Title: Summary
Course: Immunization - Ethiopia (Full)

In this study session, you have learned that:

1. Barriers to accessing the immunization service include issues that can be resolved by better communication. These barriers include lack of knowledge about the need for immunization or the need to return for further doses, or about the time and location of immunization sessions; fear of adverse reactions is another barrier that good communication can overcome.
2. Immunization coverage rates can be increased and dropout rates reduced by effective advocacy and communication activities; inadequate communication with local people, in particular parents, can seriously affect the success of the immunization programme.
3. Behaviour change communication (BCC) activities should be an integral part of your planned immunization strategy; the planning process involves a communication needs assessment, the definition of communication objectives, strategies and activities, implementation, and assessment of outcomes through monitoring and evaluation.
4. You should select BCC strategies and activities appropriate to the target audience, local culture and context, such as advocacy, community mobilisation, community conversations, interpersonal communication and focus group meetings, e.g. with community leaders, parents, women’s groups, youth groups, NGOs and other partners, and special groups — particularly those who have not yet been reached by the immunization service, or are reluctant to access it.
5. You should seek guidance from your supervisor and district health officials on how best to address negative rumours about immunization if they circulate in your community.