Evidence map›Paper›PMID 29540571›Full record

Trial reportPediatrics2018

Mobile Phone Incentives for Childhood Immunizations in Rural India.

Rajeev Seth, Ibukunoluwa Akinboyo, Ankur Chhabra, Yawar Qaiyum, Anita Shet, Nikhil Gupte, Ajay K Jain, Sanjay K Jain

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 8 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Rajeev SethBal Umang Drishya Sanstha, New Delhi, India.
Ibukunoluwa AkinboyoDepartments of Pediatrics and.
Ankur ChhabraBal Umang Drishya Sanstha, New Delhi, India.
Yawar QaiyumBal Umang Drishya Sanstha, New Delhi, India.
Anita ShetDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; and.
Nikhil GupteDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Ajay K JainDepartment of Pediatrics, Cardinal Glennon Children's Medical Center, Saint Louis University School of Medicine, St Louis, Missouri.
Sanjay K JainDepartments of Pediatrics and sjain5@jhmi.edu.

Funding

Enhancing Health Care Access with Cellular TechnologyR03EB015955 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI JAIN, SANJAY · 2015 to 2016
$256k
NIBIB NIH HHS R03 EB015955
6 · The paper itself

Abstract

objectivesYoung children in resource-poor settings remain inadequately immunized. We evaluated the role of compliance-linked incentives versus mobile phone messaging to improve childhood immunizations.

methodsChildren aged ≤24 months from a rural community in India were randomly assigned to either a control group or 1 of 2 study groups. A cloud-based, biometric-linked software platform was used for positive identification, record keeping for all groups, and delivery of automated mobile phone reminders with or without compliance-linked incentives (Indian rupee Rs30 or US dollar $0.50 of phone talk time) for the study groups. Immunization coverage was analyzed by using multivariable Poisson regression.

resultsBetween July 11, 2016, and July 20, 2017, 608 children were randomly assigned to the study groups. Five hundred and forty-nine (90.3%) children fulfilled eligibility criteria, with a median age of 5 months; 51.4% were girls, 83.6% of their mothers had no schooling, and they were in the study for a median duration of 292 days. Median immunization coverage at enrollment was 33% in all groups and increased to 41.7% (interquartile range [IQR]: 23.1%-69.2%), 40.1% (IQR: 30.8%-69.2%), and 50.0% (IQR: 30.8%-76.9%) by the end of the study in the control group, the group with mobile phone reminders, and the compliance-linked incentives group, respectively. The administration of compliance-linked incentives was independently associated with improvement in immunization coverage and a modest increase in timeliness of immunizations.

conclusionsCompliance-linked incentives are an important intervention for improving the coverage and timeliness of immunizations in young children in resource-poor settings.

Indexed as

MotivationBiometric IdentificationCell PhoneFemaleHumansImmunizationImmunization ProgramsIndiaInfantMaleProspective StudiesReminder SystemsRural PopulationText Messaging

Identifiers

PMID29540571
PMCPMC5869335

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.