ArticleJournal of family medicine and primary care2019
Implementation of "health systems approach" to improve vaccination at birth in institutional deliveries at public health facilities; experience from six states of India.
Article in Journal of family medicine and primary care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Systems thinking in public health interventions: a systematic review of barriers and facilitators.BMC health services research · 2026Pooled it
- Beliefs and Perceptions of Midwives on Prevention of Mother-to-Child Transmission of Hepatitis B in Selected Primary Health Care Facilities in Ghana.Journal of pregnancy · 2026Article
- Critical success factors for high routine immunization performance: A case study of Senegal.Vaccine: X · 2023Article
- Critical success factors for routine immunization performance: A case study of Zambia 2000 to 2018.Vaccine: X · 2022Article
- Article
- Impact of health system strengthening on delivery strategies to improve child immunisation coverage and inequalities in rural Madagascar.BMJ global health · 2022Article
- Barriers to childhood vaccination as perceived by accredited social health activists and multipurpose health workers in Mewat, Haryana (India): A qualitative research.Journal of family medicine and primary care · 2020Article
- Article
- Strengthening the Use of Partograph in High Caseload Public Health Facilities in India through an Integrated Quality Improvement Approach.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionNewborn vaccination is an integral part of routine immunization program in India, but program implementation gaps exist. The focus of this article is to identify and describe an implementation strategy which could improve the newborn vaccination at the facility level. MATERIALS AND
methodsA situation analysis was conducted through a mixed-methods approach to identify the lacunae in the health system and the same was used to develop an implementation strategy to improve newborn vaccination coverage across the six priority states.
resultsIssues in stewardship and human resource, vaccine-related stock-outs, and poor service delivery were some of the reasons for low facility-level vaccination coverage. After implementation of a health system-based strategy, the new born vaccination improved from 55% to 88% across 10 quarters of program implementation. Factors such as sensitization of stakeholders, vaccination on holidays, rigorous documentation, and supportive supervision of health staff were primary reasons for improvement in service delivery.
conclusionImportance of newborn immunization at birth is well established. The results from six states prove that "health systems approach" as an implementation strategy is a viable tool to improve newborn immunization at birth.
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