Title:
Childhood Routine Immunization in the Philippines: A Literature Review on Determinants and Interventions
Authors:
Shibata, Waka
Place:
Amsterdam, The Netherlands
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2022
PAGE:
iii, 56
Language:
En
Subject:
Health and Poverty
Keywords:
Philippines, childhood immunization , determinants, immunization coverage, interventions
Abstract:
Introduction: Vaccines are a powerful too l for preventing childhood death and disease. Routine childhood immunization rates in the Philippines are declining. M y thesis aims to u nderstand why vaccine uptake is falling and e xplore how to improve coverage Methods I conducted a literature review on the determinants of routine childhood immunization coverage in the Philippines and a rapid review of the literature on interventions to increase childhood immunizati on coverage in low and middle income countries ( Results: Many determinants on both the supply and demand side s interact to influence vaccine coverage in the Philippines. I identified 50 studies from 22 countries on interventions to increase childhood immunization coverage in LMICs. I found evidence that short message service text remind ers , call reminders, community based health education, outreach services, home visits, lay health worker interventions, and incentives combined with other interventions can improv e coverage. Discussion : The current most important inhibitors to increased co verage in the Philippines are to do with vaccine supply and access to vaccination services. A combination of strategies to secure the foundations of the routine immunization system and interventions to accelerate routine immunization activities will be req uired to improve coverage. Stronger n at ional leadership and governance and i ncrease d support for local government unit s in managing immunization programs are necessary . Involving the community in implementing evidence based, t argeted intervention s to addre ss identified barriers to vaccination will i mprove coverage
Organization:
KIT - Royal Tropical Institute , VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
Japan
Region:
East Asia
Training:
Master of Science in International Health
Category:
Research
Right:
@ 2022 Shibata
Document type:
Thesis/dissertation
File:
o5SKXdZjt3_20230509155613191.pdf