Impacts of engaging communities through traditional and religious leaders on vaccination coverage in Cross River State, Nigeria

Oyo‐Ita, Angela; Bosch‐Capblanch, Xavier; Ross, Amanda; Hanlon, Patrick; Oku, Afiong; Esu, Ekpereonne; Ameh, Soter; Oduwole, Bisi; Arikpo, Dachi; Meremikwu, Martin; Tropical, Swiss

doi:10.23846/tw10ie127

Cited by 7 publications

(14 citation statements)

References 10 publications

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“…Six studies, Findley (2013); Pramanik (2020); Webster (2019); Oyo‐Ita (2020), Modi (2019); and Demilew et al (2021) reported negative or null results and were excluded from the analysis of non‐vaccine cost per dose of intervention to increase immunisation coverage by 1%.…”

Section: Resultsmentioning

confidence: 99%

“…Implementation issues were consistently reported as reasons for failure. Some of the challenges mentioned were competing demands by different programmes running simultaneously (Carnell, 2014), high staff turnover (Gurley, 2020; Olken, 2014) and low implementation fidelity (Oyo‐Ita, 2020). These issues are also discussed in detail under the ‘uptake and fidelity challenges theme’.…”

Section: Resultsmentioning

confidence: 99%

“…Finally, only one study reporting on timeliness of measles vaccination used an intervention with multiple engagement types (Oyo‐Ita et al, 2020). This RCT conducted in Nigeria found a moderate and significant positive effect ( g = 0.25 [95% CI: 0.13 to 0.36]).…”

Section: Resultsmentioning

confidence: 99%

“…Several authors mentioned that these interventions can generalise to a broad range of settings as long as implementers consider the mechanisms of the theory of change, and how these may be adapted to different contexts (e.g., Gurley, 2020; Memon et al, 2015; Oyo‐Ita, 2020). That being said in some cases, strategies may generalise only to similar settings, especially in areas where demand‐side barriers may exist (Herrera‐Almanza & Rosales‐Rueda, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…The size of the rectangles corresponds to the relative frequencies presented Notably, success was attributed to intervention features associated with community engagement such as community dialogues which were participatory in nature and improved relationship between the health system and communities (Assegaai, 2018;Findley et al, 2013;Padayachee, 2013). Involvement of community members such as traditional and religious leaders in planning and implementation of an intervention also came up as a reason for success (Oyo-Ita, 2020). In a few instances, success was also attributed to acceptance of health worker cadres by the communities as long as these health workers belonged to the communities they served (Biemba et al, 2016).…”

Section: Reasons For Intervention Successmentioning

confidence: 99%

See 4 more Smart Citations

Use of community engagement interventions to improve child immunisation in low‐ and middle‐income countries: A systematic review and meta‐analysis

Jain

Shisler

Lane

et al. 2022

Campbell Systematic Reviews

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Immunisation is one of the most cost-effective interventions to prevent and control life-threatening infectious diseases. Nonetheless, rates of routine vaccination of children in low-and middle-income countries (LMICs) are strikingly low or stagnant.In 2019, an estimated 19.7 million infants did not receive routine immunisations.Community engagement interventions are increasingly being emphasised in international and national policy frameworks as a means to improve immunisation coverage and reach marginalised communities. This systematic review examines the

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Reasons For Intervention Successmentioning

confidence: 99%

See 3 more Smart Citations

Use of community engagement interventions to improve child immunisation in low‐ and middle‐income countries: A systematic review and meta‐analysis

Jain

Shisler

Lane

et al. 2022

Campbell Systematic Reviews

View full text Add to dashboard Cite

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The urban-poor vaccination: Challenges and strategies in low-and-middle income countries

Zimba,

Mpinganjira,

Msosa

et al. 2024

Human Vaccines & Immunotherapeutics

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Vaccination is one of the success stories of public health. The benefit of vaccination goes beyond individual protection to include promoting population well-being, improving cognitive development, and increasing economic productivity. However, the existing inequalities in the access to vaccination undermines its impact. There are significant variations in the coverage of vaccination between and within countries. Despite that urban populations have better access to health services; evidence has shown that the urban poor have the worst health indicators including vaccination uptake. Additionally, there are unique challenges affecting vaccination in urban settings, especially in urban slums. This paper has discussed key challenges some of the proposed interventions that can improve urban vaccination service delivery.

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Use of community engagement interventions to improve child immunisation in low-income and middle-income countries: a systematic review and meta-analysis

Jain¹,

Shisler²,

Lane

et al. 2022

BMJ Open

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ObjectiveTo support evidence informed decision-making, we systematically examine the effectiveness and cost-effectiveness of community engagement interventions on routine childhood immunisation outcomes in low-income and middle-income countries (LMICs) and identify contextual, design and implementation features associated with effectiveness.DesignMixed-methods systematic review and meta-analysis.Data sources21 databases of academic and grey literature and 12 additional websites were searched in May 2019 and May 2020.Eligibility criteria for selecting studiesWe included experimental and quasi-experimental impact evaluations of community engagement interventions considering outcomes related to routine child immunisation in LMICs. No language, publication type, or date restrictions were imposed.Data extraction and synthesisTwo independent researchers extracted summary data from published reports and appraised quantitative risk of bias using adapted Cochrane tools. Random effects meta-analysis was used to examine effects on the primary outcome, full immunisation coverage.ResultsOur search identified over 43 000 studies and 61 were eligible for analysis. The average pooled effect of community engagement interventions on full immunisation coverage was standardised mean difference 0.14 (95% CI 0.06 to 0.23, I2=94.46). The most common source of risk to the quality of evidence (risk of bias) was outcome reporting bias: most studies used caregiver-reported measures of vaccinations received by a child in the absence or incompleteness of immunisation cards. Reasons consistently cited for intervention success include appropriate intervention design, including building in community engagement features; addressing common contextual barriers of immunisation and leveraging facilitators; and accounting for existing implementation constraints. The median intervention cost per treated child per vaccine dose (excluding the cost of vaccines) to increase absolute immunisation coverage by one percent was US$3.68.ConclusionCommunity engagement interventions are successful in improving outcomes related to routine child immunisation. The findings are robust to exclusion of studies assessed as high risk of bias.

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Impacts of engaging communities through traditional and religious leaders on vaccination coverage in Cross River State, Nigeria

Cited by 7 publications

References 10 publications

Use of community engagement interventions to improve child immunisation in low‐ and middle‐income countries: A systematic review and meta‐analysis

Use of community engagement interventions to improve child immunisation in low‐ and middle‐income countries: A systematic review and meta‐analysis

The urban-poor vaccination: Challenges and strategies in low-and-middle income countries

Use of community engagement interventions to improve child immunisation in low-income and middle-income countries: a systematic review and meta-analysis

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