Primary care strategies to improve childhood immunisation uptake in developed countries: systematic review.

Williams, N; Woodward, H; Majeed, A; Saxena, S; (2011) Primary care strategies to improve childhood immunisation uptake in developed countries: systematic review. JRSM Short Rep, 2 (10). p. 81. ISSN 2042-5333 DOI:

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OBJECTIVES To conduct a systematic review of strategies to optimize immunisation uptake within preschool children in developed countries. DESIGN Systematic review. SETTING Developed countries PARTICIPANTS Preschool children who were due, or overdue, one or more of their routine primary immunisations. MAIN OUTCOME MEASURES Increase in the proportion of the target population up to date with standard recommended universal vaccinations. RESULTS Forty-six studies were included for analysis, published between 1980 and 2009. Twenty-six studies were randomized controlled trials, 11 were before and after trials, and nine were controlled intervention trials. Parental reminders showed a statistically significant increase in immunisation rates in 34% of included intervention arms. These effects were reported with both generic and specific reminders and with all methods of reminders and recall. Strategies aimed at immunisation providers were also shown to improve immunisation rates with a median change in immunisation rates of 7% when reminders were used, 8% when educational programmes were used and 19% when feedback programmes were used. CONCLUSION General practitioners are uniquely positioned to influence parental decisions on childhood immunisation. A variety of strategies studied in primary care settings have been shown to improve immunisation rates, including parental and healthcare provider reminders.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Non-Communicable Disease Epidemiology
Faculty of Public Health and Policy > Dept of Global Health and Development
PubMed ID: 22046500


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