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Interventions to improve vaccination uptake

A systematic review and meta-analysis

Bibliographic Data

ID15797499
AuthorsHelen Simon Nwafor (University of Port Harcourt, corresponding author), Daprim Samuel Ogaji (University of Port Harcourt), Magret Akpan (University of Calabar), Christiana Ebele Dike (University of Port Harcourt)
Year2026
Volume10
IssueS1
Pages1-16
Publication date2026-01-02
Open AccessYes
TypeARTICLE
VenueInternational Journal of Health Sciences (JOURNAL)
Journal identifiersISSN: 2550-696X • E-ISSN: 2550-6978
PublisherUniversidad Tecnica de Manabi (PUBLISHER • EC)
DOI10.53730/ijhs.v10ns1.15854
OpenAlexW7117999564
LanguageEN
References cited15

Background: Vaccination is a critical public health intervention that significantly reduces morbidity and mortality from vaccine-preventable diseases. Despite its effectiveness, achieving high vaccination coverage remains a challenge, particularly in low-resource settings. Objective: This systematic review assessed the effectiveness of various interventions designed to improve vaccination uptake. Method: The review was guided by Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Literature search was conducted in four databases (PubMed, Scopus, Google Scholar, and AJOL) in October 2024 yielding 246 articles. 8 articles met the eligibility criteria and were included in the review. JBI critical appraisal tool was used to assess the quality of the studies. Data were extracted, narratively reviewed and pooled using random effect meta-analysis. Results: Final review revealed 8 articles which were from Nigeria (37.5%), Pakistan (25%), Kenya (12.5%), China (12.5%), and Zimbabwe (12.5%). Interventions evaluated were phone calls or SMS (40%), SMS reminders and monetary incentive (20%), SMS reminder and health education (20%), health education (20%), bracelet reminder (20%). The review identified that mobile phone-based reminders, health education, including bracelet reminder significantly improved vaccination coverage. However the result of the meta-analysis showed no statistically pooled effect (RR = 1.05; 95% CI: 0.93-1.18), with moderate heterogeneity across studies

Critical appraisal · Incentive · Intervention (counseling · MEDLINE · Psychological intervention · Public health · Systematic review · Vaccination · Global Maternal and Child Health · Immune responses and vaccinations · Vaccine Coverage and Hesitancy

  • Impact of mobile phone delivered reminders and unconditional incentives on measles-containing vaccine timeliness and coverage

    Open Access•Eunice Wangeci Kagucia, Benard Ochieng et al.•BMJ Global Health•2021

  • Effectiveness of short message services reminder on childhood immunization programme in Kadoma, Zimbabwe - a randomized controlled trial, 2013

    Open Access•Donewell Bangure, Daniel Chirundu et al.•BMC Public Health•2015

  • Effect of vaccine reminder and tracker bracelets on routine childhood immunization coverage and timeliness in urban Pakistan (2017-18)

    Open Access•Danya Arif Siddiqi, Rozina Feroz Ali et al.•BMC Public Health•2020

Highly citedNo

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Open DOIOpen Access
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