Evidence map›Paper›PMID 37112727›Full record

ArticleVaccines2023

Evaluation of Container Clinics as an Urban Immunization Strategy: Findings from the First Year of Implementation in Ghana, 2017-2018.

Anna Shaum, Melissa T Wardle, Kwame Amponsa-Achiano, Raymond Aborigo, Joseph Opare, Aaron S Wallace, Delia Bandoh, Pamela Quaye, Fred Osei-Sarpong, Francis Abotsi and 2 more

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 35% 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.

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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
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

12 authors at 5 institutions in 3 countries.

Anna ShaumCenter for Global Health, Global Immunization Division, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA.
Melissa T WardleCenter for Global Health, Global Immunization Division, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA.ORCID 0000-0001-5002-8368
Kwame Amponsa-AchianoDepartment of Disease Control and Prevention, Public Health Division, Ghana Health Service, Accra 00233, Ghana.
Raymond AborigoNavrongo Health Research Centre, Health Research Division, Ghana Health Service, Navrongo 03821, Ghana.
Joseph OpareAfrican Field Epidemiology Network, Kampala 10102, Uganda.
Aaron S WallaceCenter for Global Health, Global Immunization Division, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA.ORCID 0000-0003-2264-3229
Delia BandohGhana Field Epidemiology and Laboratory Training Programme, School of Public Health, University of Ghana, Accra 00233, Ghana.
Pamela QuayeDepartment of Disease Control and Prevention, Public Health Division, Ghana Health Service, Accra 00233, Ghana.
Fred Osei-SarpongDepartment of Disease Control and Prevention, Public Health Division, Ghana Health Service, Accra 00233, Ghana.
Francis AbotsiDepartment of Disease Control and Prevention, Public Health Division, Ghana Health Service, Accra 00233, Ghana.
George BonsuDepartment of Disease Control and Prevention, Public Health Division, Ghana Health Service, Accra 00233, Ghana.
Laura ConklinCenter for Global Health, Global Immunization Division, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA.
Ghana Health Service · GHCenters for Disease Control and Prevention · USAfrican Field Epidemiology Network · UGNavrongo Health Research Centre · GHUniversity of Ghana · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2017, the Expanded Programme on Immunization in Ghana opened two container clinics in Accra, which were cargo containers outfitted to deliver immunizations. At each clinic, we assessed performance and clinic acceptance during the first 12 months of implementation.

methodsWe employed a descriptive mixed-method design using monthly administrative immunization data, exit interviews with caregivers of children of <5 years (N = 107), focus group discussions (FGDs) with caregivers (n = 6 FGDs) and nurses (n = 2 FGDs), and in-depth interviews (IDIs) with community leaders (n = 3) and health authorities (n = 3).

resultsMonthly administrative data showed that administered vaccine doses increased from 94 during the opening month to 376 in the 12th month across both clinics. Each clinic exceeded its target doses for the 12-23 month population (second dose of measles). Almost all (98%) exit interview participants stated that the clinics made it easier to receive child health services compared to previous health service interactions. The accessibility and acceptability of the container clinics were also supported from health worker and community perspectives.

conclusionsOur initial data support container clinics as an acceptable strategy for delivering immunization services in urban populations, at least in the short term. They can be rapidly deployed and designed to serve working mothers in strategic areas.

Indexed as

healthcare accessroutine immunizationvaccines

Identifiers

PMID37112727
PMCPMC10143135
OpenAlexW4363650862

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.