On the measles and rubella vaccination campaign trail: Following a health worker in Taerng Village

1 December 2014

Ms Sivah is a 38-year-old health worker from Taerng Village, Yodou District, Phonsaly Province. She works at a health centre located 70 kilometres from the nearest district hospital in Boun Neua District, which caters to 573 people in that catchment area.

Ms Sivah and her colleagues participated in one of the largest measles and rubella immunization mobilization campaigns in the history of the Lao People’s Democratic Republic. Nationwide, an estimated 1.6 million children aged 9 months to under 10 years were vaccinated as part of an effort to eliminate measles and accelerate rubella disease control.

What follows is a photo-essay of Ms Sivah’s participation in the historic vaccination campaign in Yodou District.

The road outside the health centre in Taerng Village is being widened and upgraded, making it challenging to refer patients to the district hospital and to carry out the immunization campaign.
Daniel Hodgson/WHO
Ms Sivah and her team walk into a village that is home to many ethnic Phounoi to carry out vaccination activities.
Daniel Hodgson/WHO
Ms Sivah prepares for the vaccination campaign as the team waits for the villagers to arrive.
Daniel Hodgson/WHO
Villagers arrive with their children.
Daniel Hodgson/WHO
A child from an ethnic minority group receives the measles and rubella vaccine from a health worker.
Daniel Hodgson/WHO
A boy is vaccinated and receives his vaccination card.
Daniel Hodgson/WHO
Another child is finger-marked after receiving the measles-rubella vaccine.
Daniel Hodgson/WHO
A girl shows off her finger marking.
Daniel Hodgson/WHO
Vitamin A is also administered as part of the measles-rubella campaign.
Daniel Hodgson/WHO

Back at the health centre, Ms Sivah related the main challenges she faces in term of access. While hilly road conditions are difficult, there is one village called Chonka Village that can be reached only by boat.

Another challenge is lack of awareness. “Most parents do not know what a fever is and what causes it,” said Ms Sivah. “Also, parents have to work so they don’t want to take care of sick children and this is why they either take their children with them to the field during the vaccination campaign or ask them to lock themselves in the house.” She feels that health workers need to be better supported with communication materials to teach parents about immunization, minor side-effects and how to deal with them.

For more information please contact:
Tan Irene, Communications Officer
WHO Country Office, Lao People’s Democratic Republic
Tel: +856 21 353902
Email: tani@wpro.who.int