Project Idea: Evaluation of Smart IVR Systems for Improving Vaccine Coverage among Children in Europe and across the globe
Vaccination coverage across the population (particularly, in young children) remains a challenge in Europe and across the world, as the vaccination rates are below expectations leaving the vulnerable people without immunity coverage.
Developing countries – Pakistan case: Pakistan is one of the countries with highest rates of child death in the world (USAID 2012). Estimated one child in every eleven born in Pakistan dies before age of five years (PILDAT 2010). Around one third of the estimated child deaths are due to Vaccine Preventable Diseases (VPD). According to immunization coverage surveys one child in every five children is unimmunized (Reid and Fleck 2014).
The estimated surveyed coverage for a fully immunized child in Pakistan varies between 56% to 88% between provinces (USAID 2012). In particular in the province of Sindh, EPI coverage is as low as 15-20% (Kunbhar 2017) and the figures have remained static over the years. Within the slums of Karachi where cognizance is low, many children are not administrated vaccines for the ten preventable diseases that make up routine immunization plan. Lack of awareness regarding routine immunization (RI) is a major reason for its low coverage (Ansari 2017). The province of Sindh needs an integrated mass focus plan to combat VPDs. As in line with international child protection therapy, each child should be vaccinated against VPDs (Tasneem 2017).
To evaluate whether smart IVR personalized automated calls can improve on-time visits at birth, 6, 10, 14 weeks and 9 months of age for RI as compared with standard care.
Our secondary objectives is to learn whether social media groups can help in improve RCI uptake and timelines
- To introduce a smart IVR portal which will be used to send weekly RCI messages to the participants via IVR automated calls. This portal will make sure the full communication of messages.
- To evaluate the cost effectiveness and policy implications for this intervention
- Include a social media portal including Facebook for smart phone users
- Introduce personalized mobile phone app having additional features as an added option
- To evaluate cost effective model of this intervention as it will first study to use IVR calls on a large cohort.
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