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The efficacy of computer reminders on external quality assessment for point-of-care testing in Danish general practice: rationale and methodology for two randomized trials
Authors:Frans B Waldorff  Volkert Siersma  Ruth Ertmann  Marius Brostrøm Kousgaard  Anette Sonne Nielsen  Peter Felding  Niels Mosbæk  Else Hjortsø  Susanne Reventlow
Institution:1. Norwegian Knowledge Centre for the Health Services, PO Box 7004 St. Olavs plass, N-0130, Oslo, Norway
2. Health Systems Research Unit, Medical Research Council of South Africa, Cape Town, South Africa
3. Centre for Health Communication and Participation, Australian Institute for Primary Care & Ageing, La Trobe University, Bundoora, Victoria, 3086, Australia
4. Vaccines for Africa Initiative, Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Anzio Road, Observatory, 7925, South Africa
5. School of Child and Adolescent Health, University of Cape Town, Anzio Road, Observatory, 7925, South Africa
6. International Union for Health Promotion and Education (IUHPE/UIPES), 42 Boulevard de la Liberation, 93203, Saint Denis Cedex, France
7. Swiss Tropical and Public Health Institute, University of Basel, Socinstrasse 57, 4051, Basel, Switzerland
8. School of Public Health, La Trobe University, 215 Franklin Street, Melbourne, Victoria, 3000, Australia
9. South African Tuberculosis Vaccine Initiative, Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Anzio Road, Observatory, 7925, South Africa
Abstract:

Background

Effective provider-parent communication can improve childhood vaccination uptake and strengthen immunisation services in low- and middle-income countries (LMICs). Building capacity to improve communication strategies has been neglected. Rigorous research exists but is not readily found or applicable to LMICs, making it difficult for policy makers to use it to inform vaccination policies and practice. The aim of this project is to build research knowledge and capacity to use evidence-based strategies for improving communication about childhood vaccinations with parents and communities in LMICs.

Methods and design

This project is a mixed methods study with six sub-studies. In sub-study one, we will develop a systematic map of provider-parent communication interventions for childhood vaccinations by screening and extracting data from relevant literature. This map will inform sub-study two, in which we will develop a taxonomy of interventions to improve provider-parent communication around childhood vaccination. In sub-study three, the taxonomy will be populated with trial citations to create an evidence map, which will also identify how evidence is linked to communication barriers regarding vaccination. In the project's fourth sub-study, we will present the interventions map, taxonomy, and evidence map to international stakeholders to identify high-priority topics for systematic reviews of interventions to improve parent-provider communication for childhood vaccination. We will produce systematic reviews of the effects of high-priority interventions in the fifth sub-study. In the sixth and final sub-study of the project, evidence from the systematic reviews will be translated into accessible formats and messages for dissemination to LMICs.

Discussion

This project combines evidence mapping, conceptual and taxonomy development, priority setting, systematic reviews, and knowledge transfer. It will build and share concepts, terms, evidence, and resources to aid the development of communication strategies for effective vaccination programmes in LMICs.
Keywords:
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