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Spent time in Kibra, Nairobi today attending a vaccination outreach by @AmrefUniversity students & @MOH_Kenya
1. The challenge is not hesitancy - it’s lack of Access.
2. We don’t call a woman who delivers at home because of absence of skilled delivery ‘hesitant’pic.twitter.com/1sP2lXBFcg
Behind this tent, there is a well equipped Health centre that vaccinates 9-5pm Monday to Friday and only manages 30 vaccinations per day. Yet this outreach has vaccinated 300 people in 6 hours from the same neighbourhood - old and young!pic.twitter.com/7ky2dcZeoK
Human centred design requires we map vaccination around peoples lives & behaviours not around Health facilities as this woman told me - she is busy through the week working hard to feed & educate her children - Saturday morning outreach near her was all she needed!pic.twitter.com/LbcaCkurah
It’s clear even on national statistics that areas with high essential health services access have higher vaccine uptake than arid and semi-arid areas where access to essential health services is often poor - and so is access to vaccines!!pic.twitter.com/2NhxVl0aro
So until we have closed ACCESS and SUPPLY gaps, talking about hesitancy is JUSTIFYING Essential Health Service delivery failures instead of calling them out! It’s ACCESS not HESITANCYpic.twitter.com/C67N9Yscj6
My thanks to the @AmrefUniversity students who are integrating class lectures with field work to understand health system approaches and the centrality of community approaches - the 7th Health System Building Block led by VC @joachimosur @Amref_Worldwide and thanks to @MOH_Kenyapic.twitter.com/kTMKo3Rfvm
352 vaccinated and protected and thank you @AmrefUniversity @Amref_Worldwide @NMS_Kenya and @MOH_Kenya and all the community health workers supporting awareness and mobilisation 
I agree with you Doc. It’s frustrating to look for those vaccines. What’s it with 8-5 and only on week days. Poor access i agree. Govt shd also do alot of outreach vaccination drives.
Thanks for your support
Yes, we need do better with improving access.
I have always said Vax campaigns in shopping malls on weekends will have more people vaccinated than controlling where people have to go to get vaxxed!
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