A Tattooed Bracelet for Child Vaccination Records in a Developing World Context

Jeong, Bongkeum; Ibáñez, Jesús; Nunes, Nuno; Chen, Monchu

doi:10.1145/3078072.3084336

Cited by 6 publications

(4 citation statements)

References 2 publications

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“…36 Furthermore, the effectiveness of SMS is linked to the educational level of the caregiver, as well as the availability and accessibility of mobile phones and network issues. 37–39 In addition, door-to-door visits which are expensive and not sustainable as well as a lack of human resources and high costs/lack of immunization records have been reported to pose challenges to the acceptance of more technology-based reminder services. 40 Therefore, our study, which showed improvement in immunization timeliness, has the potential for addressing the pervasive challenges that have been reportedly attributed to immunization timeliness.…”

Section: Discussionmentioning

confidence: 99%

An assessment of the effectiveness of an electronic wristband in improving routine immunization timeliness and reducing drop-out

Sampson,

Adenipekun,

Atobatele

et al. 2023

Journal of Public Health

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Background To assess the effectiveness of a wristband for immunization alert (WIA) as a reminder device to caregivers to improve immunization timeliness and reduce drop-outs. Methods Eight health facilities, selected from two local government areas in Kano state, Northwestern Nigeria, were clustered in a two-arm study involving an intervention group and a control group. Only the caregivers (757) from the intervention group received WIA as an immunization reminder device. Immunization timeliness data were then collected from the control and intervention groups for the period of intervention and analyzed using Microsoft Excel and IBM SPSS version 21. Results A cohort analysis of caregivers who received WIA at their second visit showed an increase in immunization timeliness from 10% at the second visit to 86% at the third visit and maintained at 66% for the fifth visit. A difference-in-difference analysis of the effect of WIA on immunization timeliness from baseline to end-line in the control and intervention groups showed a positive 30% increase in immunization timeliness associated with the introduction of WIA. Interpretation Given that immunization timeliness and drop-outs are reported issues of concern in Northwestern Nigeria, the use of the WIA device is a recommended intervention.

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Section: Discussionmentioning

confidence: 99%

An assessment of the effectiveness of an electronic wristband in improving routine immunization timeliness and reducing drop-out

Sampson,

Adenipekun,

Atobatele

et al. 2023

Journal of Public Health

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show abstract

“…Overtime, the utility of wearables for health has expanded across different disease domains and in recent years, the line between consumer health wearables and medical devices has begun to blur [16]. The upsurge of wearables is mostly concentrated in developed countries, but the concept has gained traction in low and middleincome countries as well where wearable solutions integrating data records such as tattooed bracelets for immunization [17], Near Field Communication (NFC) powered digital pendants [18] and Vaccine Indicator Reminder (VIR) bands [19,20] are coming to the forefront.…”

Section: Discussionmentioning

confidence: 99%

Effect of vaccine reminder and tracker bracelets on routine childhood immunization coverage and timeliness in urban Pakistan (2017-18): a randomized controlled trial

Siddiqi¹,

Ali

Munir

et al. 2020

BMC Public Health

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Background: Inability to track children's vaccination history coupled with parents' lack of awareness of vaccination due dates compounds the problem of low immunization coverage and timeliness in developing countries. We evaluated the impact of two types of silicone immunization reminder bracelets for children in improving immunization coverage and timeliness of Pentavalent-3 and the Measles-1 vaccines. Methods: Children < 3 months were enrolled in either of the 2 intervention groups (Alma Sana Bracelet Group and Star Bracelet Group) or the Control group. Children in the intervention groups were provided the two different bracelets at the time of recruitment. Each time the child visited the immunization center, a hole was perforated in the silicone bracelet to denote vaccine administration. Each child was followed up till administration of Measles-1 vaccine or till 12 months of age (if they did not come to the center for vaccination). Data was analyzed using the intention-to-treat population between groups. The unadjusted and adjusted Risk Ratios (RR) and 95% confidence interval (CI) for Pentavalent-3 and Measles-1 coverage at 12 months of age were estimated through bivariate and multivariate analysis. Time-to-Pentavalent-3 and Measles-1 immunization curves were calculated using the Kaplan-Meier method. Results: A total of 1,445 children were enrolled in the study between July 19, 2017 and October 10, 2017. Baseline characteristics among the three groups were similar. Up-to-date coverage for the Pentavalent-3 /Measles-1 vaccine at 12 months of age was 84.6%/72.0%, 85.4%/70.5% and 83.0%/68.5% in Alma Sana Bracelet group, Star Bracelet group and Control group respectively but the differences were not statistically significant. In the multivariate analysis, neither the Alma Sana bracelet (adjusted RR = 1.01; 95%

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“…Overtime, the utility of wearables for health has expanded across different disease domains and in recent years, the line between consumer health wearables and medical devices has begun to blur [16]. The upsurge of wearables is mostly concentrated in developed countries, but the concept has gained traction in low and middle-income countries as well where wearable solutions integrating data records such as tattooed bracelets for immunization [17], Near Field Communication (NFC) powered digital pendants [18] and Vaccine Indicator Reminder (VIR) bands [19,20] are coming to the forefront.…”

Section: Discussionmentioning

confidence: 99%

Effect of vaccine reminder and tracker bracelets on routine childhood immunization coverage and timeliness in urban Pakistan: a randomized controlled trial

Siddiqi

Ali

Munir

et al. 2020

Preprint

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Background Inability to track children’s vaccination history coupled with parents’ lack of awareness of vaccination due dates compounds the problem of low immunization coverage and timeliness in developing countries. We evaluated the impact of two types of silicon immunization reminder bracelets for children in improving immunization coverage and timeliness of Pentavalent-3 and the Measles-1 vaccines. Methods Children < 3 months were enrolled in either of the 2 intervention groups (Alma Sana Bracelet Group and Star Bracelet Group) or the Control group. Children in the intervention groups were provided the 2 different bracelets at the time of recruitment. Each time the child visited the immunization center, a hole was perforated in the silicon bracelet to denote vaccine administration. Each child was followed up till administration of Measles-1 vaccine or till 12 months of age (if they did not come to the center for vaccination). Data was analyzed using the intention-to-treat population between groups. The unadjusted and adjusted Risk Ratios (RR) and 95% confidence interval (CI) for Pentavalent-3 and Measles-1 coverage at 12 months of age were estimated through bivariate and multivariate analysis. Time-to-Pentavalent-3 and Measles-1 immunization curves were calculated using the Kaplan–Meier method. Results A total of 1,446 children were enrolled in the study between July 19, 2017 and October 10, 2017. Baseline characteristics among the three groups were similar. Up-to-date coverage for the Pentavalent-3 /Measles-1 vaccine at 12 months of age was 84.6%/72.0%, 85.4%/70.5% and 83.0%/68.5% in Alma Sana Bracelet group, Star Bracelet group and Control group respectively but the differences were not statistically significant. In the multivariate analysis, neither the Alma Sana bracelet (adjusted RR = 1.01; 95% CI: 0.96-1.06), (adjusted RR: 1.05; 95% CI: 0.97-1.13) nor the Star bracelet (adjusted RR = 1.01; 95% CI: 0.96-1.06) (adjusted RR: 1.03; 95% CI: 0.95-1.11) was significantly associated with Pentavalent-3 vaccination or Measles-1 vaccination. Conclusion Although we did not observe any significant impact of the bracelets on improved immunization coverage and timeliness, our findings add to the existing literature on innovative, low cost reminders for health and make several suggestions for enhancing practical implementation of these tools.

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A Tattooed Bracelet for Child Vaccination Records in a Developing World Context

Cited by 6 publications

References 2 publications

An assessment of the effectiveness of an electronic wristband in improving routine immunization timeliness and reducing drop-out

An assessment of the effectiveness of an electronic wristband in improving routine immunization timeliness and reducing drop-out

Effect of vaccine reminder and tracker bracelets on routine childhood immunization coverage and timeliness in urban Pakistan (2017-18): a randomized controlled trial

Effect of vaccine reminder and tracker bracelets on routine childhood immunization coverage and timeliness in urban Pakistan: a randomized controlled trial

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