Digital immunization registry: evidence for the impact of mHealth on enhancing the immunization system and improving immunization coverage for children under one year old in Vietnam

Nguyen, Nga; Vu, Huong Minh; Dao, Sang; Tran, Hieu; Nguyen, Tu Xuan Cam

doi:10.21037/mhealth.2017.06.03

Cited by 56 publications

(63 citation statements)

References 5 publications

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“…The use of DHIs by immunization programs has been encouraging for the uptake and adherence to vaccination schedules. For example, improvements in vaccination coverage were observed following the introduction of an EIR in Vietnam [ 12 , 13 ]. The BID Initiative ( http://bidinitiative.org/ ), led by PATH and funded by the Bill and Melinda Gates Foundation, worked in partnership with the governments of Tanzania and Zambia to introduce an EIR at the sub-national level in both countries within 5 years as part of a multi-component complex intervention package that focuses on data use capacity-building.…”

Section: Introductionmentioning

confidence: 99%

Perceptions of factors influencing the introduction and adoption of electronic immunization registries in Tanzania and Zambia: a mixed methods study

Dolan

Alao

Mwansa

et al. 2020

Implement Sci Commun

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Background: As technology has become cheaper and more accessible, health programs are adopting digital health interventions (DHI) to improve the provision of and demand for health services. These interventions are complex and require strong coordination and support across different health system levels and government departments, and they need significant capacities in technology and information to be properly implemented. Electronic immunization registries (EIRs) are types of DHI used to capture, store, access, and share individual-level, longitudinal health information in digitized records. The BID Initiative worked in partnership with the governments of Tanzania and Zambia to introduce an EIR at the sub-national level in both countries within 5 years as part of a multi-component complex intervention package focusing on data use capacity-building. Methods: We aimed to gather and describe learnings from the BID experience by conducting a framework-based mixed methods study to describe perceptions of factors that influenced scale-up of the EIR. Data were collected through key informant interviews, a desk review, EIRs, and health management information systems. We described how implementation of the EIRs fulfilled domains described in our conceptual framework and used cases to illustrate the relationships and relative influence of domains for scale-up and adoption of the EIR. Results: We found that there was no single factor that seemed to influence the introduction or sustained adoption of the EIR as many of the factors were interrelated. For EIR introduction, strong strategic engagement among partners was important, while EIR adoption was influenced by adequate staffing at facilities, training, use of data for supervision, internet and electricity connectivity, and community sensitization. Conclusions: Organizations deploying DHIs in the future should consider how best to adapt their intervention to the existing ecosystem, including human resources and organizational capacity, as well as the changing technological landscape during planning and implementation.

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Section: Introductionmentioning

confidence: 99%

Perceptions of factors influencing the introduction and adoption of electronic immunization registries in Tanzania and Zambia: a mixed methods study

Dolan

Alao

Mwansa

et al. 2020

Implement Sci Commun

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“…3,8,9 As country demand to integrate digital solutions to improve health outcomes is increasing, 10 there are also more examples of LMICs developing, implementing, and scaling EIRs across many countries in Latin America, Africa, and Asia. [11][12][13][14] The Bill and Melinda Gates Foundation, Gavi, and other funders have invested substantially in EIRs in LMICs to improve immunization data quality and use to increase vaccine coverage and equity. However, few EIR implementations in LMICs have been rigorously evaluated.…”

Section: Introductionmentioning

confidence: 99%

Determinants of Facility-Level Use of Electronic Immunization Registries in Tanzania and Zambia: An Observational Analysis

Carnahan¹,

Ferriss

Beylerian³

et al. 2020

Glob Health Sci Pract

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“…The delay in treatment was defined as starting the antibiotics 3 days or more after the first clinical signs or symptoms appeared [ 17 ]. According to the expanded program on vaccination in Vietnam [ 18 ], tuberculosis vaccine is recommended as soon as possible within 30 days of birth. Three doses of pentavalent vaccine (diphtheria, tetanus, pertussis, hepatitis B, and Haemophilus influenzae type B) and oral polio vaccine are recommended at 2–4 months.…”

Section: Methodsmentioning

confidence: 99%

Risk Factors for Severe Pneumonia According to WHO 2005 Criteria Definition Among Children <5 Years of Age in Thai Binh, Vietnam: A Case–Control Study

Hoang¹,

Dao²,

Minodier³

et al. 2019

JEGH

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Vietnam is one of the 15 countries where the prevalence of child pneumonia is highest. It is a major cause of admission in pediatric hospitals. However, little is known on the burden of severe pneumonia and their risk factors in children <5 years of age in Vietnam. A case-control study was conducted among children aged 2-59 months presenting with pneumonia at the Pediatric Provincial Hospital of Thai Binh. Cases were children with severe pneumonia while controls included those with non-severe pneumonia as defined by the World Health Organization (WHO) classification of 2005. Eighty-three cases and 83 controls were included. Sex ratio was 2.19. Children with severe pneumonia were significantly less likely to receive antibiotics preadmission compared to children with non-severe pneumonia [odds ratio (OR) = 0.16, 95% confidence interval (CI) = 0.06-0.42]. The main risk factors of severe pneumonia were a lack of immunization (OR = 4.77, 95% CI = 1.80-12.65), an exposure to cigarette smoke (OR = 3.87, 95% CI = 1.62-9.23), and having a mother with a low level of education. Children with severe pneumonia were 25 times more likely to present with associated measles with p < 0.0001 and five times more likely to present with diarrhea than children with non-severe pneumonia (p < 0.0001). Improving immunization coverage, educating parents about the risks of passive smoking and the recognition of respiratory distress signs, and facilitating early antibiotic access for infants with acute pulmonary disease should reduce the burden of such illnesses. To implement a national, multicenter study about pneumonia in children, more precise inclusion criteria should be chosen, including radiological and/or biological assessment.

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Digital immunization registry: evidence for the impact of mHealth on enhancing the immunization system and improving immunization coverage for children under one year old in Vietnam

Cited by 56 publications

References 5 publications

Perceptions of factors influencing the introduction and adoption of electronic immunization registries in Tanzania and Zambia: a mixed methods study

Perceptions of factors influencing the introduction and adoption of electronic immunization registries in Tanzania and Zambia: a mixed methods study

Determinants of Facility-Level Use of Electronic Immunization Registries in Tanzania and Zambia: An Observational Analysis

Risk Factors for Severe Pneumonia According to WHO 2005 Criteria Definition Among Children <5 Years of Age in Thai Binh, Vietnam: A Case–Control Study

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