Involving Traditional Birth Attendants and Community Health Workers to Promote Routine Immunization in a Hard-To-Reach Health District in Cameroon: Description of a Community-Based Implementation Approach

This community-based implementation study (July–September 2025) demonstrates the feasibility and relevance of engaging TBAs and CHWs in routine immunization promotion in fragile and mobile settings. Key implementation components included: (i) tailored training of TBAs and CHWs on vaccination, communication, and referral; (ii) community sensitization sessions; (iii) group discussions targeting women and men separately to address gender-specific barriers; (iv) systematic referral of unvaccinated or under-vaccinated children to health facilities; and (v) structured field supervision. The intervention was informed by a baseline assessment of knowledge and training needs of TBAs and CHWs regarding vaccination. Data from DHIS2, post-intervention questionnaires, and focus group discussions documented the implementation process, including facilitators and barriers. The full content is available in Health Sciences and Disease