Manikandan Srinivasan, Geethu Mathew, Namrata Mathew, Mohan Kumar, Nidhi Goyal, Mohan S Kamath
Technologies that empower women for better access to healthcare in India - A scoping review
Global public health
community engagement plays vital role global immunization strategies offering potential overcome vaccination hesitancy enhance vaccination confidence although significant backing community engagement health promotion evidence supporting effectiveness vaccination promotion fragmented uncertain quality review aims systematically examine effectiveness different contents extent community engagement promoting vaccination rates study performed accordance prisma preferred reporting items systematic reviews metaanalyses guidelines comprehensive exhaustive literature search performed 4 english databases pubmed embase web science cochrane library 2 chinese databases cnki wan fang identify possible articles original research articles applying experimental study design investigated effectiveness community engagement vaccination promotion eligible inclusion two reviewers independently performed literature search study selection quality assessment data extraction discrepancies resolved discussion arbitration third reviewer necessary total 20 articles 11404 records 2006 2021 retrieved studies used various designs 12 applied singlegroup prepost study designs 5 cluster randomized controlled trials rcts 3 nonrcts studies targeted multiple vaccines 8 focusing childrens immunization 8 human papillomavirus vaccine 3 hepatitis b virus vaccine 1 covid19 vaccine metaanalysis revealed significant increases vaccination rates prepost comparison rate difference rd 034 95 ci 021047 i2999 p001 betweengroup comparison rd 018 95 ci 007029 i2984 p001 metaanalysis revealed participant recruitment largest effect size rd 051 95 ci 036067 i2999 p001 followed intervention development rd 036 95 ci 023050 i21000 p001 intervention implementation rd 035 95 ci 022047 i2998 p001 data collection rd 034 95 ci 019050 i2998 p001 metaanalysis indicated high community engagement extent yielded largest effect size rd 049 95 ci 017082 i21000 p001 followed moderate community engagement extent rd 045 95 ci 033058 i2996 p001 low community engagement extent rd 015 95 ci 005025 i2992 p001 metaanalysis revealed health service support demonstrated largest effect sizes rd 045 95 ci 025065 i2999 p001 followed health education discussion rd 039 95 ci 020058 i2997 p001 followup reminder rd 033 95 ci 023042 i2993 p001 social marketing campaigns community mobilization rd 024 95 ci 006041 i2999 p001 results metaanalysis supported effectiveness community engagement vaccination promotion variations terms engagement contents extent community engagement required fitforpurpose approach rather onesizefitsall approach maximize effectiveness vaccine promotion prospero crd42022339081 httpswwwcrdyorkacukprosperodisplayrecordphprecordid339081