The effectiveness of telephone reminders and home visits to improve measles, mumps and rubella immunization coverage rates in children

Mark Lemstra*, Derek Rajakumar, Adam Thompson, John Moraros

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

20 Citations (Scopus)

Abstract

INTRODUCTION: In the Saskatoon Health Region (Saskatchewan), only 67.4% of children overall are fully immunized for measles, mumps and rubella (MMR) at 24 months of age, with only 43.7% of lowincome children fully immunized. METHODS: Parents of children who were behind in MMR immunizations were contacted to determine knowledge about, beliefs toward and barriers to immunization. The effectiveness of a telephone reminder system in improving immunization rates in a health region compared with a control health region was determined. Finally, the effectiveness of telephone reminders versus telephone reminders combined with home visits in improving child immunization coverage rates in low-income neighbourhoods was compared. RESULTS: The survey was completed by 629 parents (69% response rate). Of those, 81.8% were not aware that their child was behind in immunizations. In the Saskatoon Health Region, the MMR immunization coverage increased from 67.4% to 74.0% in the first year of intervention (rate ratio = 1.10; 95% CI 1.08 to 1.12). All four neighbourhood groupings (three urban by income and one rural) had relative increases ranging from 9% to 11%. The control health region observed an immunization coverage increase from 66.5% to 69.2% in the first year (rate ratio = 1.04; 95% CI 1.01 to 1.07). The three lowincome neighbourhoods with only telephone reminders had an immunization coverage rate of 48.7% (95% CI 39.5% to 57.8%). The three low-income neighbourhoods that received a telephone reminder and home visit had an immunization coverage rate of 60.5% (95% CI 52.5% to 68.6%). CONCLUSION: Telephone reminder systems have some benefit in increasing child immunization coverage rates.

Original languageEnglish
Pages (from-to)e1-e5
JournalPaediatrics and Child Health (Canada)
Volume16
Issue number1
DOIs
Publication statusPublished - Jan 2011
Externally publishedYes

Keywords

  • Children
  • Immunization
  • Intervention studies

Fingerprint

Dive into the research topics of 'The effectiveness of telephone reminders and home visits to improve measles, mumps and rubella immunization coverage rates in children'. Together they form a unique fingerprint.

Cite this