Role of Non-Conventional Actors in Improving Vaccination Coverage: The Case of Ex-Combatants in Vaccinating Zero-Dose Children in the Central African Republic

Dr. Moussa Mbodji; Dr. Berte Dramane1

1

Publication Date: 2024/12/18

Abstract: This research examines the important role of former combatants in assisting with the vaccination of Zero-Dose children (ZDC) in the Central African Republic (CAR). It shows how their participation enables access to hard-to-reach areas and builds trust with local communities. By leveraging their good integration into their environment, former combatants succeed in negotiating access to high-risk zones, allowing health teams to carry out vaccination operations. A mixed methodological approach, which combines quantitative analysis of vaccination rates and qualitative interviews with communities and health workers, highlights the effectiveness of including former combatants in public health strategies. The study demonstrates a significant increase in vaccination coverage in previously inaccessible areas, with former combatants contributing not only to better health outcomes but also to the reduction of conflicts and the building of peace. The research emphasizes the importance of adapting health programs to recognize and strengthen local skills, providing recommendations for more inclusive health policies that are tailored to the specific needs of fragile and post-conflict environments.

Keywords: Zero-Dose Children (ZDC),Central African Republic (CAR), Former Combatants, Vaccination Coverage , Public Health Strategies, Hard-to-Reach Areas, Community Trust , Access Negotiation , Post-Conflict Environments, Mixed Methodological Approach.

DOI: https://doi.org/10.5281/zenodo.14513001

PDF: https://ijirst.demo4.arinfotech.co/assets/upload/files/IJISRT24NOV256.pdf

REFERENCES

  1. Dupont, P., & Leclerc, R., 2016, "Community Resilience in Post-Conflict Settings: The Role of Health Initiatives." International Journal of Public Health, 61(8), 933-942, https://link.springer.com/journal/38.
  2. Mwangi, A., & Kamau, J., 2017, "The Impact of Armed Conflict on Health Infrastructure: The Case of Somalia." African Journal of Conflict Resolution, 17(2), 95-112, https://www.accord.org.za/ajcr/.
  3. UNICEF, 2017, Strategies for Improving Vaccine Coverage in Conflict Zones. UNICEF Report CAR-17-24, https://www.unicef.org/.
  4. GAVI Alliance, 2019, Challenges and Opportunities in Expanding Immunization in Central Africa. Proceedings of the Global Health Forum, Geneva, Switzerland, June, pp. 89-102, https://www.gavi.org/.
  5. WHO, 2020, Assessing the Impact of COVID-19 on Routine Immunization in the Central African Republic. Working paper, World Health Organization, https://www.who.int/.
  6. Johnson, P., 2021, Central African Republic faces new challenges in vaccination efforts. The Guardian, 15 April, https://www.theguardian.com/.
  7. World Bank, Improving Health Services in Conflict-Affected Regions of Central Africa, Date of access: 10/08/2023, http://www.worldbank.org/en/news/improving-health-services-central-africa.
  8. CENTRAL AFRICAN REPUBLIC, Ministry of Health, 2018, National Health Policy Document, Government of Central African Republic, report 2546.
  9. UNITED NATIONS GENERAL ASSEMBLY, Special Session on Health, 2020, Resolutions on Global Immunization Strategies, United Nations, report A/75/L.47.
  10. World Health Organization (WHO), 2019, "Health System Recovery in Conflict-Affected States." WHO Report, https://www.who.int/.
  11. Doe, S., & Lee, R., 2018, "Community-Based Approaches to Peacebuilding: The Role of Local Health Projects." Peace and Conflict Studies, 25(2), https://www.peaceandconflictstudies.org/.
  12. Global Fund to Fight AIDS, Tuberculosis and Malaria, 2022, "Strategies for Health Interventions in Conflict Zones." Global Fund Report, https://www.theglobalfund.org/.
  13. Breen, M., et al., 2019, "Utilizing Non-Traditional Community Health Workers in Post-Conflict Areas: A Review of Health Service Delivery in the Aftermath of War." Social Science & Medicine, 239, 112534, https://www.journals.elsevier.com/social-science-and-medicine.
  14. Thompson, R. L., 2018, "The Role of Local Champions in Conflict Zones: A Case Study Approach." Journal of International Development, 30(5), 825-844, https://onlinelibrary.wiley.com/journal/10991328.
  15. United Nations Development Programme (UNDP), 2021, Reintegration of Ex-Combatants through Community-Based Approaches in Health Systems. UNDP Report, https://www.undp.org/.
  16. Gavi, the Vaccine Alliance, 2020, Community-Based Approaches to Immunization in Africa. Gavi Report, https://www.gavi.org/.
  17. Bedford, H., & Elliman, D., 2010, "Concerns about Immunization." BMJ, 340, c1368, https://www.bmj.com/.
  18. Ahmed, M., & Garcia, L., 2019, "Health as a Tool for Peacebuilding: Lessons from South Sudan." Journal of Peace Research, 56(3), 352-365, https://journals.sagepub.com/home/jpr.
  19. National Institute of Health, 2021, Health Interventions in Conflict-Affected Areas: A Review of Best Practices. NIH Report, https://www.nih.gov/.