Evidence map›Paper›PMID 39565783›Full record

ArticlePloS one2024

Enhancing childhood immunization coverage in Mozambique and Malawi: Study protocol of a mixed methods evaluation of the 'Let's talk about vaccines' multisite community-based participatory project.

Linda Shuro, Emily Lawrence, Lucia Knight, Helen Schneider, Hanani Tabana

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In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

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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.

Linda ShuroSchool of Public Health, Faculty of Community and Health Sciences, University of the Western Cape, Cape Town, South Africa.ORCID 0000-0001-5864-1001
Emily LawrenceVillageReach, Seattle, Washington, United States of America.
Lucia KnightSchool of Public Health & Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Helen SchneiderSchool of Public Health & SAMRC Health Services to Systems Research Unit, Faculty of Community and Health Sciences, University of the Western Cape, Cape Town, South Africa.
Hanani TabanaSchool of Public Health, Faculty of Community and Health Sciences, University of the Western Cape, Cape Town, South Africa.

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundFull coverage of childhood vaccines is a persistent challenge in low- and middle-income countries, suggesting the presence of specific contextual barriers. The emergence of the COVID-19 pandemic further worsened the situation. The complementary use of community-based participatory research (CBPR) and human-centered design (HCD) approaches has the potential to effectively create tailored interventions for improving public health outcomes. This protocol provides examples of methods to evaluate the use of these novel approaches in low- and middle-income countries. The 'Let's talk about vaccines' project is a multisite community-based participatory project by VillageReach that uses the CBPR and HCD approaches to identify the barriers and co-create interventions/solutions to address under two routine immunization access and uptake in Malawi and Mozambique.

methodsGuided by the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework, this evaluation prospectively evaluates the effectiveness (on under-two immunization coverage and related outcomes) of VillageReach's co-created interventions and processes of implementation (reach, adoption, implementation and maintenance) in two districts in Mozambique and two in Malawi. This paper will also describe the theory of change for VillageReach's project. Thematic analysis will be used to analyze the qualitative data, and interrupted time series analysis used to analyze the co-created interventions' effectiveness on specific under two immunization outcomes. The analysis will integrate complex systems thinking and constructs inherent in health systems strengthening. DISCUSSION: This evaluation is an opportunity to share the use of novel and best practices, opportunities and challenges for improved community-responsive programming in routine immunization. It will be fundamental in providing evidence on the impact of interventions, evidence on mechanisms behind improvements in under- two immunization outcomes due to codesigned community-driven solutions and informing their scalability in similar contexts. Findings will inform the development of a comprehensive framework to guide the scalability of community-based approaches on childhood immunization uptake and access into similar contexts.

Indexed as

Community-Based Participatory ResearchVaccination CoverageChild, PreschoolCOVID-19HumansImmunization ProgramsInfantMalawiMozambiqueSARS-CoV-2Vaccination

Identifiers

PMID39565783
PMCPMC11578484

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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.