Effectiveness of short message services reminder on childhood immunization programme in Kadoma, Zimbabwe - a randomized controlled trial, 2013

Donewell Bangure, Daniel Chirundu, Notion Gombe, Tawanda Marufu, Gibson Mandozana, Mufuta Tshimanga, Lucia Takundwa, Donewell Bangure, Daniel Chirundu, Notion Gombe, Tawanda Marufu, Gibson Mandozana, Mufuta Tshimanga, Lucia Takundwa

Abstract

Background: Globally, non-attendance for immunization appointments remains a challenge to healthcare providers. A review of the 2011 immunization coverage for Kadoma City, Zimbabwe was 74% for Oral Polio Vaccine (OPV), Pneumococcal and Pentavalent antigens. The immunization coverage was less than 90%, which is the target for Kadoma City. Adoption of short message services (SMS) reminders has been shown to enhance attendance in some medical settings. The study was conducted to determine the effectiveness of SMS reminders on immunization programme for Kadoma City.

Methods: A randomized controlled trial was conducted at Kadoma City clinics in Zimbabwe. Women who delivered and were residents of Kadoma City were recruited into the study. In the intervention group, SMS reminders were sent at 6, 10 and 14 weeks in addition to routine health education. In the non-intervention no SMS reminders were used, however routine health education was offered. Data were collected using interviewer administered questionnaire. Data were analyzed using Epi Info 7™, where frequencies, means, risk ratios and risk differences were generated.

Results: A total of 304 participants were recruited, 152 for the intervention group and 152 for the non-intervention group. The immunization coverage at 6 weeks was 97% in the intervention group and 82% in the non-intervention group (p < 0.001). At 14 weeks immunization coverage was 95% for intervention and 75% for non-intervention group (p < 0.001). Those who did not delay receiving immunization at 14 weeks was 82% for the intervention and 8% for non-intervention group. Median delay for intervention was 0 days (Q1 = 0; Q3 = 0) and 10 days (Q1 = 6; Q3 = 17) for non-intervention group. The risk difference (RD) for those who received SMS reminders than those in the non intervention group was 16.3% (95% CI: 12.5-28.0) at 14 weeks.

Conclusion: Immunization coverage in the intervention group was significantly higher than in non-intervention group. Overall increase in immunization coverage can be attributed to use of SMS.

Trial registration: ISRCTN70918594 . Registration Date: 28 August 2014.

Figures

Figure 1
Figure 1
Flow of study respondents Kadoma City, Zimbabwe, 2013.
Figure 2
Figure 2
Immunization coverage at 6, 10 and 14 weeks, Kadoma City, Zimbabwe, 2013.

References

    1. WHO . Global immunization vision and strategy 2006–2015. Geneva: WHO/UNICEF; 2005.
    1. WHO Global Info base. .
    1. Massoudi M. Achieving healthy people 2010 immunization goals: proceedings of a national conference, Chapel Hill, North Carolina. Clin Ther. 2001;25(Suppl A):A18–32.
    1. WHO. World Immunization Chart. .
    1. Downer SR, Meara JG, Da Costa AC. SMS text messaging improves outpatient attendance. Aust Health Rev. 2006;30:389–96. doi: 10.1071/AH060389.
    1. Vilella A, Bayas JM, Diaz M,T. The role of mobile phones in improving vaccination rates in travelers. Prev Med. 2004;38:503–9. doi: 10.1016/j.ypmed.2003.12.005.
    1. Leong KC, Chen WS. The use of text messaging to improve attendance in a primary care: a randomized control trial. Fam Pract. 2006;23:699–705. doi: 10.1093/fampra/cml044.
    1. Geraghty M, Glynn F, Amin M, Kinsella J. Patient mobile ‘text’ reminder: a novel way to reduce non attendance at the ENT out-patient clinic. J Laryngol Otol. 2008;122:296–8. doi: 10.1017/S0022215107007906.
    1. Szilagyi PG, Schaffer S, Shone L, Barth R, Humiston SG, Sandler M. Reducing geographic, racial, and ethnic disparities in childhood immunization rates by using reminder/recall interventions in urban primary care practices. Pediatrics. 2002;110(5):e58. doi: 10.1542/peds.110.5.e58.
    1. Dini EF, Linkins RW, Sigafoos J. The impact of computer generated messages on childhood immunization coverage. Am J Prev Med. 2000;18(2):132–9. doi: 10.1016/S0749-3797(99)00086-0.
    1. Szilagyi PG, Bordley C, Vann JC. Effect of patient reminder/recall interventions on immunization rates: a review. JAMA. 2000;284(14):1820–7. doi: 10.1001/jama.284.14.1820.
    1. Da Costa TM, Salomao PL, Martha AS, Pisa IT, Sigulem D. The impact of short message service text messages sent as appointment reminders to patients’ cell phone at out-patient clinics in Sao Paulo. Brazil Int J Med Inform. 2010;79(1):65–70. doi: 10.1016/j.ijmedinf.2009.09.001.
    1. Szilagyi PG, Stanley S, Richard B, Shone LP, Humiston SG, Ambrose S, et al. Effect of telephone reminder/recall on adolescent immunization and preventive visits. Arch Pediatr Adolesc Med. 2006;160:157–63. doi: 10.1001/archpedi.160.2.157.
    1. Dini EF, Linkins RW, Chaney M. Effectiveness of computer-generated telephone messages in increasing clinic visits. Arch Pediatric Adolesc Med. 1995;149:902–5. doi: 10.1001/archpedi.1995.02170210076013.
    1. Balogun MR, Sekoni AO, Okafor IP, Odukoya O, Ezeiru S, Ogunnowo BE, et al. Access to information technology and willingness to receive text message reminders for childhood immunization among mothers attending a tertiary facility in Lagos. Sajch August. 2012;6:3.
    1. Sims H, Sanghara H, Hayes D, Wandiembe S, Finch M, Jakobsen H. Text message reminders of appointments: a pilot intervention at four community mental health clinics in london: psychiatric services. A Psychiatric Assoc. 2012;63(2):161–8.
    1. Clark SJ, Butchart A, Kennedy A, Dombkowsky KJ. Parents experiences and preferences for immunization Reminder/Recall Technologies. Pediatrics. 2011;128(5):e1100–5. doi: 10.1542/peds.2011-0270.
    1. Kellerman RD, Allred CT, Frisch LE. Enhancing influenza immunization: postcard and telephone reminders and the challenge of immunization site shift. Arch Fam Med. 2000;9(4):368–72. doi: 10.1001/archfami.9.4.368.
    1. Jones D, Joseph M A, Scharff J, Sunderland N. Biostatistics workbook. Field epidemiology and laboratory training programs. Sample size calculation. Centres DisControl Human Serv;185–188.
    1. Kadoma City consolidated T5 notification forms, January 2011 to December 2012.
    1. Stolberg HO, Norman G, Trop I. Fundamentals of clinical research. Am J Roentgenol. 2004;183:1539–44. doi: 10.2214/ajr.183.6.01831539.
    1. Barrow AK, Stokley S, Dong F, Beaty B, Dickinson LM, Suh CA, Saville A, Daley MF, Glazner JE. Effectiveness and net cost of reminder/recall for adolescent immunizations. Pediatrics. 2012;129(6):129.
    1. AIto WA, Fury D, Condo A, Doran M, Aduddell M. Improving the immunization coverage of children less than 7 years old in a family practice residency. J Am Board Fam. 1994;7(6):472–7.
    1. Clayton AE, McNutt LA, Homestead HL, Hartman TW, Senecal S. Public health in managed care: a randomized controlled trial of the effectiveness of postcard reminders. Am J Public Health. 1999;89(8):1235–7. doi: 10.2105/AJPH.89.8.1235.
    1. Hull S, Haqdrup N, Hart B, Griffiths C, Hennessy E. Improving immunisation coverage in rural India: clustered randomised controlled evaluation of immunisation campaigns with and without incentives. Br J Gen Pract. 2002;52(482):712–6.
    1. Siriwardena AN, Rashid A, Johnson MR, Dewey ME. Boosting uptake of influenza immunisation: a randomised controlled trial of telephone appointing in general practice. Br J Gen Pract. 2002;52(482):735–40.
    1. Young SA, Halpin TJ, Johnson DA, Irvin JJ, Marks JS. Effectiveness of a mailed reminder on the immunization levels of infants at high risk of failure to complete immunizations. Am J Public Health. 1980;70:422–4. doi: 10.2105/AJPH.70.4.422.
    1. Ahlers- Schmidt CR, Chesser A, Pashal A, Nguyen T, Wittler R. Text messaging immunization reminders: feasibility of implementation with low income parents. Prev Med. 2010;50:306–7. doi: 10.1016/j.ypmed.2010.02.008.
    1. Kharbanda EO, Stockwell MS, Fox HW, Rickert VI. Text4Health: a qualitative evaluation of parental readiness for text message immunization reminders. Am J Public Health. 2009;99(12):2176–8. doi: 10.2105/AJPH.2009.161364.
    1. Jordan ET, Ray EM, Johnson P, Evans WD. Text4Baby: using text messaging to improve maternal and newborn health. Nurs Womens Health. 2011;25(3):206–12. doi: 10.1111/j.1751-486X.2011.01635.x.
    1. Center for Disease Control and Prevention Recommended immunization schedules for persons aged 0 through 18 years. MMWR CDC Surveill Summ. 2010;58:1–4.
    1. Hammer LD, Curry ES, Harlor AD. Increasing immunization coverage. Pediatrics. 2010;125(6):1295–304. doi: 10.1542/peds.2010-0743.
    1. Jacobson Vann JC, Szilagyi P. Patient reminder and patient recall systems to improve immunizations rates. Cochrane Database Syst Rev. 2005;3:CD003941.
    1. Franzini L, Rosenthal J, Spears W, Martin HS, Balderas L, Brown M. Cost effectiveness of childhood immunization reminder/recall systems in urban private practices. Pediatrics. 2000;160(1):177–83.

Source: PubMed

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