Abstract
Introduction: COVID-19 disease caused by the novel coronavirus, SARS-CoV-2 has caused disastrous pandemic to Malaysia. The Malaysian government strategized to end game and fasten economy and social recovery through massive vaccination of COVID-19 vaccine. By September 2021, vaccination coverage in Kuantan stagnated at 60% for total population, 80% adult with one dose coverage. As the National State-specific Recovery Plan was proposed, Pahang state risk a resurge of COVID19 daily caess, with yet 40% unvaccinated population. Kuantan District Health Office took an aggressive and creative approach in expanding our vaccination provision service through the mobile outreach COVID19 vaccination service. The objective of this study is to evaluate the effectiveness of mobile outreach COVID19 vaccination service in contribution to COVID19 vaccination coverage in Kuantan.
Methodology: This is a cross-sectional study conducted in September to December 2022. Ten outreaches in Kuantan district were indentified through root cause analysis on possible reason of late vaccination and target group for mobile vaccination program. Qualitative sub-thematic analysis on reason of late vaccination was used to indentify target group. Program evaluation and review technique (PERT) was used to achieved flexible, spontaneous, and effective in event planning, stock management, staffing management, logistic set up, time management and community engagement. Vaccination coverage was compared with the daily incidence of COVID19 cases and category of case in Kuantan from September to December 2021.
Results: Unvaccinated adult population registered with MySejahtera mobile application for COVID19 vaccination was 4.1%, and 3% was partially vaccinated according to the state census data 2020. data. Unvaccinated adolescent population age 12-17 was 17%, and 14.4% partially vaccinated by 25th Nov 2021. Qualitative sub-thematic analysis identified main reasons for late vaccination uptake were anti-vaccination (50%), missed appointments (27%), school dropped-out (10%). Total 10 outreaches were identified included townhall, institutions, detention centers, hypermarkets, academy, felda, street homes. times at the District Office (MBK), Gelandangan surau Hidayah (Jalan Wong Ah Jang), PERT identified skilled data registration, good internet access, number of vaccinators as critical paths. Good critical path management plus smooth internet access saved 3-5 minute per vaccinee at registration counter through MyVas. Vaccinator to vaccinee ratio of 1:150 saved 60 minutes compared to ratio of 1:200. The outreach vaccination service harvested an extra 4940 doses of vaccination for adult and adolescent aged 12-17 years, pushed vaccination coverage to 96.4% of 2 doses for adult population, and 86.8% of 2 doses for the adolescent population as of 16 Mei 2022. Daily incident of COVID19 cases reduces from 15.7% in September 2021 to 1.21% in January 2022.
Conclusion : The mobile outreach COVID19 vaccination service in Kuantan District Health Office is effective in increasing vaccination coverage to prevent COVID19 by increasing accessibility, awareness, acceptability, reduce barrier to the vaccinees. Recommendation: Rootcause analysis and PERT are useful tools to improve health service expansion to the community. Supportive healthcare facility, stock availability, budget supply and good resource management are key areas to good COVID19 vaccination coverage.
Links
- https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-119.pdf
- https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed1909[...]
BibTeX (Download)
@proceedings{APCPH2022-P-119,
title = {Tik.Tag.Tok, Trick Tackling Late COVID-19 Vaccination Kuantan Folks},
author = {Wong Chin Mun and Rashidah Abd Rahman and Mardiatuniza Mohammad Dani and Syed Mohd Azharudin Syed Zahir and Rohaida Abdul Rahim and Akmal Mohamed and Norita Omar and Rahim Rashid and Mohd Rahim Sulong and Nor Azimi Yunus and Husnina Ibrahim},
url = {https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-119.pdf
https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed19095a89ed/A3-7th-APCPH-2022-WCM-8abc4696a9bfe871c9909b5f341e5dad.pdf},
year = {2022},
date = {2022-08-02},
urldate = {2022-08-02},
issue = {7},
abstract = {Introduction: COVID-19 disease caused by the novel coronavirus, SARS-CoV-2 has caused disastrous pandemic to Malaysia. The Malaysian government strategized to end game and fasten economy and social recovery through massive vaccination of COVID-19 vaccine. By September 2021, vaccination coverage in Kuantan stagnated at 60% for total population, 80% adult with one dose coverage. As the National State-specific Recovery Plan was proposed, Pahang state risk a resurge of COVID19 daily caess, with yet 40% unvaccinated population. Kuantan District Health Office took an aggressive and creative approach in expanding our vaccination provision service through the mobile outreach COVID19 vaccination service. The objective of this study is to evaluate the effectiveness of mobile outreach COVID19 vaccination service in contribution to COVID19 vaccination coverage in Kuantan.
Methodology: This is a cross-sectional study conducted in September to December 2022. Ten outreaches in Kuantan district were indentified through root cause analysis on possible reason of late vaccination and target group for mobile vaccination program. Qualitative sub-thematic analysis on reason of late vaccination was used to indentify target group. Program evaluation and review technique (PERT) was used to achieved flexible, spontaneous, and effective in event planning, stock management, staffing management, logistic set up, time management and community engagement. Vaccination coverage was compared with the daily incidence of COVID19 cases and category of case in Kuantan from September to December 2021.
Results: Unvaccinated adult population registered with MySejahtera mobile application for COVID19 vaccination was 4.1%, and 3% was partially vaccinated according to the state census data 2020. data. Unvaccinated adolescent population age 12-17 was 17%, and 14.4% partially vaccinated by 25th Nov 2021. Qualitative sub-thematic analysis identified main reasons for late vaccination uptake were anti-vaccination (50%), missed appointments (27%), school dropped-out (10%). Total 10 outreaches were identified included townhall, institutions, detention centers, hypermarkets, academy, felda, street homes. times at the District Office (MBK), Gelandangan surau Hidayah (Jalan Wong Ah Jang), PERT identified skilled data registration, good internet access, number of vaccinators as critical paths. Good critical path management plus smooth internet access saved 3-5 minute per vaccinee at registration counter through MyVas. Vaccinator to vaccinee ratio of 1:150 saved 60 minutes compared to ratio of 1:200. The outreach vaccination service harvested an extra 4940 doses of vaccination for adult and adolescent aged 12-17 years, pushed vaccination coverage to 96.4% of 2 doses for adult population, and 86.8% of 2 doses for the adolescent population as of 16 Mei 2022. Daily incident of COVID19 cases reduces from 15.7% in September 2021 to 1.21% in January 2022.
Conclusion : The mobile outreach COVID19 vaccination service in Kuantan District Health Office is effective in increasing vaccination coverage to prevent COVID19 by increasing accessibility, awareness, acceptability, reduce barrier to the vaccinees. Recommendation: Rootcause analysis and PERT are useful tools to improve health service expansion to the community. Supportive healthcare facility, stock availability, budget supply and good resource management are key areas to good COVID19 vaccination coverage.},
howpublished = {published online at https://apcph.cphm.my},
note = {Type: POSTER PRESENTATION; Organisation: Kuantan District Health Office, Alor Akar, Kuantan, Pahang, Malaysia; Pahang State Health Office, Bandar Indera Mahkota, Kuantan, Pahang},
keywords = {COVID19 vaccination, mobile outreach COVID19 vaccination team, vaccination, vaccination service, vaccine for COVID19},
pubstate = {published},
tppubtype = {proceedings}
}