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Increasing the demand for childhood vaccination in developing countries: a systematic review
Beverley Shea1, Neil Andersson, David Henry
1CIETcanada, 1 Stewart Street #319, Ottawa, Canada. bevshea@uottawa.ca
BMC International Health and Human Rights
|October 16, 2009
Summary
Demand-side interventions for childhood vaccination, including mass media and incentives, show potential for increasing vaccine uptake. However, evidence quality is low, and cost-effectiveness requires further assessment.
Area of Science:
- Public Health
- Health Economics
- Vaccinology
Background:
- Current vaccination coverage strategies primarily focus on supply-side interventions.
- The effectiveness and cost-effectiveness of demand-side interventions remain uncertain.
Purpose of the Study:
- To systematically review studies quantifying the impact of demand-side interventions on routine childhood vaccination uptake.
- To assess the effectiveness and cost-effectiveness of strategies aimed at increasing vaccine demand.
Main Methods:
- Systematic review of studies published up to September 2008.
- Inclusion of studies providing quantitative estimates of demand-side intervention impact.
- Analysis of randomized controlled trials, systematic reviews, and original studies.
Main Results:
- Identified interventions included knowledge translation (mass media, community discussions) and non-KT initiatives (incentives, household visits).
- Most interventions claimed to increase vaccine coverage by 20-30%.
- Cost per vaccinated child varied, with some estimates between $10-20.
Conclusions:
- Evidence quality for most demand-side interventions is low.
- Mass media campaigns may be effective but depend on media access and can be costly locally.
- Some demand-side interventions appear cost-effective, but their long-term impact and economic viability require further investigation.
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