الفهرس 
Health education intervention program regarding EPI services
The impact of EPI on the vaccine-preventable diseases in some developing countriesOnly 14 pages are availabe for public view
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Abstract
Immunization stands out as one of the greatest public health achievement of the twentieth century. Through national immunization programmes around the world, millions of deaths have been prevented since the launch of the EPI in 1974. For three decades, the EPI has been promoted as one of the key child health interventions in developing countries, vaccines for six childhood diseases (Diphtheria, measles, pertussis, poliomyelitis, tetanus and tuberculosis) have been shown to be efficacious in preventing disease-specific morbidity and mortality, yet not all commentators are convinced that the EPI reduces all-causes of child mortality.
The EPI was started in Yemen in 1977 with the basic objective of immunizing all children between 3 months and 5 years against the six target diseases. In 1987, less than 25% of all Yemeni children were immunized against the target diseases, and only about 20% of families had even heard of immunization. The first acceleration took place in Taiz city in June 1988, and soon after was expanded to cover the entire governorate. Followed by accelerations in Ibb and Dhamar governorates. The national publicity and recognition that the individual governorate achieved through national media coverage spurred two dynamics. It increased the awareness of immunization needs in other governorates and prompted then to attain levels similar to those achieved in the governorates that has completed their accelerations. The full magnitude of the health challenge facing the government and people of Yemen is only now becoming clear.
Aim of the work
* The general objective:
The study aimed to achieve the assessment of the expanded programme on immunization (EPI) in Sana’a, Yemen, and to conduct an educational intervention program, as the general objective.
*Specific objectives:
1- To assess the system performance, through estimation of the vaccination coverage.
2- To assess the components of the EPI, cold chain, safety practices and epidemiological surveillance in Sana’a.
3- To measure the knowledge and practice of health care workers, working in EPI in Sana’a.
4- To develop, implement and evaluate an educational intervention program based on the assessment results of EPI health care personnel.
Material and Methods
The study was conducted at the Offices of Health affairs and the peripheral health care facilities that provide immunization services in Sana’a. The study includes three phases:
I- Preparatory: Includes preparatory courses, collection of literature review and the pilot study.