Enactment of System Thinking Framework for Convolution of Immunization Service Governance

Kanniyan Binub (1) , Govindarajan P K (2) , Sheela P Haveri (3) , Jisha Nahar Musthafa (4) , Mohammed Muneersha TK (5)
(1) Research Scholar, Department of Community Medicine, Rajah Muthiah Medical College, Annamalai University, Annamalai Nagar, Chidambaram, Tamil Nadu – 608002, India, India ,
(2) Department of Community Medicine, Rajah Muthiah Medical College, Annamalai University, Annamalai Nagar, Chidambaram, Tamil Nadu – 608002, India, India ,
(3) Department of Community Medicine, MES Medical College, Perinthalmanna, Kerala- 679338, India, India ,
(4) Primary Health Centre, Kannamangalam, Malappuram Dist, Kerala- 676304, India, India ,
(5) Department of Pharmacy, Annamalai University, Annamalai Nagar, Chidambaram, Tamil Nadu – 608002, India, India

Abstract

Vaccinations are given to healthy people to prevent specific diseases which are proven tool of public health. Nowadays lot of hesitant movement are active around the globe. Application of system thinking should be adopted to solve this complex phenomenon. The objective is to study the barriers and solutions of Immunization enlisted by Policy makers and administrators at Malappuram district, Kerala, South India. Descriptive qualitative method was the design espoused in this study. Free listing is the technique adopted to enlist barriers and solution at Malappuram district. The data was analysed using Visual Anthropac software. Further barriers and solutions of immunization was enumerated on basis of descending order of Smith S value. Causal loop diagram was used to depict complex phenomenon regarding barriers of immunization. The policy makers and administrators had solicited barriers as Religious belief, antivaccine lobby, negative propaganda by alternative systems and ineffective logistic management.  The main solutions set forth to break barriers were strengthening Information Education Communication (IEC), bring in behavioural change communication and adopt policy reforms. The study determined by conscripting community and health system enabled barriers, with solutions for it encompassing global networking, engaging various stake holders and applying system approach for health system strengthening.

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Authors

Kanniyan Binub
kanniyanbinub@gmail.com (Primary Contact)
Govindarajan P K
Sheela P Haveri
Jisha Nahar Musthafa
Mohammed Muneersha TK
Kanniyan Binub, Govindarajan P K, Sheela P Haveri, Jisha Nahar Musthafa, & Mohammed Muneersha TK. (2021). Enactment of System Thinking Framework for Convolution of Immunization Service Governance. International Journal of Research in Pharmaceutical Sciences, 12(1), 849–856. Retrieved from https://ijrps.com/home/article/view/407

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