Bakuna Eskwela School-Based Immunization Program: Its Implementation and Challenges

Abstract The Bakuna Eskwela School-Based Immunization Program aims to increase vaccination coverage among schoolchildren by delivering immunization services within schools, addressing barriers such as limited access to health facilities and low vaccination rates. This study assessed the program’s implementation level and the challenges encountered by 94 key implementers in Pagadian City, using a descriptive-correlational design with a researcher-made questionnaire. Data were analyzed using mean, standard deviation, and Spearman’s rho. Findings revealed a high overall level of implementation (mean = 3.676), with program design and strategy rated highest, followed by monitoring and evaluation, stakeholder engagement, and capacity building. Challenges encountered were generally low (mean = 2.372), with social and behavioral factors being the most notable. Structural, human resource, and policy/governance challenges were rated low. Statistical analysis showed no significant relationship between the level of implementation and the challenges encountered (Spearman’s rho = 0.014, p = 0.894), indicating that the challenges did not significantly affect program effectiveness. In conclusion, the Bakuna Eskwela program was effectively implemented despite moderate social and behavioral challenges, while other challenges posed minimal disruption. The absence of a significant relationship between challenges and implementation suggests resilience in program execution. These insights can guide stakeholders to enhance support, address social barriers, and improve coordination to sustain and strengthen school-based immunization efforts.