Systematic review on reducing missed opportunities for vaccinations in Latin America
Objectives. To estimate the prevalence of missed opportunities for vaccination (MOV) in Latin America and the effect of interventions targeting health systems, health workers, patients, and communities on MOV. Methods. Searches were conducted in MEDLINE, EMBASE, CINAHL, and LILACS electronic databas...
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ftdoajarticles:oai:doaj.org/article:8651dcd3da554ceea88826cce34a2e55 2023-05-15T15:08:55+02:00 Systematic review on reducing missed opportunities for vaccinations in Latin America Malavika Tampi Alonso Carrasco-Labra Kelly K. O’Brien Martha Velandia-González Romina Brignardello-Petersen 2022-06-01T00:00:00Z https://doi.org/10.26633/RPSP.2022.65 https://doaj.org/article/8651dcd3da554ceea88826cce34a2e55 EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/56090 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2022.65 https://doaj.org/article/8651dcd3da554ceea88826cce34a2e55 Revista Panamericana de Salud Pública, Vol 46, Iss 65, Pp 1-10 (2022) vaccination vaccination coverage immunization latin america Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2022 ftdoajarticles https://doi.org/10.26633/RPSP.2022.65 2022-12-31T02:50:18Z Objectives. To estimate the prevalence of missed opportunities for vaccination (MOV) in Latin America and the effect of interventions targeting health systems, health workers, patients, and communities on MOV. Methods. Searches were conducted in MEDLINE, EMBASE, CINAHL, and LILACS electronic databases and relevant organizations were contacted, including the Pan American Health Organization (PAHO), to identify studies meeting eligibility criteria. A pair of reviewers identified 27 randomized and non-randomized studies quantifying the effectiveness of any intervention for reducing MOV and 5 studies assessing the rate of MOV in Latin America. Results are reported narratively when criteria to pool results were not met, and the certainty of this evidence was assessed using the GRADE approach. Results. Evidence suggests the rate of MOV in Latin America ranged from 5% to 37% with a pooled estimate of 17% (95% CI [9, 32]) (low certainty) and that monetary incentives to healthcare teams, training for healthcare teams on how to communicate with patients, and educational interventions for caregivers probably reduce MOV (moderate to very low certainty). Conclusions. There is insufficient evidence supporting the implementation of any intervention as policy based only on the potential reduction of MOV without considering several factors, including costs, feasibility, acceptability, and equity. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 46 1 |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
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English Spanish Portuguese |
topic |
vaccination vaccination coverage immunization latin america Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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vaccination vaccination coverage immunization latin america Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Malavika Tampi Alonso Carrasco-Labra Kelly K. O’Brien Martha Velandia-González Romina Brignardello-Petersen Systematic review on reducing missed opportunities for vaccinations in Latin America |
topic_facet |
vaccination vaccination coverage immunization latin america Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objectives. To estimate the prevalence of missed opportunities for vaccination (MOV) in Latin America and the effect of interventions targeting health systems, health workers, patients, and communities on MOV. Methods. Searches were conducted in MEDLINE, EMBASE, CINAHL, and LILACS electronic databases and relevant organizations were contacted, including the Pan American Health Organization (PAHO), to identify studies meeting eligibility criteria. A pair of reviewers identified 27 randomized and non-randomized studies quantifying the effectiveness of any intervention for reducing MOV and 5 studies assessing the rate of MOV in Latin America. Results are reported narratively when criteria to pool results were not met, and the certainty of this evidence was assessed using the GRADE approach. Results. Evidence suggests the rate of MOV in Latin America ranged from 5% to 37% with a pooled estimate of 17% (95% CI [9, 32]) (low certainty) and that monetary incentives to healthcare teams, training for healthcare teams on how to communicate with patients, and educational interventions for caregivers probably reduce MOV (moderate to very low certainty). Conclusions. There is insufficient evidence supporting the implementation of any intervention as policy based only on the potential reduction of MOV without considering several factors, including costs, feasibility, acceptability, and equity. |
format |
Article in Journal/Newspaper |
author |
Malavika Tampi Alonso Carrasco-Labra Kelly K. O’Brien Martha Velandia-González Romina Brignardello-Petersen |
author_facet |
Malavika Tampi Alonso Carrasco-Labra Kelly K. O’Brien Martha Velandia-González Romina Brignardello-Petersen |
author_sort |
Malavika Tampi |
title |
Systematic review on reducing missed opportunities for vaccinations in Latin America |
title_short |
Systematic review on reducing missed opportunities for vaccinations in Latin America |
title_full |
Systematic review on reducing missed opportunities for vaccinations in Latin America |
title_fullStr |
Systematic review on reducing missed opportunities for vaccinations in Latin America |
title_full_unstemmed |
Systematic review on reducing missed opportunities for vaccinations in Latin America |
title_sort |
systematic review on reducing missed opportunities for vaccinations in latin america |
publisher |
Pan American Health Organization |
publishDate |
2022 |
url |
https://doi.org/10.26633/RPSP.2022.65 https://doaj.org/article/8651dcd3da554ceea88826cce34a2e55 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 46, Iss 65, Pp 1-10 (2022) |
op_relation |
https://iris.paho.org/handle/10665.2/56090 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2022.65 https://doaj.org/article/8651dcd3da554ceea88826cce34a2e55 |
op_doi |
https://doi.org/10.26633/RPSP.2022.65 |
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Revista Panamericana de Salud Pública |
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46 |
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