Improving vaccination uptake among adolescents

Abdullahi, Leila; Kagina, Benjamin M.; Ndze, Valantine Ngum; Hussey, Gregory; Wiysonge, Charles Shey

doi:10.1002/14651858.cd011895

Cited by 40 publications

(47 citation statements)

References 37 publications

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“…37,39 Finally, other individuallevel characteristics such as individual or parental behaviors, attitudes and beliefs about vaccines, news coverage, provider recommendation, and family influences may also impact vaccination completion and compliance. [40][41][42] Several limitations should be considered when interpreting findings from this study. Due to the cross-sectional nature of NIS-Teen data, the analysis did not account for potential individuallevel variabilities over time.…”

Section: Discussionmentioning

confidence: 96%

Determinants of Meningococcal ACWY vaccination in adolescents in the US: completion and compliance with the CDC recommendations

Cheng

Chang

Novy

et al. 2019

Human Vaccines & Immunotherapeutics

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Since 2011, the Advisory Committee on Immunization Practices (ACIP) guidelines for routine MenACWY vaccination in the US include a primary dose before age 16 y, preferably at ages 11-12 y, with a booster dose at age 16 y. Data on rates and drivers of meningococcal vaccination completion (receipt of both doses) and compliance with recommendations (receipt of primary dose at ages 11-12 y followed by booster at 16 y) down to state-level are limited. This study evaluated rates and determinants of MenACWY vaccination completion and compliance in adolescents aged 17 y based on data from the annual National Immunization Survey-Teen between 2011 and 2016. Individual-and state-level determinants of completion and compliance were assessed using uni-level and multi-level multivariable regression models. Average national rates were 23.2% and 12.1% for completion and compliance, respectively, with large interstate variation observed (completion: 8.7-39.7%; compliance: 3.1-26.2%). Beyond the state of residence, factors significantly associated with a higher likelihood of both completion and compliance included being male, up-to-date on other routine vaccines, having private or hospital-based vaccine providers (vs. public) and having >1 child in the household. Factors specifically associated with completion included having >1 annual health-care visit and presence of a booster-dose vaccine mandate, while a history of asthma and high-risk health conditions had a positive association with compliance. State-level determinants of completion and compliance included pediatricians-to-children ratio and the proportion of Immunization Information System use among adolescents, respectively. Outcomes of this study may help guide clinical, policy and educational interventions to further increase MenACWY completion rates and reduce disparities in vaccination.

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Section: Discussionmentioning

confidence: 96%

Determinants of Meningococcal ACWY vaccination in adolescents in the US: completion and compliance with the CDC recommendations

Cheng

Chang

Novy

et al. 2019

Human Vaccines & Immunotherapeutics

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show abstract

“…Vaccination of adolescents prevents outbreaks of vaccine-preventable diseases. It serves as an opportunity for catch up on vaccine doses missed during childhood and provides primary immunity for new vaccines [ 2 ]. Adolescent vaccination coverage is suboptimal in Africa and other low-and-middle-income countries.…”

Section: Commentarymentioning

confidence: 99%

“…It is therefore important to evaluate interventions that work to improve uptake of vaccines among adolescents. That was the objective of the Cochrane review by Abdullahi and colleagues, published in January 2020 [ 2 ].…”

Section: Commentarymentioning

confidence: 99%

Cochrane corner: improving vaccination coverage among adolescents

Ngah¹,

Wiysonge²,

Wiysonge³

2020

Pan Afr Med J

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“…One of the popular approaches which has been widespread in countries such as the United States, Australia, Germany, Canada, UK etc., is 'Pay for performance (P4P)' where, an explicit amount of nancial incentive is paid to the healthcare provider based on special performance measurements [2]. FIs have been offered in a wide range of health care services to the clients for promoting uptake and maintaining adherence to services [3,4]. For example, FIs in the form of $5 grocery coupons were used in antiretroviral therapy to maintain adherence and continue tuberculosis prophylaxis in the USA [5].…”

Section: Introductionmentioning

confidence: 99%

Role of Financial Incentives in Family Planning Services in India: A Qualitative Study

Lalchandani¹,

Gupta²,

Srivast³

et al. 2020

Preprint

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Background: In an effort to encourage Family Planning (FP) adoption, since 1952, the Government of India has been implementing various centrally sponsored schemes that offer financial incentives (FIs) to acceptors as well as service providers, for services related to certain FP methods. However, understanding of the role of FIs on uptake of FP services, and the quality of FP services provided, is limited and mixed. Methods: A qualitative study was conducted in Chatra and Palamu districts of Jharkhand state. A total of 64 interviews involving multiple stakeholders were conducted. The stakeholders included recent FP acceptors or clients, FP service providers of public health facilities including community health activists (ASHAs), government health officials managing FP programs at the district and state level, and members of development partners supporting FP programs in Jharkhand. Data analysis included both inductive and deductive strategies. It was done using the software Atlas ti version 8. Results: It emerged that there is a strong felt need for family planning among majority clients, and FIs may be a motivator for uptake of FP methods only among those belonging to the lower socio economic strata. For ASHAs, FI is the primary motivator for providing FP related services. There may be a tendency among them and nurses to promote methods which have more financial incentives linked with them. There are mixed opinions on discontinuing FIs for clients or replacing them with non-financial incentives. Delays in payment of FIs to both clients and the ASHAs is a common issue and adversely effects the program.Conclusion: FIs for clients have limited influence on their decision to take up a FP method while different amounts of FIs for ASHAs and nurses, linked with different FP methods, may be influencing their service provision. More research is needed to determine the effect of discontinuing FP related FIs for clients.

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Improving vaccination uptake among adolescents

Abstract: To evaluate the effects of interventions to improve vaccine uptake among adolescents in low, middle and high-income countries.

Cited by 40 publications

References 37 publications

Determinants of Meningococcal ACWY vaccination in adolescents in the US: completion and compliance with the CDC recommendations

Determinants of Meningococcal ACWY vaccination in adolescents in the US: completion and compliance with the CDC recommendations

Cochrane corner: improving vaccination coverage among adolescents

Role of Financial Incentives in Family Planning Services in India: A Qualitative Study

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