PREVALENCE OF VACCINE-PREVENTABLE DISEASES IN CAMEROON DESPITE A ROUTINE IMMUNIZATION SYSTEM
- 발행기관 GRADUATE SCHOOL OF INTERNATIONAL STUDIES- AJOU UNIVERSITY
- 지도교수 IAIN WATSON
- 발행년도 2014
- 제출일 06-17-2014
- 학위수여년월 2014. 8
- 학위명 석사
- 학과 국제대학원 NGO학과
- 실제URI http://www.dcollection.net/handler/ajou/000000016942
- 본문언어 영어
- 저작권 아주대학교 논문은 저작권에 의해 보호받습니다.
초록/요약
Child health is the cornerstone of sustainable economic growth, strong nations and a brighter future for any society. This underscores the importance of protecting children from diseases. Curbing child mortality of the under-five in society supports the health sector because such efforts create healthier populations not weakened by severe childhood illnesses. With less than a year before the Millennium Development Goals (MDGs) target date of 2015, the commitment by the government to reduce under-five mortality calls not only for a nation-wide push to raise immunization coverage to 90% but also for Cameroon to strengthen peripheral immunization service delivery targeting isolated, hard-to-reach and indigenous populations. Widely recognized as one of the most challenging of the eight goals, MDG 4 commits governments to reduce mortality rates among children under five by two-thirds by 2015. Whereas the widespread approach to the use of vaccines ensures the attainment of MDG 4 and the control of a number of diseases, developing countries particularly Cameroon continue to grapple with the burdens of vaccine-preventable diseases (VPDs) with their attendant bearing on millennium health targets. This underscores the urgency of improving routine immunization performance by making sure every single community and child who was previously marginalized or somehow neglected gets a shot of lifesaving vaccines. This work argues that despite efforts to improve Cameroon’s routine immunization performance by closing loopholes related to cold chains, injection safety, epidemiological surveillance and coverage, efficiency of out-reach programs, vaccine myths, poverty and corruption which other studies have so far highlighted; under-five mortality from VPDs still remains a major health concern affecting Cameroon’s commitment towards MDG 4. It also stresses the need to address the social and political exclusion of grassroots communities who for the most part are marginalized from the country’s Expanded Programme on Immunization. The prevalence of VPDs can only be contained if grassroots populations at risk of importation or transmission of these diseases are effectively integrated into the country’s routine immunization system. This thesis seeks to link the unmet millennium health commitments (MDGs 4-6) in Cameroon to a largely Cameroonian problem. Key Words: prevalence; vaccine-preventable diseases; immunization; under-five mortality; millennium development goals; social exclusion; indigenous groups
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Acknowledgement……………………………………………………………..i
Abstract………………………………………………………………………iii
Contents……………………………………………………………………….v
Tables………………………………………………………………………viii
Figures………………………………………………………………………viii
Acronyms…………………………………………………………………….ix
CHAPTER ONE………………………………………………………………1
1. INTRODUCTION………………………………………………………….1
1.2 Overview of Cameroon’s Ethnicity, Geographic and Demographic Situation……..............................................................................................3
1.3 The Expanded Programme on Immunization…………………………….5
1.4 An Observation of Cameroon’s Society………………………………...12
1.5 Motivation of my Study…………………………………………………19
1.6 Research Objectives……………………………………………………..21
1.7 Research Methodology…………………………………………………..22
1.8 Research Questions……………………………………………………...23
1.9 Hypothesis………………………………………………………………24
1.10 Problem Statement…………………………………………………24
1.11 Order of Study……………………………………………………...26
CHAPTER TWO…………………………………………………………….28
2. LITERATURE REVIEW…………………………………………………28
2.2 Millennium Development Goals………………………………………...33
2.3 Theoretical Framework………………………………………………….38
CHAPTER THREE………………………………………………………….41
3. TRENDS IN UNDER-FIVE MORTALITY AND PROGRESS TOWARDS ACHIEVING MDG 4 IN CAMEROON…………………………………….41
3.2 Overview of Cameroon’s Health System and Respond to Prevailing Under-five Mortality…………………………………………………….41
3.3 Analysis of Data…………………………………………………………47
3.4 Political and Management Constraint…………………………………...51
3.5 Economic Issue………………………………………………………….55
3.6 Indigenous Question…………………………………………………….56
CHAPTER FOUR…………………………………………………………...67
4 HEALTH DISPARITIES IN CAMEROON AND THE CONTRIBUTION OF CSOs IN POST-2015 DEVELOPMENT AGENDA…………………….67
4.1 Health Disparities between Urban and Grassroots Populations in Cameroon…………………………………………………………………….67
4.2 Contributions and Challenges of the MDG framework to CSOs………..73
4.3 Usefulness of CSOs in the Post-2015 Development Framework……….77
CHAPTER FIVE…………………………………………………………….79
5 CONCLUSION AND RECOMMENDATIONS…………………………..79
5.2 Recommendations……………………………………………………...79
5.3 Conclusion……………………………………………………………...82
REFERENCES………………………………………………………………85
목차
Tables
Table 1………………………………………………………………………...7
Table 2……………………………………………………………………….46
Figures
Figure 1.0…………………………………………………………………….44
Figure 1.1…………………………………………………………………….48
Figure 1.2…………………………………………………………………….48
Figure 1.3…………………………………………………………………….58
