Journal
HUMAN VACCINES & IMMUNOTHERAPEUTICS
Volume 13, Issue 11, Pages 2503-2511Publisher
TAYLOR & FRANCIS INC
DOI: 10.1080/21645515.2017.1367069
Keywords
immunization; immunization uptake; interventions; multicomponent interventions; pediatric immunizations; providers; quasi-experimental studies; randomized controlled trials; Vaccine coverage; vaccination
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Although much is known about factors contributing to variation in pediatric immunization uptake, there is a need for synthesis of effective vaccine promotion strategies. With growing public health concern on how to best sustain high pediatric immunization rates, and improve where the rates are suboptimal, this review offers evidence gathered from several studies on the achievement of these goals. We identified and analyzed reported findings on childhood (primarily 7 years) immunization outcomes from tested intervention strategies that focused on parents, guardians, and caregivers, as well as providers, clinics/practices, and communities. The findings suggest that targeted and tailored interventions offer substantial possibilities, especially in a combined manner. We describe promising intervention models that have been operationalized with success and provide evidence for scalability across contexts. Moreover, they are sensitive to parents' and providers' needs, are feasibly integrated in daily clinical practice, and account for broader community concerns and issues.
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