Interventions to Vaccinate Zero-Dose Children: A Narrative Review and Synthesis

Zero-dose children, or children who have not received any routine vaccination, are a priority population for global health policy makers as these children are at high risk of mortality from vaccine-preventable illnesses. We conducted a narrative review to identify potential interventions, both withi...

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Published inViruses Vol. 15; no. 10; p. 2092
Main Authors Ingle, Erin A, Shrestha, Priyanka, Seth, Aparna, Lalika, Mathias S, Azie, Jacinta I, Patel, Rena C
Format Journal Article
LanguageEnglish
Published Basel MDPI AG 01.10.2023
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Abstract Zero-dose children, or children who have not received any routine vaccination, are a priority population for global health policy makers as these children are at high risk of mortality from vaccine-preventable illnesses. We conducted a narrative review to identify potential interventions, both within and outside of the health sector, to reach zero-dose children. We reviewed the peer-reviewed and grey literature and identified 27 relevant resources. Additionally, we interviewed six key informants to enhance the synthesis of our findings. Data were organized into three priority settings: (1) urban slums, (2) remote or rural communities, and (3) conflict settings. We found that zero-dose children in the three priority settings face differing barriers to vaccination and, therefore, require context-specific interventions, such as leveraging slum health committees for urban slums or integrating with existing humanitarian response services for conflict settings. Three predominant themes emerged for grouping the various interventions: (1) community engagement, (2) health systems’ strengthening and integration, and (3) technological innovations. The barriers to reaching zero-dose children are multifaceted and nuanced to each setting, therefore, no one intervention is enough. Technological interventions especially must be coupled with community engagement and health systems’ strengthening efforts. Evaluations of the suggested interventions are needed to guide scale-up, as the evidence base around these interventions is relatively small.
AbstractList Zero-dose children, or children who have not received any routine vaccination, are a priority population for global health policy makers as these children are at high risk of mortality from vaccine-preventable illnesses. We conducted a narrative review to identify potential interventions, both within and outside of the health sector, to reach zero-dose children. We reviewed the peer-reviewed and grey literature and identified 27 relevant resources. Additionally, we interviewed six key informants to enhance the synthesis of our findings. Data were organized into three priority settings: (1) urban slums, (2) remote or rural communities, and (3) conflict settings. We found that zero-dose children in the three priority settings face differing barriers to vaccination and, therefore, require context-specific interventions, such as leveraging slum health committees for urban slums or integrating with existing humanitarian response services for conflict settings. Three predominant themes emerged for grouping the various interventions: (1) community engagement, (2) health systems' strengthening and integration, and (3) technological innovations. The barriers to reaching zero-dose children are multifaceted and nuanced to each setting, therefore, no one intervention is enough. Technological interventions especially must be coupled with community engagement and health systems' strengthening efforts. Evaluations of the suggested interventions are needed to guide scale-up, as the evidence base around these interventions is relatively small.
Audience Academic
Author Ingle, Erin A
Seth, Aparna
Patel, Rena C
Lalika, Mathias S
Azie, Jacinta I
Shrestha, Priyanka
AuthorAffiliation 2 Department of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA
1 Strategic Analysis, Research & Training (START) Center, University of Washington, Seattle, WA 98195, USA; pshres08@uw.edu (P.S.); aseth2@uw.edu (A.S.); mathiaslalika@gmail.com (M.S.L.); jazie@uw.edu (J.I.A.); renapatel@uabmc.edu (R.C.P.)
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– name: 1 Strategic Analysis, Research & Training (START) Center, University of Washington, Seattle, WA 98195, USA; pshres08@uw.edu (P.S.); aseth2@uw.edu (A.S.); mathiaslalika@gmail.com (M.S.L.); jazie@uw.edu (J.I.A.); renapatel@uabmc.edu (R.C.P.)
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barriers
Care and treatment
Children
Ghettos
Human subjects
interventions
Interviews
Methods
Pandemics
Pediatric research
Public health
Review
Rural areas
Rural children
Socially handicapped children
Vaccination
Vaccines
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Title Interventions to Vaccinate Zero-Dose Children: A Narrative Review and Synthesis
URI https://www.proquest.com/docview/2882850659
https://search.proquest.com/docview/2883579465
https://pubmed.ncbi.nlm.nih.gov/PMC10612020
https://doaj.org/article/44186d97281c4bfab5576231714a480f
Volume 15
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