Redesigned immunization card and center-based education to reduce childhood immunization dropouts in urban Pakistan: A randomized controlled trial

Usman, Hussain R.; Akhtar, Saeed; Habib, Faiza; Jehan, Imtiaz

doi:10.1016/j.vaccine.2008.10.048

Cited by 66 publications

(127 citation statements)

References 22 publications

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“…increasing the parental awareness and demands regarding immunization. Usman et al 16 indicated an increase of 31% in DPT 3 completion was observed among infants whose mothers received primary health care center based health education on their first vaccination visit and they considered the education intervention was a strong factor associated with the completion of the vaccination schedule. Richards et al 17 found that the maternal knowledge of vaccines was important for predicting vaccine timeliness.…”

Section: Discussionmentioning

confidence: 99%

Prenatal vaccination education intervention improves both the mothers' knowledge and children's vaccination coverage: Evidence from randomized controlled trial from eastern China

Chen

Wang

et al. 2017

Human Vaccines & Immunotherapeutics

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Objectives: To verify the effectiveness of prenatal vaccination education intervention on improving mother's vaccination knowledge and child's vaccination status in Zhejiang province, eastern China.Methods: Pregnant women with 12 gestational weeks were recruited and randomly assigned into the intervention group and the control group. The intervention group were given a vaccination education session while the control group were not. Two round surveys were performed before and 3 months after the intervention. The vaccination status of child was extracted at 12 months of age from immunization information system. The differences of the vaccination knowledge, the coverage, the completeness and the timeliness of vaccination between 2 groups were evaluated. The effectiveness of vaccination education intervention was assessed, under the control of the other demographic variables.Results: Among the 1252 participants, 851 subjects replied to the post-survey. Significant improvements of vaccination knowledge between the pre-and the post-survey in the intervention group were observed (Mean § S.D:1.8 § 1.1 vs. 3.7 § 1.2 for vaccines score and 2.7 § 1.5 vs. 4.8 § 1.0 for vaccine policy score, respectively). The coverage of fully vaccination was significantly higher in the intervention group (90.0% vs. 82.9%, P<0.01). The timeliness of fully vaccination was significantly higher in the intervention group (51.9% vs. 33.0%, P<0.01). In the intervention group, pregnant women were more likely to be with high score of knowledge (OR D 5.2, 95%CI: 2.6-8.8), and children were more likely to complete the full series of vaccination (OR D 3.4, 95%CI: 2.1-4.8), and children were more likely to complete the full series of vaccination in a timely manner (OR D 2.3, 95%CI: 1.6-3.5).Conclusions: Vaccination education in the pregnant women can effectively improve the knowledge regarding immunization and increase the coverage, the completeness and the timeliness of childhood vaccination. Strong partnership needs to be established between the obstetricians and the vaccination staff to improve the performance of NIP.

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Section: Discussionmentioning

confidence: 99%

Prenatal vaccination education intervention improves both the mothers' knowledge and children's vaccination coverage: Evidence from randomized controlled trial from eastern China

Chen

Wang

et al. 2017

Human Vaccines & Immunotherapeutics

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“…Research has shown that missed opportunities for immunization are often the result of parental lack of awareness of the benefits of vaccines as well as a lack of awareness of the vaccination schedule and when their child is due for his/her next vaccine [10,11]. Although most cards incorporate such information, opportunities Recent research in Pakistan has demonstrated the potential benefit on increased follow-up immunization visits (e.g., reduced drop-out) of redesigned, more mother-friendly immunization cards that incorporate a larger card size with bright colour and the strategic placement of reminder information in large text [12,13]. In addition, more needs to be done through training and mentoring of health care workers to improve caregivers' understanding of the card and the benefits of retaining and bringing the immunization card to all child health care encounters [14].…”

Section: Introductionmentioning

confidence: 99%

COMMENTARY - Child Immunization Cards: Essential Yet Underutilized in National Immunization Programmes

Brown¹

2012

TOVACJ

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Abstract:The child immunization card is an inexpensive yet effective instrument for systematically recording the vaccines received by a child. Moreover, the card can enhance health professionals' ability to make clinical decisions, empower parents/caregivers in the health care of their children, and support public health monitoring. Unfortunately, the child immunization card is too often underutilized or inappropriately used by parents and health care workers and therefore does not always fulfil its intended purpose. National immunization programmes should be encouraged to procure cards in conjunction with other necessary vaccination supplies and to more actively promote the issuance and appropriate use of the card.

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“…Después de la evaluación del texto se excluyeron 37 artículos y se elaboró una lista que incluye los documentos y los principales motivos de su exclusión. Finalmente se incluyeron en esta revisión 11 estudios [15][16][17][18][19][20][21][22][23][24][25] Trained, non-health workers made home visits advising parents to bring their child to the next under-fives' clinic. This advice was given to all respondents but targeted to parents of incompletely immunised children.…”

Section: Resultados Selección De Los Estudiosunclassified

“…Los 11 estudios fueron publicados en inglés entre 1996 y 2013; ocho eran de países de ingresos medios [15][16][17][18][19][20][21][22] y tres eran de países de bajos ingresos [23][24][25]. Los estudios fueron llevados a cabo en el sur de Asia (n=7), [15][16][17][18][19][20]23], en África subsahariana (n = 3), [22,24,25) y en América central (n = 1) [21].…”

Section: Estudios Incluidosunclassified

Estrategias para incrementar la demanda de vacunación infantil en países de ingresos bajos y medios: una revisión sistemática y un metanálisis

Johri

Pérez

Arsenault

et al. 2016

Rev. Fac. Nac. Salud Pública

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niños pequeños expuestos a una intervención elegible. Seis estudios demostraron un bajo riesgo de sesgo y cinco estudios presentaron un riesgo de sesgo entre moderado y elevado. Se realizó un análisis agrupado teniendo en cuenta los 11 estudios, con datos de 11.512 participantes. Las intervenciones enfocadas en la demanda se relacionaron con una recepción de las vacunas significativamente superior, riesgo relativo (RR): 1,30, (intervalo de confianza, IC, del 95%: 1,17-1,44). Los análisis de los subgrupos también demostraron efectos importantes de siete estudios de educación y traslación de conocimientos, RR: 1,40 (IC del 95%: 1,20-1,63) y de cuatro estudios que utilizaron incentivos, RR: 1,28 (IC del 95%: 1,12-1,45). Conclusión: las intervenciones enfocadas en la demanda conducen a mejoras significativas en la cobertura de vacunación infantil en países de ingresos bajos y medios. Asimismo, los enfoques educativos y el uso de incentivos fueron estrategias efectivas.----------Palabras clave: vacunación, población infantil, país tercermundista Abstract Objective: To investigate which strategies to increase demand for vaccination are effective in increasing child vaccine coverage in low-and middle-income countries. Methodology: We searched MEDLINE, EMBASE, Cochrane library, POPLINE, ECONLIT, CINAHL, LILACS, BDSP, Web of Science and Scopus databases for relevant studies, published in English, French, German, Hindi, Portuguese and Spanish up to 25 March 2014. We included studies of interventions intended to increase demand for routine childhood vaccination. Studies were eligible if conducted in low-and middle-income countries and employing a randomized controlled trial, non-randomized controlled trial, controlled before-and-after or interrupted time series design. We estimated risk of bias using Cochrane collaboration guidelines and performed random-effects metaanalysis. Results: it was identified 11 studies comprising four randomized controlled trials, six cluster randomized controlled trials and one controlled before-and-after study published in

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Redesigned immunization card and center-based education to reduce childhood immunization dropouts in urban Pakistan: A randomized controlled trial

Cited by 66 publications

References 22 publications

Prenatal vaccination education intervention improves both the mothers' knowledge and children's vaccination coverage: Evidence from randomized controlled trial from eastern China

Prenatal vaccination education intervention improves both the mothers' knowledge and children's vaccination coverage: Evidence from randomized controlled trial from eastern China

COMMENTARY - Child Immunization Cards: Essential Yet Underutilized in National Immunization Programmes

Estrategias para incrementar la demanda de vacunación infantil en países de ingresos bajos y medios: una revisión sistemática y un metanálisis

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