Exploring the Barriers and Facilitators of Vaccine Procurement in Health Districts of the South West Region of Cameroon

Nine barrier themes to vaccine procurement were identified across all 21 health districts in Cameroon’s South West Region, including vaccine stock-out and weak PHC facilities.

• Why it matters: Procurement capacity at district level shapes immunization coverage for children aged 0–5, and the North West/South West socio-political crisis could disrupt supply.
• What they did: Healthcare providers from all 21 EPI health districts were interviewed using in-depth interviews, analyzed with NVivo 11 thematic analysis, and a Delphi consensus (≥70.0%) selected optimization strategies.
• The result: Five priority strategies were retained, including extra solar refrigerators, WHO certification training for EPI staff, and transport financial allocation, to reduce stock-outs and improve procurement.

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