Increasing the demand for childhood vaccination in developing countries: a systematic review

Bev Shea · Neil Andersson · David A Henry

66 citations0/0 files storedBMC International Health and Human Rights

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Vaccine Coverage and Hesitancy Child Nutrition and Water Access Global Maternal and Child Health

Abstract

BACKGROUND: Attempts to maintain or increase vaccination coverage almost all focus on supply side interventions: improving availability and delivery of vaccines. The effectiveness and cost-effectiveness of efforts to increase demand is uncertain. METHODS: We performed a systematic review of studies that provided quantitative estimates of the impact of demand side interventions on uptake of routine childhood vaccination. We retrieved studies published up to Sept 2008. RESULTS: The initial search retrieved 468 potentially eligible studies, including four systematic reviews and eight original studies of the impact of interventions to increase demand for vaccination. We identified only two randomised controlled trials. Interventions with an impact on vaccination uptake included knowledge translation (KT) (mass media, village resource rooms and community discussions) and non-KT initiatives (incentives, economic empowerment, household visits by extension workers). Most claimed to increase vaccine coverage by 20 to 30%. Estimates of the cost per vaccinated child varied considerably with several in the range of $10-20 per vaccinated child. CONCLUSION: Most studies reviewed here represented a low level of evidence. Mass media campaigns may be effective, but the impact depends on access to media and may be costly if run at a local level. The persistence of positive effects has not been investigated. The economics of demand side interventions have not been adequately assessed, but available data suggest that some may be very cost-effective.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 66 citations exist upstream.

References

2007Development of AMSTAR: a measurement tool to assess the methodological quality of systematic reviews 2007External Validation of a Measurement Tool to Assess Systematic Reviews (AMSTAR)2004The effects and costs of expanding the coverage of immunisation services in developing countries: a systematic literature review 2009Evidence-based discussion increases childhood vaccination uptake: a randomised cluster controlled trial of knowledge translation in Pakistan 2008Too little but not too late: Results of a literature review to improve routine immunization programs in developing countries 1996Maximizing immunization coverage through home visits: a controlled trial in an urban area of Ghana.2004The costs, effects and cost-effectiveness of strategies to increase coverage of routine immunizations in low- and middle-income countries: systematic review of the grey literature.

Cited by

2015Strategies intended to address vaccine hesitancy: Review of published reviews 2010Improving immunisation coverage in rural India: clustered randomised controlled evaluation of immunisation campaigns with and without incentives 2016Interventions for improving coverage of childhood immunisation in low- and middle-income countries 2009Global immunization: status, progress, challenges and future

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.