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| Name | Class |
|---|---|
| African Population and Health Research Center | OTHER |
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The research team of investigators from University of Michigan and the African Population and Health Research Center will implement and evaluate a newly-developed digital vaccine card and accompanying mobile application and electronic immunization registry. This will take place in rural Uganda and urban Kenya Health and Demographic Surveillance Systems (HDSS) and the study team will analyze its feasibility, impacts, cost through process, and economic evaluations. The study team will also assess the data quality and equity of the digital vaccine registry and card system.
This study design has three parts or aims for this project, however, only the third aim is considered to be the trial portion and is included in this registration.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Next Generation digital vaccine card with SMS reminders for upcoming vaccination(s) | Experimental |
| |
| Pre-intervention cohort | No Intervention | This group will be compared to the post-intervention group to assess the digital vaccine card. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SMS reminders for upcoming vaccination(s) | Other | All parents/caregivers of children in participating villages will receive access to a digital vaccine card. This will be used for record-keeping application (digital vaccine registry). Selected parents/caregivers of children will receive SMS messages and reminders related to vaccination. |
| Measure | Description | Time Frame |
|---|---|---|
| Diphtheria, pertussis, and tetanus first dose (DPT1) coverage | Percent (%) of all children born in the intervention period that received the first dose of DPT vaccine (Continuous measure, 0-100%). | 18 months of the intervention period |
| Diphtheria, pertussis, and tetanus first dose (DPT3) coverage | Percent of all children born in the first 15 months of the intervention period that received the third dose of DPT vaccine (Continuous measure, 0-100%). | 15 months of the intervention period (last 15 months of the intervention period) |
| Dropout rate from DPT1 to DPT3 | Difference in the proportion of children born in the first 15 months of the intervention period that received the first and third doses of the DPT vaccine (Continuous measure, 0-100%) | 15 months of the intervention period (last 15 months of the intervention period) |
| Measure | Description | Time Frame |
|---|---|---|
| Bacillus Calmette-Guerin (BCG) coverage | Percent of all children born in the intervention period that received the BCG vaccine (Continuous measure, 0-100%). | 18 months of the intervention period (full intervention period) |
| Measles coverage |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Emily Treleaven, PhD, MPH | University of Michigan | Principal Investigator |
| Gershim Asiki, MBChB, MSc, PhD | African Population and Health Research Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| African Population and Health Reseach Center | Nairobi | Kenya | 10787-00100 | Kenya | ||
| Uganda Christian University |
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Mothers will be randomized to receive the digital vaccine card access with short message service (SMS) reminders versus mothers who did not receive digital vaccine card access with SMS reminders (treatment/control).
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Percent of all children born in the first 9 months of the intervention period that received the Measles vaccine (Continuous measure, 0-100%).
| 9 months of the intervention period (second half of the intervention) |
| Completion of basic immunizations | Percent of all children born in the first 9 months of the intervention period that received all basic recommended immunizations (BCG, oral polio vaccine (OPV), DPT1, DPT2, DPT3, OPV1, OPV2, OPV3, Pneumococcal Conjugate (PCV)1, PCV2, PCV3, rotavirus (Rota)1, Rota2, Rota3, Measles) | 9 months of the intervention period (second half of the intervention) |
| Dropout rate from DPT1 to Measles | Difference in the proportion of children born in first 9 months of the intervention period that received the first dose of the DPT vaccine and the Measles vaccine (Continuous measure, 0-100%) | 9 months of the intervention period (second half of the intervention) |
| Timeliness of BCG vaccination | Percent of all children born in the intervention period that received the BCG vaccine by 4 weeks (Continuous measure, 0-100%). | 18 months of the intervention period (full intervention period) |
| Timeliness of DPT1 vaccination | Percent of all children born in the intervention period that received the first dose of DPT vaccine by 10 weeks (Continuous measure, 0-100%). | 15 months of the intervention period (last 15 months of the intervention period) |
| Timeliness of DPT3 vaccination | Percent of all children born in the intervention period that received the third dose of DPT vaccine by 18 weeks (Continuous measure, 0-100%). | 15 months of the intervention period (last 15 months of the intervention period) |
| Timeliness of Measles vaccination | Percent of all children born in the intervention period that received the Measles vaccine by 10 months (Continuous measure, 0-100%). | 9 months of the intervention period (second half of the intervention) |
| Kasese |
| Uganda |
| Uganda |