Abstract:
Background:
Immunization is critical for safeguarding children against infectious illnesses, but
vaccination rates have been unchanged over the past decade. Africa falls behind in
vaccination access, with one in every five children not receiving all required
immunizations. Public health initiatives should enhance access to healthcare facilities,
ANC visits, sociocultural exposure, maternal education, and socioeconomic demographics
to promote immunization consumption. Between 2015 and 2020, regular immunization
coverage in South Sudan was severely low, influencing morbidity and mortality.
Method:
This mixed-methods study used a cross-sectional design and a purposive sample of
pregnant mothers, cold chain officers, health workers, vaccinators, and social mobilizers.
A questionnaire was used for quantitative data, while a mobile phone was used for
qualitative data. SPSS 25 was used to analyze data at Bor State Hospital and 17 Chains
Cold Institutes.
Result:
In Bor County, the study discovered 71.9% immunization coverage and 12.1% negative
outcomes. Strong determinants of coverage include contextual variables, socioeconomic
factors, health factors, and vaccine-specific factors.
Conclusion:
The perceived vaccine-related worries in this study were strongly correlated with the Bor
vaccination rate. A common misconception was that the use of immunization services was
significantly impacted by the lack of reliable new vaccines. It is important to have a robust
vaccination supply chain, and these supply chains should work to improve fairness in
service delivery. It is also obvious that all vaccination clinics must prevent vaccine
stockouts and have efficient storage areas, tools, and equipment. This is because the
unreliability of the vaccine supply chain and program delivery was related to the observed
immunization rates, there is a 96% possibility that service delivery would be delayed when
stockouts happen in healthcare facilities.
