Immunization
Conditions
Keywords
Phone Appointment Reminder, Immunization Rates, mHealth
Brief summary
The purpose of this study is to determine if in a rural setting of Ondo State, Nigeria, a customized automated telephone and email immunization reminder system will be feasible, acceptable, and significantly improve immunization utilization rates.
Detailed description
Background: Worldwide, vaccine preventable diseases account for 29% of all deaths between 1 month and 5 years, underscoring the importance of immunizations. In Nigeria, routine childhood immunization rates are unacceptably inconsistent and low, ranging from 35-85% at 14 weeks and 10-37% for all routine immunizations at 12-24 months. GAP: The feasibility, acceptability and utility of an automated phone immunization reminder system have never been explored in this rural setting of Nigeria. HYPOTHESIS: Given \ 90% of the adult population in Nigeria uses a mobile phone, a customized mHealth immunization reminder system will be feasible and acceptable; and will significantly improve immunization rates in this rural setting of Ondo State, Nigeria. METHODS: A prospective randomized controlled trial study design will be utilized. This study will recruit parents of healthy newborn infants delivered at Mother and Child Hospital Ondo, who live in Akure or Ondo Town and plan to receive their immunizations at Mother and Child Hospital Ondo. DATA ANALYSIS: The proportion of immunization visits between intervention and control groups will be compared using a two-sided, two sample test of proportions with p \<0.05 being significant. Secondary analysis will focus on the predictive value of social demographic variables on immunization rates.
Interventions
OTHERA customized windows® software application
A customized windows® software application with the ability to send automated voice call, SMS and email reminder about due dates for childhood routine immunizations.
Sponsors
Thrasher Research Fund
Children's Hospital of Philadelphia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Caregiver)
Eligibility
Sex/Gender
ALL
Age
1 Days to 1 Weeks
Healthy volunteers
Yes
Inclusion criteria
1. Parents of healthy infants who have a cellular phone 2. Born at Mother and Child Hospital Ondo (Akure or Ondo Town) 3. Plans to receive immunizations at Mother and Child Hospital Ondo
Exclusion criteria
1. Parents of infants requiring hospital admission due to illness or prematurity. 2. Parents without a cellular phone
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Immunization Rates at 14 weeks | 14 Weeks | To determine if an automated customized telephone and email immunization reminder system can increase the 14-week immunization rates, by at least 10% among those who receive immunization reminders versus those who do not. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Immunization Rates at 14 Months | 14 Months | To determine the effect of an automated customized phone and email immunization reminder system on the proportion of children completely immunized at 14 months among those who receive immunization reminders versus those who do not. |
| Timeliness of Immunization Receipt | 14 Months | To determine if the proportion of infants who receive their immunizations within 1-week of its due date is higher in infants of parents who receive phone and email immunization reminders versus those who do not. |
Countries
Nigeria
Outcome results
None listed