2_SAGE_Appendicies_Background_final

change in attitudes).- Most studies evaluating the impact of parent-centered information or education reported a statistically significant improvement onparents’ intentions to vaccinate their children. However, parents’ attitude changes were inconsistent.Can lay health workers increase the uptake of childhood immunisation? Systematic review and typology, Glenton, C., 2011 [5]- Evidence was of low quality for LHWs promoting immunization uptake among families in LMICs.- However, the LHW programme increased the number of children whose DPT and measles immunizations were up to dateInterventions for improving coverage of child immunization in low- and middle-income countries, Oyo-Ita, A., 2011 [9]Home visits and health education may improve immunization coverage but the quality of evidence is low.- There was low quality evidence that: facility based health education may improve the uptake of DPT3 coverage; and also that acombination of facility based health education and redesigned immunization cards may improve DPT3 coverage.- There was also moderate quality evidence that: evidence-based discussions, and that information campaigns increase uptake of atleast a dose of a vaccine.Too little but not too late: Results of a literature review to improve routine immunization programs in developing countries, Ryman, T.K.2008 [10]Few papers were identified and fewer were of strong scientific quality.- The strategies to “bring immunizations closer to the community” (including non-health workers to encourage people to seekimmunization services, bringing immunization services to communities, and increasing demand through educating communities)could improve childhood vaccine uptake.- Use of home visits for education and/or immunization service delivery may increase childhood vaccine uptake.Increasing the demand for childhood vaccination in developing countries: a systematic review, Shea, B., 2009 [11]Most studies reviewed represented a low level of evidence.− Interventions with an impact on vaccination uptake included knowledge translation (KT) (mass media, village resource rooms andcommunity discussions) and non-KT initiatives (incentives, economic empowerment, household visits by extension workers). Mostclaimed to increase vaccine coverage by 20 to 30%.− Mass media campaigns may be effective, but the impact depends on access to media and may be costly if run at a local level. Thepersistence of positive effects has not been evaluated.Educational interventions to increase HPV vaccination acceptance: A systematic review, Fu, L.Y., 2014 [6]No strong evidence to recommend any specific educational intervention for wide-spread implementation.− Well-designed studies adequately powered to detect change in vaccine uptake were rare and generally did not demonstrateeffectiveness of the tested interventions. Few studies used the outcome of HPV uptake.74