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Initiatives to increase childhood vaccination coverage: an international comparison
M. Kroneman, A. Fermin, B. Rechel, S. Allin, A. Anell, D. Behmane, T. Bengough, M. Blümel, L. Bryndová, K. Davidovics, AG. Belvis, C. Charalambous, C. Economou, S. Fadel, I. Fronteira, P. Gaál, M. Grignon, I. Kowalska-Bobko, IL. Lovrenčić, S....
Jazyk angličtina Země Irsko
Typ dokumentu časopisecké články, srovnávací studie, přehledy
- MeSH
- dítě MeSH
- internacionalita MeSH
- lidé MeSH
- očkovací programy * MeSH
- podpora zdraví * metody MeSH
- pokrytí očkováním * statistika a číselné údaje MeSH
- vakcinace * statistika a číselné údaje MeSH
- zdravotní politika MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- srovnávací studie MeSH
- Geografické názvy
- Evropa MeSH
- Izrael MeSH
- Kanada MeSH
- Spojené státy americké MeSH
Background Childhood vaccination rates fluctuate over time and do not always meet the levels recommended by the WHO. Objective This study aims to provide an overview of measures countries have introduced to increase vaccination rates. Methods We developed a structured data collection template that was completed by country experts from Europe, Israel, the USA, and Canada. Experts were identified using the European Observatory on Health Systems and Policies' HSPM (Health Systems and Policy Monitor) network. We approached experts from 32 countries and received responses from 22 countries. In the template we asked for measures introduced between 2014 and 2019. The experts were asked to indicate the type of intervention, the target population, possible positive and negative effects, and evidence on effectiveness. The information was collected between September 2019 and January 2020. Results We identified four main types of interventions: restrictive measures for the unvaccinated, financial incentives, measures supporting the logistics of vaccination, and vaccination promotion campaigns. Restrictive measures often involved expanding existing mandatory vaccination policies or limiting access to pre-school activities for unvaccinated children. Financial incentives for healthcare providers showed some positive effects. Regarding logistical support, several countries used schools as alternative vaccination sites, though this presented organisational challenges. Many countries invested in improving knowledge among both healthcare professionals and parents to encourage vaccine uptake. Conclusions Most initiatives implemented in the countries covered focussed on communication and knowledge enhancement. However, there is limited evidence on the impact of these measures on vaccination coverage.
Austrian National Public Health Institute Stubenring 6 1010 Vienna Austria
Dalla Lana School of Public Health University of Toronto Canada
Departement Gesundheitswissenschaften und Medizin Universität Luzern
Department of Health Care Management Technische Universität Berlin Berlin Germany
Escola Nacional de Saúde Pública Lisboa Portugal
European University Nicosia Cyprus
Faculty of Public Health Medical University Varna 55 Marin Drinov Str Varna Bulgaria
Institute of Health Policy Management and Evaluation University of Toronto Canada
Lund University School of Economics and Management P O Box 7080 220 07 Lund Sweden
McMaster University Hamilton Canada
Myers JDC Brookdale Institute Jerusalem Israel
Nivel Otterstraat 118 124 3513 CR Utrecht Netherlands
Nivel Utrecht Netherlands and Maastricht University
Norwegian Institute of Public Health PO Box 222 Skøyen N 0213 Oslo Norway
Open University of Cyprus Nicosia Cyprus
Panteion University of Social and Political Sciences Athens Greece
Semmelweis University 1125 Budapest Kútvölgyi út 2 Hungary
World Health Organization Regional Office for Europe formerly from WHO Country Office in Estonia
Citace poskytuje Crossref.org
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- $a Background Childhood vaccination rates fluctuate over time and do not always meet the levels recommended by the WHO. Objective This study aims to provide an overview of measures countries have introduced to increase vaccination rates. Methods We developed a structured data collection template that was completed by country experts from Europe, Israel, the USA, and Canada. Experts were identified using the European Observatory on Health Systems and Policies' HSPM (Health Systems and Policy Monitor) network. We approached experts from 32 countries and received responses from 22 countries. In the template we asked for measures introduced between 2014 and 2019. The experts were asked to indicate the type of intervention, the target population, possible positive and negative effects, and evidence on effectiveness. The information was collected between September 2019 and January 2020. Results We identified four main types of interventions: restrictive measures for the unvaccinated, financial incentives, measures supporting the logistics of vaccination, and vaccination promotion campaigns. Restrictive measures often involved expanding existing mandatory vaccination policies or limiting access to pre-school activities for unvaccinated children. Financial incentives for healthcare providers showed some positive effects. Regarding logistical support, several countries used schools as alternative vaccination sites, though this presented organisational challenges. Many countries invested in improving knowledge among both healthcare professionals and parents to encourage vaccine uptake. Conclusions Most initiatives implemented in the countries covered focussed on communication and knowledge enhancement. However, there is limited evidence on the impact of these measures on vaccination coverage.
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- $a Allin, Sara $u Institute of Health Policy, Management and Evaluation, University of Toronto, Canada. Electronic address: sara.allin@utoronto.ca
- 700 1_
- $a Anell, Anders $u Lund University School of Economics and Management, P.O. Box 7080, 220 07 Lund, Sweden. Electronic address: anders.anell@fek.lu.se
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- $a Behmane, Daiga $u The Faculty of Health and Sports Sciences, Riga Stradins Univesrity, Latvia, 16 Dzirciema str., LV-1007, Latvia. Electronic address: Daiga.Behmane@rsu.lv
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- $a Blümel, Miriam $u Department of Health Care Management, WHO Collaborating Centre for Health Systems Research and Management, Berlin University of Technology, Straße des 17. Juni 135, H 80,10623 Berlin, Germany. Electronic address: miriam.bluemel@tu-berlin.de
- 700 1_
- $a Bryndová, Lucie $u Center for Social and Economic Strategies, Faculty of Social Sciences, Charles University, Smetanovo nábřeží 6, 110 01 Prague 1, Czechia. Electronic address: lucie.bryndova@centrum.cz
- 700 1_
- $a Davidovics, Krisztina $u Semmelweis University, 1125 Budapest, Kútvölgyi út 2, Hungary. Electronic address: davidovics.krisztina@emk.semmelweis.hu
- 700 1_
- $a Belvis, Antonio Giulio De $u Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore and Fondazione Policlinico Universitario "A. Gemelli", IRCCS, Largo Agostino Gemelli 8, 00168 Roma, Italy. Electronic address: Antonio.DeBelvis@unicatt.it
- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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- $a Grignon, Michel $u McMaster University, Hamilton, Canada. Electronic address: grignon@mcmaster.ca
- 700 1_
- $a Kowalska-Bobko, Iwona $u Jagiellonian University Medical College, Faculty of Health Sciences, Institute of Public Health, Krakow, Poland. Electronic address: iw.kowalska@uj.edu.pl
- 700 1_
- $a Lovrenčić, Iva Lukačević $u Andrija Stampar School of Public Health, University of Zagreb School of Medicine, 4 Rockefeller Street, Zagreb 10 000, Republic of Croatia. Electronic address: iva.luklovrencic@gmail.com
- 700 1_
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- $a Murauskienė, Liubovė $u Department of Public Health, Health Sciences Institute, Faculty of Medicine, Vilnius university, M. K. Čiurlionio 21/27, LT-03101, Vilnius, Lithuania. Electronic address: murauskiene@mtvc.lt
- 700 1_
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- 700 1_
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