Manakongtreecheep Kasidet
Yale University, New Haven, USA.
Pan Afr Med J. 2017 Jun 22;27(Suppl 3):23. doi: 10.11604/pamj.supp.2017.27.3.12115. eCollection 2017.
Immunization for children against vaccine-preventable diseases is one of the most important health intervention method in the world, both in terms of its health impact and cost-effectiveness. Through EPI and various other programs such as the Decades of Vaccines, immunization has been improving the health of children around the world. However, this progress falls short of global immunization targets of the Global Vaccine Action Plan (GVAP). Furthermore, the African region still lags behind in immunization, and suffers from a high proportion of vaccine preventable diseases as a result. Reminders and recall for vaccination have been shown to improve health care-seeking behaviours, and have been recommended for application in routine and supplemental measles immunization activities. With mobile phones becoming more accessible in Africa, SMS vaccine reminder system has been proposed as a convenient and easily scalable way to inform caregivers of the disease and the importance of immunization, to address any concerns related to immunization safety, and to remind them of vaccination schedules and campaigns. There have been 6 published articles and 1 unpublished article on the effect of SMS reminder system for immunization in Africa. The studies done has shown that SMS vaccination reminder has led to improvements in vaccination uptakes in various metrics, whether is through the increase in vaccination coverage, decrease in dropout rates, increase in completion rate, or decrease in delay for vaccination.
儿童针对疫苗可预防疾病的免疫接种，无论是从对健康的影响还是成本效益来看，都是世界上最重要的健康干预措施之一。通过扩大免疫规划（EPI）以及诸如疫苗接种十年等各种其他项目，免疫接种一直在改善世界各地儿童的健康状况。然而，这一进展未达到《全球疫苗行动计划》（GVAP）的全球免疫目标。此外，非洲地区在免疫接种方面仍然落后，因此患有疫苗可预防疾病的比例很高。疫苗接种提醒和召回已被证明可以改善寻求医疗保健的行为，并被推荐用于常规和补充麻疹免疫活动。随着手机在非洲越来越普及，短信疫苗提醒系统已被提议作为一种方便且易于扩展的方式，用于告知照料者疾病情况和免疫接种的重要性，解决与免疫接种安全性相关的任何问题，并提醒他们免疫接种时间表和活动安排。关于非洲短信提醒系统对免疫接种效果的已发表文章有6篇，未发表文章有1篇。已开展的研究表明，短信疫苗提醒在各项指标上都提高了疫苗接种率，无论是通过提高疫苗接种覆盖率、降低辍学率、提高完成率还是减少疫苗接种延迟。
