Adamu, Abdu A., Uthman, Olalekan A., Wambiya, Elvis O., Gadanya, Muktar A. and Wiysonge, Charles S. (2019) Application of quality improvement approaches in health-care settings to reduce missed opportunities for childhood vaccination : a scoping review. Human Vaccines & Immunotherapeutics . pp. 1-10. doi:10.1080/21645515.2019.1600988 ISSN 2164-554X.

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Abstract

Missed opportunities for vaccination (MOV) is a poor reflection of the quality of care for children attending health facilities. It also contributes to a reduction in overall immunization coverage. Although there is a growing interest in the use of quality improvement (QI) in complex health systems to improve health outcomes, the degree to which this approach has been used to address MOV is poorly understood. We conducted a scoping review using Arksey and O’Malley’s framework to investigate the extent to which QI has been used in health facilities to reduce MOV. The review followed five stages as follows: (1) identifying the research question; (2) identifying the relevant studies; (3) selecting the studies; (4) charting data; and (5) collating, summarizing, and reporting results. The search strategy included electronic databases and gray literature. A total of 12 literatures on QI projects focused on addressing MOV were identified. Eleven were published manuscripts, and one was a conference presentation. All the QI projects published were conducted in the United States and majority were between 2014 and 2018. In these projects, 45 change ideas targeting providers, clients, and health system were used. This study generated important evidence on the use of QI in health facilities to reduce MOV. In addition, the result suggests that there is a growing interest in the use of this approach to address MOV in recent years. However, no literature was found in low- and middle-income countries especially sub-Saharan Africa.

Item Type:	Journal Article
Subjects:	R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
SWORD Depositor:	Library Publications Router
Library of Congress Subject Headings (LCSH):	Vaccination of children -- Africa
Journal or Publication Title:	Human Vaccines & Immunotherapeutics
Publisher:	Informa UK Limited
ISSN:	2164-554X
Official Date:	22 April 2019
Dates:	Date Event 22 April 2019 Published 4 April 2019 Available 22 March 2019 Accepted
Page Range:	pp. 1-10
DOI:	10.1080/21645515.2019.1600988
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Date of first compliant deposit:	5 June 2019
Date of first compliant Open Access:	4 April 2020
RIOXX Funder/Project Grant:	Project/Grant ID RIOXX Funder Name Funder ID UNSPECIFIED South African Medical Research Council http://dx.doi.org/10.13039/501100001322 106035 National Research Foundation (South Africa) http://viaf.org/viaf/137694659 UNSPECIFIED [NIHR] National Institute for Health Research http://dx.doi.org/10.13039/501100000272

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