Effectiveness of hospital-based strategies for improving childhood immunization coverage: A systematic review

Reifferscheid, Laura; Kiely, Marilou; Lin, Min; Libon, Jackie; Kennedy, Megan; MacDonald, Shannon E.

doi:10.1016/j.vaccine.2023.07.036

Cited by 4 publications

(1 citation statement)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In low- and middle-income countries, knowledge of the vaccination schedule is often deficient due to a lack of records (54). Thus, informative sessions and a surveillance system can enhance immunization in healthcare centers (55). Therefore, assessing the effectiveness of these interventions in Peru is recommended to decrease the incidence of measles and other preventable diseases.…”

Section: Discussionmentioning

confidence: 99%

Inequalities in Compliance with the Two-Dose Measles Vaccination in Peruvian Children Aged 12 to 59 Months in 2023

Intimayta-Escalante,

Tapia-Sequeiros,

Cueva-Cañola

2024

Preprint

View full text Add to dashboard Cite

IntroductionInadequate measles vaccination coverage leads to outbreaks that affect the pediatric population in Peru. The aim of this study was to evaluate sociodemographic inequalities related to the coverage and compliance in the two-dose measles vaccination schedule among Peruvian children in 2023.MethodsAn analytical cross-sectional study was conducted using data from a national Peruvian survey. Mothers aged 15 to 49 with children aged 12 to 59 months were included. Sociodemographic and health characteristics of the mother and child were considered sources of inequality. Prevalence ratios (PR) were calculated to measure the characteristics associated with adherence to the measles vaccination schedule. Inequality analysis was assessed using the Erreygers Concentration Index (ECI).ResultsA total of 8,148 households were evaluated. Vaccination coverage was identified as 85.9% (95%CI: 94.7 – 87.1) for the first dose and 53.9% (95%CI: 52.1 – 55.7) for the second dose. In the inequality analysis, mothers with no education (CI: -0.57), aged 15 to 17 years (CI: -0.38), residing in the jungle (CI: -0.41) or highlands (CI: -0.26), and without health insurance (CI: -0.01) showed greater inequality in adherence to the vaccination schedule. Additionally, adherence to growth and development check-ups in infants was a source of inequality (CI: -0.09).ConclussionMeasles vaccination coverage did not reach the minimum values required to prevent outbreaks in Peru. The factors contributing to inequality in vaccination coverage included education level, age, region of residence, area of residence, health insurance status, and adherence to growth and development check-ups.

show abstract

Section: Discussionmentioning

confidence: 99%

Inequalities in Compliance with the Two-Dose Measles Vaccination in Peruvian Children Aged 12 to 59 Months in 2023

Intimayta-Escalante,

Tapia-Sequeiros,

Cueva-Cañola

2024

Preprint

View full text Add to dashboard Cite

show abstract

A Missed Opportunity: Evaluating Immunization Status and Barriers in Hospitalized Children

Lissinna,

Gilbert,

Isaac

et al. 2024

Hospital Pediatrics

View full text Add to dashboard Cite

OBJECTIVE: Hospitalized children are a potentially underimmunized population. We sought to determine the proportion of patients admitted to our pediatric medicine inpatient units who are underimmunized or unimmunized and to identify barriers to immunization faced by families of children admitted to hospital. METHODS: We conducted a prospective study of children aged 2 months to 18 years admitted to our pediatric medicine inpatient units between July 2021 and October 2022. Immunization and demographic data were collected from electronic medical charts. Immunization status of each child was categorized as up-to-date if they had received all eligible vaccine doses in accordance with the provincial immunization schedule. Caregivers completed a survey on barriers to immunizations; results were compared between caregivers of children whose vaccines were up-to-date and those who were not. RESULTS: Hospitalized children were missing more doses of the preschool vaccines than the general population based on published provincial data. Only 142 of 244 (58.2%) of study patients were up-to-date on all their immunizations. Caregivers of children whose immunizations were not up-to-date reported significantly more barriers to vaccination in all survey categories: access to shots, concerns about shots, and importance of shots. CONCLUSIONS: There is a disparity in immunization status between children admitted to hospital in a Canadian setting compared with national targets and community immunization rates. Caregivers of underimmunized hospitalized children cited significantly more barriers to immunization when compared with hospitalized children who are up-to-date. Pursuing a hospital-based immunization strategy could lead to improved immunization status for hospitalized children.

show abstract

Gaps in Immunizing Children During Hospitalization: How Can We Close Them?

Bryan,

Mihalek

2024

Hospital Pediatrics

View full text Add to dashboard Cite

Effectiveness of hospital-based strategies for improving childhood immunization coverage: A systematic review

Cited by 4 publications

References 40 publications

Inequalities in Compliance with the Two-Dose Measles Vaccination in Peruvian Children Aged 12 to 59 Months in 2023

Inequalities in Compliance with the Two-Dose Measles Vaccination in Peruvian Children Aged 12 to 59 Months in 2023

A Missed Opportunity: Evaluating Immunization Status and Barriers in Hospitalized Children

Gaps in Immunizing Children During Hospitalization: How Can We Close Them?

Contact Info

Product

Resources

About