One year of campaigns in Cameroon: effects on routine health services

The objective of this study was to evaluate the average effect of public health campaigns over 1 year on routine services such as antenatal care, routine vaccination and outpatient services. Method: We collected daily activity data in 60 health facilities in two regions of Cameroon that traditionally undergo different intensities of campaign activity, the Centre region (low) and the Far North (high), to ascertain effects on routine services. For each outcome, we restricted our analysis to the public health centres for which good data were available and excluded private health facilities given their small number. We used segment-linear regression to account for the longitudinal nature of the data, and assessed whether the number of routine activities decreased in health facilities during periods when campaigns occurred. The analysis controlled for secular trends and serial correlation. Results: We found evidence that vaccination campaigns had a negative impact on routine activities, decreasing outpatient visits when they occurred (Centre: –9.9%, P = 0.079; Far North: –11.6%, P = 0.025). The average negative effect on routine services [outpatient visits –18% (P = 0.02) and antenatal consultations –70% [P = 0.001]) was most pronounced in the Far North during ‘intensive’ campaigns that usually require high mobilization of staff. Discussion: With an increasing number of interventions delivered by campaigns and in the context of elimination and e...
Source: Health Policy and Planning - Category: Health Management Authors: Tags: Original Articles Source Type: research