Int J Med Sci Public Health. 2020; 9(8): 492-495. doi:10.5455/ijmsph.2020.06086202021082020


Web Style

Narendran M, C SM, Thomas JJ, Kulkarni P, R NMM. Co-constructing fishbone diagram to understand the barriers to immunization in an urban community in Mysuru, Karnataka: A brief report of a qualitative study. http://www.ijmsph.com/?mno=114733 [Access: September 27, 2020]. doi:10.5455/ijmsph.2020.06086202021082020


AMA (American Medical Association) Style

Narendran M, C SM, Thomas JJ, Kulkarni P, R NMM. Co-constructing fishbone diagram to understand the barriers to immunization in an urban community in Mysuru, Karnataka: A brief report of a qualitative study. Int J Med Sci Public Health. 2020; 9(8): 492-495. doi:10.5455/ijmsph.2020.06086202021082020



Vancouver/ICMJE Style

Narendran M, C SM, Thomas JJ, Kulkarni P, R NMM. Co-constructing fishbone diagram to understand the barriers to immunization in an urban community in Mysuru, Karnataka: A brief report of a qualitative study. Int J Med Sci Public Health. (2020), [cited September 27, 2020]; 9(8): 492-495. doi:10.5455/ijmsph.2020.06086202021082020



Harvard Style

Narendran, M., C, . S. M., Thomas, . J. J., Kulkarni, . P. & R, . N. M. M. (2020) Co-constructing fishbone diagram to understand the barriers to immunization in an urban community in Mysuru, Karnataka: A brief report of a qualitative study. Int J Med Sci Public Health, 9 (8), 492-495. doi:10.5455/ijmsph.2020.06086202021082020



Turabian Style

Narendran, Meghana, Smitha M C, Jose Jom Thomas, Praveen Kulkarni, and Narayana Murthy M R. 2020. Co-constructing fishbone diagram to understand the barriers to immunization in an urban community in Mysuru, Karnataka: A brief report of a qualitative study. International Journal of Medical Science and Public Health, 9 (8), 492-495. doi:10.5455/ijmsph.2020.06086202021082020



Chicago Style

Narendran, Meghana, Smitha M C, Jose Jom Thomas, Praveen Kulkarni, and Narayana Murthy M R. "Co-constructing fishbone diagram to understand the barriers to immunization in an urban community in Mysuru, Karnataka: A brief report of a qualitative study." International Journal of Medical Science and Public Health 9 (2020), 492-495. doi:10.5455/ijmsph.2020.06086202021082020



MLA (The Modern Language Association) Style

Narendran, Meghana, Smitha M C, Jose Jom Thomas, Praveen Kulkarni, and Narayana Murthy M R. "Co-constructing fishbone diagram to understand the barriers to immunization in an urban community in Mysuru, Karnataka: A brief report of a qualitative study." International Journal of Medical Science and Public Health 9.8 (2020), 492-495. Print. doi:10.5455/ijmsph.2020.06086202021082020



APA (American Psychological Association) Style

Narendran, M., C, . S. M., Thomas, . J. J., Kulkarni, . P. & R, . N. M. M. (2020) Co-constructing fishbone diagram to understand the barriers to immunization in an urban community in Mysuru, Karnataka: A brief report of a qualitative study. International Journal of Medical Science and Public Health, 9 (8), 492-495. doi:10.5455/ijmsph.2020.06086202021082020





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