Evidence map›Paper›PMID 31272487›Full record

ArticleTrials2019

Do mobile phone-based reminders and conditional financial transfers improve the timeliness of childhood vaccinations in Tanzania? Study protocol for a quasi-randomized controlled trial.

Jan Ostermann, Lavanya Vasudevan, Joy Noel Baumgartner, Esther Ngadaya, Sayoki Godfrey Mfinanga

2 registry-linked trialsOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 20% of its field
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.

NCT03252288 nacompletednot on this map

mHealth-Assisted Conditional Cash Transfers to Improve Timeliness of Childhood Vaccinations

TypeinterventionalSponsorDuke UniversityRan2017 to 2018Enrolled412ConditionsImmunizationArmsReminders, Conditional financial transfers
NCT06024317 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Leveraging Community Health Workers and a Responsive Digital Health System to Improve Rates and Timeliness of Child Well Visits in the First Year of Life

TypeinterventionalSponsorUniversity of South CarolinaRan2026 to 2027Enrolled800ConditionsShort Message Service (SMS), Incentives, Knowledge, Attitudes, Practice, Preventive ServicesArmsHuduma Kwa Wakati - Knowledge Intervention, Huduma Kwa Wakati - Reminders, Huduma Kwa Wakati - Incentives, Huduma Kwa Wakati - Service notifications
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Jan OstermannDepartment of Health Services Policy & Management, Arnold School of Public Health, University of South Carolina, Columbia, SC, 29208, USA.
Lavanya VasudevanDuke Global Health Institute, Durham, NC, 27708, USA. lavanya.vasudevan@duke.edu.ORCID http://orcid.org/0000-0003-2900-6070
Joy Noel BaumgartnerDuke Global Health Institute, Durham, NC, 27708, USA.
Esther NgadayaMuhimbili Research Centre, National Institute for Medical Research, Dar-es-Salaam, Tanzania.
Sayoki Godfrey MfinangaMuhimbili Research Centre, National Institute for Medical Research, Dar-es-Salaam, Tanzania.
National Institute for Medical Research · TZDuke Institute for Health Innovation · USDuke University · USUniversity of South Carolina · US

Funding

Institutional Career Development CoreKL2TR002554 · NCATS · DUKE UNIVERSITY · PI SVETKEY, LAURA P · 2018 to 2022
$8.2M
mHealth-assisted conditional cash transfers to improve timeliness of vaccinationsR21TW010262 · FIC · DUKE UNIVERSITY · PI OSTERMANN, JAN, VASUDEVAN, LAVANYA · 2016 to 2017
$354k
Duke Global Health Institute, Duke University Maternal, Adolescent and Child Health (MACH) pilot grantFIC NIH HHS 1R21TW010261FIC NIH HHS R21 TW010262NCATS NIH HHS 1KL2TR002554NCATS NIH HHS KL2 TR002554
6 · The paper itself

Abstract

backgroundVaccination is a cost-effective strategy for reducing morbidity and mortality among children under 5 years old. To be fully protected from diseases such as tuberculosis, diphtheria, pertussis, and polio, children must receive all recommended vaccinations in a timely manner. In many countries, including Tanzania, high overall vaccination rates mask substantial regional variation in vaccination coverage and low rates of vaccination timeliness. This study evaluates the efficacy of mobile phone-based (mHealth) reminders and incentives for improving vaccination timeliness in the first year of life.

methodsThe study, conducted in Mtwara Region in Tanzania, includes 400 late-stage pregnant women enrolled from rural and urban health facilities and surrounding communities. The primary outcome is timeliness of vaccinations among their children at 6, 10, and 14 weeks after birth. Timeliness is defined as vaccination receipt within 28 days after the vaccination due date. The quasi-randomized controlled trial includes three arms: (1) standard of care (no reminders or incentives), (2) mobile phone-based reminders, and (3) mobile phone-based reminders and incentives in the form of conditional financial transfers. Assignment into study arms is based on scheduled vaccination dates. Reminder messages are sent to arms 2 and 3 participants via mobile phones 1 week and 1 day prior to each scheduled vaccination. For arm 3 participants, reminder messages offer an incentive that is provided in the form of a mobile phone airtime recharge voucher code for each timely vaccination. Vaccination dates are recorded via participant contact with an mHealth system, phone calls with mothers, and a review of government-issued vaccination cards during an end-line survey. Random effects logistic regression models will be used to estimate the effects of reminders and incentives on the timeliness of vaccinations. DISCUSSION: The results will inform implementation science research on the effectiveness of reminders and incentives as a means of improving vaccination timeliness.

trial registrationClinicalTrials.gov, NCT03252288 . Registered on 17 August 2017 (retrospectively registered).

Indexed as

Health Knowledge, Attitudes, PracticeImmunization ScheduleMotivationReminder SystemsText MessagingToken EconomyVaccinationAge FactorsFemaleHumansInfantMaleMothersTanzaniaTelemedicineTime FactorsChild healthClient financial transactionsConditional financial transfersMobile phonesShort message service (SMS)Sub-Saharan AfricaTanzaniaTargeted client communicationTransmit or manage incentives to clients for health servicesTransmit targeted alerts and reminders to clientsVaccinationsVaccination timeliness

Identifiers

PMID31272487
PMCPMC6611039
OpenAlexW2953539248

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.