11.07.2015 Views

2_SAGE_Appendicies_Background_final

2_SAGE_Appendicies_Background_final

2_SAGE_Appendicies_Background_final

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

Title/ First author/year of publicationInterventions forimprovingcoverage of childimmunization inlow- and middleincomecountries,Oyo-Ita, A., 2011[9]Description of the reviewsGeneralPurpose andsettingTo evaluatetheeffectivenessof interventionstrategies toboost andsustain highchildhoodimmunizationcoverage inLMICInclusion /Exclusion criteriaLHWs were usedas a substitute fortrained healthprofessionals or inaddition to healthprofessionalsPublished untilFebruary 2009Exclusion:Studies basedoutside of primaryhealth care, suchas in hospitals orschoolsInclusion:RCTs, NRCTs,and ITS studiesInterventionstargeting childrenaged 0 to 4 years,caregivers, andhealth providersComparisons withroutineimmunizationpractices in thestudy setting orwith differentinterventions orsimilarinterventionsimplemented withdifferent degreesMainoutcomemeasureProportionof targetpopulationfullyimmunizedwithrecommendedvaccines,by ageNumber ofchildrenaged twoyears fullyimmunizedper vaccineNb ofstudiesincluded6(5 clusterRCTs)Qualityassessmentof studiesReported(4 studiesat high riskof bias)Main conclusionsModerate quality evidence:Evidence-based discussions probably improve DPT3 andmeasles coverageInformation campaigns probably increase uptake of at least adose of a vaccine.Low quality evidence:Facility based health education alone or in combination withredesigned immunization cards may improve the uptake ofcombined vaccine against diphtheria, pertussis, and tetanus(DPT3) coverage.One study suggests that this monetary incentive may lead tolittle or no difference in the uptake of MMR or DPT1.Training of immunization managers to provide supportivesupervision for health providers was assessed by one study andmay improve the uptake for DPT3, OPV3, and hepatitisB3.Home visits may improve OPV3 and measles coverage.A combination of monetary incentives (patient oriented);quality assurance (provider oriented); and provision ofequipment, drugs and materials (health system oriented)82

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!