Evaluation of the Quality of Services Provided by the Expanded Program on Immunization at the Banconi University Community Health Center in Bamako in 2025

Abstract

Background: Vaccination is an essential public health intervention for reducing infant morbidity and mortality. The quality of service is crucial for the effectiveness of vaccination programs. This study evaluated the quality of services provided by the Expanded Program on Immunization (EPI) at the Banconi University Community Health Center (CSCOM-U) in Bamako in 2025.
Methodology: This was a cross-sectional study conducted from January 2024 to March 2025 at the Banconi Community Health Center (CSCOM-U). The study population included 586 parents/guardians of children under one year old and 6 healthcare workers. Data were collected through questionnaires, individual interviews, document reviews, and observation grids, and then analyzed using SPSS version 25.0. The quality of the Expanded Program on Immunization (EPI) services was assessed using service ratings of good, average, and poor, with scores > 80%, 60-80%, and < 60%, respectively.
Results: The majority of vaccinated children were one day old (32.4%), with a predominance of males (56%). Parental satisfaction was high in several aspects: ease of appointment scheduling (87.03%), reception (92.83%), clarity of information (99.5%), staff availability (99.3%), cleanliness of the unit (99%), comfort of the facilities (99.8%), and staff competence (99.8%). However, stockouts (BCG and polio) were noted (25%), indicating average quality in this respect. All functional requirements were met.
Conclusion: This study highlights an overall satisfactory quality of PEV at CSCOM-U Banconi, stock shortage represents a major challenge requiring special attention.