Evidence map›Paper›PMID 40449380›Full record

ReviewHealth policy (Amsterdam, Netherlands)2025

Initiatives to increase childhood vaccination coverage: an international comparison.

Madelon Kroneman, Alfons Fermin, Bernd Rechel, Sara Allin, Anders Anell, Daiga Behmane, Theresa Bengough, Miriam Blümel, Lucie Bryndová, Krisztina Davidovics and 17 more

Abstract readComparative StudyReview
In one paragraph

Review in Health policy (Amsterdam, Netherlands), 2025. 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
–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

2 citing papers in PubMed.

  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

27 authors.

Madelon KronemanNivel (Netherlands Institute for Health Services Research), Otterstraat 118 - 124, 3513 CR Utrecht, Netherlands. Electronic address: m.kroneman@nivel.nl.
Alfons FerminNivel (Netherlands Institute for Health Services Research), Otterstraat 118 - 124, 3513 CR Utrecht, Netherlands. Electronic address: ferminalfons@gmail.com.
Bernd RechelEuropean Observatory on Health Systems and Policies, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK. Electronic address: Bernd.Rechel@lshtm.ac.uk.
Sara AllinInstitute of Health Policy, Management and Evaluation, University of Toronto, Canada. Electronic address: sara.allin@utoronto.ca.
Anders AnellLund University School of Economics and Management, P.O. Box 7080, 220 07 Lund, Sweden. Electronic address: anders.anell@fek.lu.se.
Daiga BehmaneThe Faculty of Health and Sports Sciences, Riga Stradins Univesrity, Latvia, 16 Dzirciema str., LV-1007, Latvia. Electronic address: Daiga.Behmane@rsu.lv.
Theresa BengoughAustrian National Public Health Institute, Stubenring 6, 1010 Vienna, Austria. Electronic address: Theresa.Bengough@goeg.at.
Miriam BlümelDepartment of Health Care Management, WHO Collaborating Centre for Health Systems Research and Management, Berlin University of Technology, Straße des 17. Juni 135, H 80,10623 Berlin, Germany. Electronic address: miriam.bluemel@tu-berlin.de.
Lucie BryndováCenter for Social and Economic Strategies, Faculty of Social Sciences, Charles University, Smetanovo nábřeží 6, 110 01 Prague 1, Czechia. Electronic address: lucie.bryndova@centrum.cz.
Krisztina DavidovicsSemmelweis University, 1125 Budapest, Kútvölgyi út 2, Hungary. Electronic address: davidovics.krisztina@emk.semmelweis.hu.
Antonio Giulio De BelvisDepartment of Life Sciences and Public Health, Università Cattolica del Sacro Cuore and Fondazione Policlinico Universitario "A. Gemelli", IRCCS, Largo Agostino Gemelli 8, 00168 Roma, Italy. Electronic address: Antonio.DeBelvis@unicatt.it.
Chrystala CharalambousEuropean University, Nicosia, Cyprus. Electronic address: chrysamarios08@mail.com.
Charalambos EconomouPanteion University of Social and Political Sciences, Athens, Greece. Electronic address: economou@panteion.gr.
Shaza FadelDalla Lana School of Public Health, University of Toronto, Canada. Electronic address: shaza.fadel@utoronto.ca.
Inês FronteiraEscola Nacional de Saúde Pública, Lisboa, Portugal. Electronic address: ines.fronteira@ensp.unl.pt.
Petér GaálSemmelweis University, 1125 Budapest, Kútvölgyi út 2, Hungary. Electronic address: gaal.peter@emk.semmelweis.hu.
Michel GrignonMcMaster University, Hamilton, Canada. Electronic address: grignon@mcmaster.ca.
Iwona Kowalska-BobkoJagiellonian University Medical College, Faculty of Health Sciences, Institute of Public Health, Krakow, Poland. Electronic address: iw.kowalska@uj.edu.pl.
Iva Lukačević LovrenčićAndrija Stampar School of Public Health, University of Zagreb School of Medicine, 4 Rockefeller Street, Zagreb 10 000, Republic of Croatia. Electronic address: iva.luklovrencic@gmail.com.
Sarah MantwillDepartement Gesundheitswissenschaften und Medizin, Universität Luzern (Department of Health Sciences and Medicine, University of Lucerne, Switzerland). Electronic address: Sarah.Mantwill@unilu.ch.
Liubovė MurauskienėDepartment of Public Health, Health Sciences Institute, Faculty of Medicine, Vilnius university, M. K. Čiurlionio 21/27, LT-03101, Vilnius, Lithuania. Electronic address: murauskiene@mtvc.lt.
Marge ReinapWorld Health Organization Regional Office for Europe, formerly from WHO Country Office in Estonia. Electronic address: reinapm@who.int.
Maria RohovaFaculty of Public Health, Medical University Varna, 55 Marin Drinov Str., Varna, Bulgaria. Electronic address: mariarohova@abv.bg.
Ingrid Sperre SaunesNorwegian Institute of Public Health, PO Box 222 Skøyen, N-0213 Oslo, Norway. Electronic address: ingridsperre.saunes@helsedir.no.
Mamas TheodorouOpen University of Cyprus, Nicosia, Cyprus. Electronic address: m.theodorou@ouc.ac.cy.
Ruth WaitzbergMyers-JDC-Brookdale Institute, Jerusalem, Israel; and Department of Health Care Management, Technische Universität Berlin, Berlin, Germany. Electronic address: ruthw@jdc.org.
Judith D de JongNivel (Netherlands Institute for Health Services Research), Utrecht, Netherlands and Maastricht University. Electronic address: j.dejong@nivel.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Childhood vaccination rates fluctuate over time and do not always meet the levels recommended by the WHO. Objective This study aims to provide an overview of measures countries have introduced to increase vaccination rates. Methods We developed a structured data collection template that was completed by country experts from Europe, Israel, the USA, and Canada. Experts were identified using the European Observatory on Health Systems and Policies' HSPM (Health Systems and Policy Monitor) network. We approached experts from 32 countries and received responses from 22 countries. In the template we asked for measures introduced between 2014 and 2019. The experts were asked to indicate the type of intervention, the target population, possible positive and negative effects, and evidence on effectiveness. The information was collected between September 2019 and January 2020. Results We identified four main types of interventions: restrictive measures for the unvaccinated, financial incentives, measures supporting the logistics of vaccination, and vaccination promotion campaigns. Restrictive measures often involved expanding existing mandatory vaccination policies or limiting access to pre-school activities for unvaccinated children. Financial incentives for healthcare providers showed some positive effects. Regarding logistical support, several countries used schools as alternative vaccination sites, though this presented organisational challenges. Many countries invested in improving knowledge among both healthcare professionals and parents to encourage vaccine uptake. Conclusions Most initiatives implemented in the countries covered focussed on communication and knowledge enhancement. However, there is limited evidence on the impact of these measures on vaccination coverage.

Indexed as

Health PromotionImmunization ProgramsVaccinationVaccination CoverageCanadaChildEuropeHealth PolicyHumansInternationalityIsraelUnited States

Identifiers

PMID40449380
PMCPMC12178254

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.