Category III: low competency perceptions and incomplete performance in providing services
| Quantitative data | Interview data | Observational data |
|---|---|---|
| The participants had the lowest perceptions of their competency in dealing with adverse events following immunization. This consisted of being observant of symptoms following immunization, administering basic life support and referring the patient when adverse reactions occurred | The participants acknowledged that they still had no substantial knowledge or understanding and that their services were at a low level “We do not quite understand AEFI because of the difficult vaccine terminology” “What happens if I give a shot and make a mistake? What do I do then? Because I’m not a nurse, I don’t understand AEFI and I think it’s not my job” “I’ve never prepared any basic life support equipment, because, if there’s a problem or an adverse reaction, I’ll simply forward that patient to the ER, where there’ll be a physician who’s there regularly, and he can fix the situation right away” | The work they did was about 33.3–83.3% correct and complete. There were certain points, however, where they still did not function properly, as follows Most vaccinated areas were not prepared for observation of symptoms following the vaccinations, and symptoms were not evaluated Most service settings did not have basic life support equipment Half of the service settings did not have a service register that monitored vaccinated patients |
| The perceptions of competency in making vaccine estimations and registering reports pertaining to vaccination services had nearly the lowest scores | The participants had no confidence in their work in making vaccine estimations and in registering reports on vaccine services “Our no-confidence point was the vaccine disbursement. Saw only the data that they sent us. Didn’t understand much of it” “We had no confidence in this thing about the ‘stock card,’ or in that other thing about the report register, for these things mean nothing to us. We’re just fine” | The work they did was about 66.7–83.3% correct and complete. There were certain points where they still did not function properly, as follows There was no systematic entry of vaccine data into an electronic database; they were still recording what they did in a health register The number of vaccines that had been made available did not correspond to the actual disbursements, and there was no register available for auditing. Data could be viewed only with computers that transmitted the data to the central system |
| Quantitative data | Interview data | Observational data |
|---|---|---|
| The participants had the lowest perceptions of their competency in dealing with adverse events following immunization. This consisted of being observant of symptoms following immunization, administering basic life support and referring the patient when adverse reactions occurred | The participants acknowledged that they still had no substantial knowledge or understanding and that their services were at a low level | The work they did was about 33.3–83.3% correct and complete. There were certain points, however, where they still did not function properly, as follows |
| The perceptions of competency in making vaccine estimations and registering reports pertaining to vaccination services had nearly the lowest scores | The participants had no confidence in their work in making vaccine estimations and in registering reports on vaccine services | The work they did was about 66.7–83.3% correct and complete. There were certain points where they still did not function properly, as follows |