Improving vaccination initiation and completion via vaccine indicator and reminder bands: a formative study in Nigeria

Obi‐Jeff, Chisom; Consulting, Direct; Limited, Logistics; Nwaononiwu, Ebubechi; Nuhu, Nahum; Irechukwu, Kelechi; Mahmud, Suleiman; Bamiduro, Tobi; Nwangwu, Chike; Bello-Malabu, Jamila Ibiye; Rakhshani, Noor Sabah; Wonodi, Chizoba; Advocacy,; Ivac,

doi:10.23846/tw10fe06

Cited by 2 publications

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“…The section below describes other evidence related to ASHA performance; considering the gap in caregiver awareness, more evidence is needed on how to improve caregiver awareness. Multiple interventions exist to send reminders to parents and these should be explored in this context, with a particular emphasis on their effectiveness among vulnerable households and how to incorporate household decision-making dynamics (Obi-Jeff et al 2019;Jacobson Vann et al 2018;Oyo-Ita et al 2016;Bangure et al 2015).…”

Section: Recommendation: Policymakers and Partners Who Design Interventions To Increase Vaccination Coverage Should Consider How These Inmentioning

confidence: 99%

Promoting latrine use in rural Karnataka using the risks, attitudes, norms, abilities and self-regulation (RANAS) approach

Friedrich¹,

Balasundaram²,

Muralidharan³

et al. 2020

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About 3ieThe International Initiative for Impact Evaluation (3ie) promotes evidence-informed, equitable, inclusive and sustainable development. We support the generation and effective use of high-quality evidence to inform decision-making and improve the lives of people living in poverty in low-and middle-income countries. We provide guidance and support to produce, synthesise and quality-assure evidence of what works, for whom, how, why and at what cost.3ie impact evaluations 3ie-supported impact evaluations assess the difference a development intervention has made to social and economic outcomes. 3ie is committed to funding rigorous evaluations that include a theory-based design and that use the most appropriate mix of methods to capture outcomes and are useful in complex development contexts. About this report3ie accepted the final version of the report, Impacts of community-led video education to increase vaccination coverage in Uttar Pradesh, India, as partial fulfilment of requirements under grant TW10.1039 awarded through Innovations in Increasing Immunisation Evidence Programme. The content has been copy-edited and formatted for publication by 3ie.The 3ie technical quality assurance team for this report comprises Monica Jain, Avantika Bagai, Ananta Seth, Kirthi Rao, Sayak Khatua, an anonymous external impact evaluation design expert reviewer and an anonymous external sector expert reviewer, with overall technical supervision by Marie Gaarder. The 3ie editorial production team for this report comprises Anushruti Ganguly and Akarsh Gupta.

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Section: Recommendation: Policymakers and Partners Who Design Interventions To Increase Vaccination Coverage Should Consider How These Inmentioning

confidence: 99%

Promoting latrine use in rural Karnataka using the risks, attitudes, norms, abilities and self-regulation (RANAS) approach

Friedrich¹,

Balasundaram²,

Muralidharan³

et al. 2020

View full text Add to dashboard Cite

show abstract

“…This paper qualitatively synthesises findings from the six 3ie-supported formative evaluations undertaken in Ethiopia, Myanmar, Nigeria, and Pakistan [5][6][7][8][9][10] and reflects on learnings in designing context-appropriate and feasible interventions acceptable to all stakeholders. It only use findings discussed in the published study reports for the synthesis paper.…”

Section: Study Objectivementioning

confidence: 99%

Designing appropriate, acceptable and feasible community-engagement approaches to improve routine immunisation outcomes in low- and middle-income countries: A synthesis of 3ie-supported formative evaluations

Tripathi¹,

Jain²,

Bagai³

et al. 2022

PLoS ONE

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Introduction As global child vaccination coverage has plateaued, understanding how to increase routine child vaccination rates further is key to avoiding preventable disease and death. To analyse how community engagement strategies can increase child vaccination, we synthesise the results from formative evaluations of interventions that aimed to increase vaccination coverage in Ethiopia, Myanmar, Nigeria, and Pakistan Methods This paper uses an inductive qualitative approach to synthesise the results from the six evaluations, gathering lessons for designing context appropriate interventions that are feasible to implement and acceptable to providers, communities, and caregivers. Results Assessing contextual, caregiver-level and provider-level barriers to vaccination is key to identifying appropriate engagement strategies. Across all contexts, low knowledge about the schedule of vaccines and the importance of timeliness represented a barrier to child immunisation. Despite the variability in how studies measured and reported caregiver attitudes, vaccine hesitancy was not found to represent an important barrier to immunisation. Frontline health workers played a critical role in community engagement approaches to increase vaccination. Interventions successfully obtained community buy-in by centre-staging community members, especially leaders, ensuring their participation in monitoring, and making immunisation an agenda item on community platforms. Interventions were implemented through existing health systems with substantial assistance from research teams. Limited data was available about intervention costs. Conclusions Interventions designed around community engagement strategies can be appropriate, acceptable, and feasible approaches to overcome barriers to vaccination in a variety of low- and middle-income country contexts. However, questions remain about the ability of health systems to implement interventions at scale, both from a cost perspective and a capacity perspective.

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Improving vaccination initiation and completion via vaccine indicator and reminder bands: a formative study in Nigeria

Cited by 2 publications

References 0 publications

Promoting latrine use in rural Karnataka using the risks, attitudes, norms, abilities and self-regulation (RANAS) approach

Promoting latrine use in rural Karnataka using the risks, attitudes, norms, abilities and self-regulation (RANAS) approach

Designing appropriate, acceptable and feasible community-engagement approaches to improve routine immunisation outcomes in low- and middle-income countries: A synthesis of 3ie-supported formative evaluations

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