title: [Immunization programme in urban areas in Cameroon: a case study of the Djoungolo Health District].
abstract: BACKGROUND
  Cameroon's cities have a growing concentration of target children not adequately covered by routine immunization programmes.
  
  
  METHODS
  We conducted a descriptive cross-sectional study, based on exhaustive sampling of legal health care facilities offering routine immunization services in the health district of Djoungolo (city of Yaoundé). The evaluation of the immunization programmes was based on the "Reaching Every District" approach.
  
  
  RESULTS
  Out of the 70 health care facilities that participated in the study, 3 (4.3%) had an updated microplan for routine immunization. Out of the 63 (89.4%) health care facilities with functional refrigerator, 12 (19.0%) vaccinated employing a fixed strategy on daily basis. Fifty-seven (81.0%) health care facilities did not conduct immunization sessions employing advanced strategy. Community participation in routine immunization programs was effective in 1 out of 12 districts health areas. A steadily updated vaccine tracking curve was available in 6 (8.5%) health facilities.
  
  
  CONCLUSIONS
  The "Reaching Every District" approach implemented in Djoungolo health care district doesn't provide adequate coverage of a maximum rate of targeted children. The effectiveness of realistic microplanning, the regularity of vaccination sessions employing fixed and advanced strategies, action-oriented data monitoring, community revitalization plan to promote immunization are ways to improve the provision of vaccination services in this district.
authors.affiliation: Faculté de Médecine et des Sciences Pharmaceutiques, Université de Douala Cameroun.
authors.forename: Armelle Viviane
authors.initials: AV
authors.lastname: Ngomba
authors.affiliation: Faculté de Médecine et des Sciences Pharmaceutiques, Université de Douala Cameroun.
authors.forename: Basile
authors.initials: B
authors.lastname: Kollo
authors.affiliation: Faculté de Médecine et des Sciences Pharmaceutiques, Université de Douala Cameroun.
authors.forename: André Fouda
authors.initials: AF
authors.lastname: Bita
authors.affiliation: Département de Sciences Biomédicales, Université de Dschang, Cameruon, PO Box 067, Dschang, Cameroun.
authors.forename: Fabrice Nembot
authors.initials: FN
authors.lastname: Djouma
authors.affiliation: Agence de Médecine Préventive, Yaoundé, Cameroun.
authors.forename: Jean Marie
authors.initials: JM
authors.lastname: Edengue
authors.affiliation: Ministère de la Santé Publique, Cameroun.
authors.forename: Marie Josée
authors.initials: MJ
authors.lastname: Elongue
authors.affiliation: Faculté de Médecine et des Sciences Pharmaceutiques, Université de Douala Cameroun.
authors.forename: Dieudonné
authors.initials: D
authors.lastname: Adiogo
mesh_terms: D002163:Cameroon; D002648:Child; D003430:Cross-Sectional Studies; D006801:Humans; D007114:Immunization / Q000379:methods*; D017589:Immunization Programs / Q000458:organization & administration* / Q000706:statistics & numerical data; D012034:Refrigeration; D014505:Urban Population; D014612:Vaccines / Q000008:administration & dosage*
chemical_list: D014612:Vaccines
keywords: Cameroon; Service programs; immunization; urban