The Effectiveness of Assessment and Referral on Immunization Coverage in the Special Supplemental Nutrition Program for Women, Infants, and Children

Abstract

In this urban population of WIC children with high baseline immunization coverage, A/R was not effective in increasing immunization coverage.

Assessment of Missing Immunizations and Immunization-Related Barriers among WIC Populations at the Local Level

“…12 Moreover, in the TCHD study, as in numerous other studies, A/R interventions improved these UTD rates. [6][7][8][9][10] In this study, numerous vaccine types were found to be missing among non-UTD children. However, an important finding for TCHD was the poor DTaP coverage among its WIC population, along with the discrepancies between mother-reported and actual UTD status with regard to DTaP.…”

“…[3][4][5] Numerous studies have established that immunization status assessment and referral (A/R) can significantly improve immunization rates among WIC-enrolled children. [6][7][8][9][10] Thus, TCHD began an A/R program in its WIC clinics in 2002. In conjunction with this program, TCHD conducted a study to assess barriers to immunization that may affect the WIC population at a local level.…”

Integrating immunization services into nutrition sites to improve immunization status of internally displaced persons� children living in Bentiu protection of civilian site, South Sudan

“…In most studies on integration [8, 11], immunization program was used as platform for integrating other MNCH services unlike this study where nutrition program was used as the entry point/ platform for integration of immunization services. Most studies [12-14] where integration was done using nutrition program as platform, were mostly co-location than co-delivery where children who came for nutrition services were referred to other immunization services delivery points unlike this study where both immunization and nutrition services were co-delivered both at the OTP centres and during outreaches. In this study there was increase in the number of children vaccinated in the project sites during the project year compared to the previous year.…”

Interventions to increase pediatric vaccine uptake: An overview of recent findings

“…Finally, in previous studies focused on adult immunization rates, physicians have reported that having nurses or other staff members take a more active role in the immunization process, such as patient assessment, is helpful and improves practice workflow. [91][92][93] We found 4 out of 5 identified studies that reported including a heightened level of nurse involvement component in interventions supported and improved immunization rates among children as well, 34,48,82,88,94 contributing to increasing coverage up to 95% over 18 months in one instance. 48 Offering providers incentives such as bonuses and enhanced fee for service have also resulted in modest improvements in up-to-date rates.…”