Country [Ref] Year(s) | Brief Description | Study Type | Change in FVC* |
---|---|---|---|
Bringing immunizations closer to the community | |||
Kenya [11] Unknown | Providing outreach immunization services in schools along with dissemination of information about immunizations by students | Trial with evaluation before and after | 28% and 32% § |
India [6] 1975–1988 | Supporting immunization activities in the community by using local women to provide health information and track immunizations | Trial with comparison groups | n/a** |
Papua New Guinea [12] 1983–1987 | Improving access to immunizations by providing vaccinations at lower level health facilities (health posts) by trained Aid Post Orderlies | Trial with comparison group | n/a |
Nigeria [13] 1984–1986 | Providing immunizations at more locations and more convenient times in combination with parent education ‡ | Trial with evaluation before and after | 38% |
Mozambique [15,16] 1985–1987 | Visiting homes to mobilize the community and refer unvaccinated children to services while providing regular pulse outreach | Trial with evaluation before and after | -4%, 32%, 33% and 14% § ∥ |
South Africa [8] 1987–1988 | Conducting home visits using village health workers who retain visit records ‡ | Trial with evaluation before and after | n/a |
Bangladesh [7] 1987–1988 | Following-up defaulters using low-literacy urban volunteers | Observational | n/a |
Ghana [9] 1991–1992 | Visiting homes to refer families to services using non-health workers ‡ | Trial with comparison groups | 19% |
Mozambique [14] 1994 | Providing outreach services to areas affected by conflict | Observational | n/a |
Mexico [10] 1994 | Identifying children needing vaccines through home visits by community members | Trial with comparison groups | 42% |
Using information dissemination to increase demand for vaccination | |||
The West Bank [19] 1985–1996 | Developing staffed village-resource rooms | Observational | n/a |
Philippines [17] 1989–1990 | Communicating measles information through a mass media campaign ‡ | Trial with evaluation before and after | 11% |
Bangladesh [18] 1995 | Advocating, by an NGO credit program, for women to utilize immunization services ‡ | Observational | n/a |
Changing practices in fixed sites | |||
Sudan [21] Unknown | Moving vaccination locations closer to the consulting room or having physicians give an immunization "prescription" after curative care | Observational | n/a |
Nigeria [22] 1982 | Reorganizing health centers to include a quick immunization line | Trial with evaluation before and after | 18% |
Mexico [23] 1991 | Screening hospitalized children for vaccination status and immunizing those not up-to-date | Observational | n/a |
Ethiopia [20] 1991–1992 | Using reminder stickers to reduce dropout in fixed facilities along with health education ‡ | Trial with comparison groups | n/a |
Using innovative management practices | |||
Papua New Guinea [26] 1982–1984 | Creating a reporting system based on updated catchment area and target population data, including regular feedback | Trial with evaluation before and after | n/a |
Nicaragua [29,30] 1985 | Providing food incentives to improve attendance at well child clinics (mobile and fixed) ‡ | Trial with evaluation before and after | n/a |
Bolivia [25] 1992–1994 | Using data and community information to develop appropriate programs | Trial with comparison groups | 70% |
Indonesia [27] 1993–1994 | Training nurses in under-performing health centers using low-cost on-the-job peer training ‡ | Trial with comparison groups | n/a |
Cambodia [24] 1997–2000 | Using contractors to increase immunization coverage and equity ‡ | Trial with comparison groups | 13% and 1%¶ |
Madagascar [28] 2000 | Using auto-disable syringes for increasing safety and reducing missed opportunities | Trial with comparison groups | n/a |