Impacts of community-led video education to increase vaccination coverage in Uttar Pradesh, India

Gurley, Nikki; Shearer, Jessica; Srivastava, Y. C.; Mahapatra, Sudip; Desmond, Michelle

doi:10.23846/tw10ie125

Cited by 5 publications

(24 citation statements)

References 2 publications

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“…The impacts for both studies were positive but these differences were not statistically significant. In contrast to Carnell (2014), the estimated costs for interventions studied in Gurley (2020) and Olken (2014), that is, the non‐vaccine cost per vaccine dose for both studies is close to the median value in the range of cost estimates.…”

Section: Discussioncontrasting

confidence: 58%

“…The issue of vaccines causing sterilisation was also mentioned. In one case, the intervention reduced these fears (Gurley, 2020).…”

Section: Resultsmentioning

confidence: 99%

“…Social norms, health system issues, migration, civil unrest and fear of adverse events following immunisation (AEFI) were reported consistently within existing constraints. Most of the challenges related to social norms mentioned misconception about immunisation (Banerjee, 2020) and limited decision‐making powers of mothers (Gurley, 2020) as the reason for low immunisation uptake. Civil unrest, political instability and natural calamities also hindered a few interventions from achieving intended impacts (Morris et al, 2004; Pramanik et al, 2020).…”

Section: Resultsmentioning

confidence: 99%

“…Of the moderators we were able to test, none were significant sources of heterogeneity (see Supporting Information: Appendix I Table 3). We were unable to test for differences among engagement packages because only one study used a combination of engagement in the design and engagement as the intervention (Gurley et al, 2020) ). An examination of the studentized residuals revealed that one study (Sankar, 2013) had a value larger than ±3.02 and may be a potential outlier in the context of this model.…”

Section: Full Routine Childhood Immunisationmentioning

confidence: 99%

See 3 more Smart Citations

Use of community engagement interventions to improve child immunisation in low‐ and middle‐income countries: A systematic review and meta‐analysis

Jain

Shisler

Lane

et al. 2022

Campbell Systematic Reviews

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Immunisation is one of the most cost-effective interventions to prevent and control life-threatening infectious diseases. Nonetheless, rates of routine vaccination of children in low-and middle-income countries (LMICs) are strikingly low or stagnant.In 2019, an estimated 19.7 million infants did not receive routine immunisations.Community engagement interventions are increasingly being emphasised in international and national policy frameworks as a means to improve immunisation coverage and reach marginalised communities. This systematic review examines the

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Section: Discussioncontrasting

confidence: 58%

“…The issue of vaccines causing sterilisation was also mentioned. In one case, the intervention reduced these fears (Gurley, 2020).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Full Routine Childhood Immunisationmentioning

confidence: 99%

See 2 more Smart Citations

Use of community engagement interventions to improve child immunisation in low‐ and middle‐income countries: A systematic review and meta‐analysis

Jain

Shisler

Lane

et al. 2022

Campbell Systematic Reviews

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show abstract

“…Prior research at Philani (Coetzee et al, 2018) and in other under-resourced settings supports the feasibility and acceptability of equipping CHWs with tablet-based interventions to augment their health promotion efforts. (Gurley et al (n.d.); Kumar et al, 2015; Vashistha et al, 2016) While mHealth technologies have shown promise, researchers have heavily underscored the need for additional research exploring their implementation at the community level. (Aranda-Jan et al, 2014; Kallander et al, 2013; Lee et al, 2016; Sondaal et al, 2016)…”

Section: Introductionmentioning

confidence: 99%

“The Videos Gave Weight to Our Work”: Animated mHealth Videos and Tablet Technology Boost Community Health Workers’ Perceived Credibility in Khayelitsha, South Africa

et al. 2022

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Mobile health (mHealth) interventions are increasingly used to support community health workers (CHWs) in low-and middle-income countries. As near-peers within their communities, the credibility of CHWs is sometimes questioned—a recognized barrier to their efficacy. Nested within a large, randomized-controlled trial, this qualitative study captured the experiences of South African CHWs, called “Mentor-Mothers,” using tablets and animated videos to promote exclusive breastfeeding. We conducted in-depth telephone interviews with 26 tablet-carrying Mentor-Mothers. We analyzed interview transcripts using a Grounded Theory approach, then developed a theoretical framework, based on an emerging theme, for understanding how tablet technology boosts the perceived credibility of CHWs. Tablet-carrying Mentor-Mothers described an increase in their perceived credibility, which they attributed to overt and signaling effects related to enhanced credibility of (1) their messages, (2) themselves as messengers, and (3) the program employing them. Mobile technology investments in CHWs could enhance their credibility, translating into meaningful investments in the health of under-served communities.

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Use of community engagement interventions to improve child immunisation in low-income and middle-income countries: a systematic review and meta-analysis

Jain¹,

Shisler²,

Lane

et al. 2022

BMJ Open

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ObjectiveTo support evidence informed decision-making, we systematically examine the effectiveness and cost-effectiveness of community engagement interventions on routine childhood immunisation outcomes in low-income and middle-income countries (LMICs) and identify contextual, design and implementation features associated with effectiveness.DesignMixed-methods systematic review and meta-analysis.Data sources21 databases of academic and grey literature and 12 additional websites were searched in May 2019 and May 2020.Eligibility criteria for selecting studiesWe included experimental and quasi-experimental impact evaluations of community engagement interventions considering outcomes related to routine child immunisation in LMICs. No language, publication type, or date restrictions were imposed.Data extraction and synthesisTwo independent researchers extracted summary data from published reports and appraised quantitative risk of bias using adapted Cochrane tools. Random effects meta-analysis was used to examine effects on the primary outcome, full immunisation coverage.ResultsOur search identified over 43 000 studies and 61 were eligible for analysis. The average pooled effect of community engagement interventions on full immunisation coverage was standardised mean difference 0.14 (95% CI 0.06 to 0.23, I2=94.46). The most common source of risk to the quality of evidence (risk of bias) was outcome reporting bias: most studies used caregiver-reported measures of vaccinations received by a child in the absence or incompleteness of immunisation cards. Reasons consistently cited for intervention success include appropriate intervention design, including building in community engagement features; addressing common contextual barriers of immunisation and leveraging facilitators; and accounting for existing implementation constraints. The median intervention cost per treated child per vaccine dose (excluding the cost of vaccines) to increase absolute immunisation coverage by one percent was US$3.68.ConclusionCommunity engagement interventions are successful in improving outcomes related to routine child immunisation. The findings are robust to exclusion of studies assessed as high risk of bias.

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Impacts of community-led video education to increase vaccination coverage in Uttar Pradesh, India

Cited by 5 publications

References 2 publications

Use of community engagement interventions to improve child immunisation in low‐ and middle‐income countries: A systematic review and meta‐analysis

Use of community engagement interventions to improve child immunisation in low‐ and middle‐income countries: A systematic review and meta‐analysis

“The Videos Gave Weight to Our Work”: Animated mHealth Videos and Tablet Technology Boost Community Health Workers’ Perceived Credibility in Khayelitsha, South Africa

Use of community engagement interventions to improve child immunisation in low-income and middle-income countries: a systematic review and meta-analysis

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