Methodology |
Systematic review |
Review |
Mixed methods |
Qualitative |
Quantitative |
Time frame |
1911 to Sept 2010 |
Jan 2000–Oct 2010 |
July 2011–Jan 2012 |
June 2011 |
1999–2009 |
Methodology description |
Search of 7 publication databases using 104terms encompassing immunization and health systems |
Search of 7 data sources for documents that were not peer-reviewed or published commercially |
Semi-structured interviews and questionnaires |
Semi- structured interviews |
Multivariate, cross-national,mixed-effect longitudinal model to evaluate new vaccine introduction on DTP3coverage |
Data sources |
Medline, Embase, Nursing Update, West African Journal of Nursing, CINAHL, Web of Science and Global Health |
Popline, PubMED, Cochrane Library, ELDIS, System for Information on Grey Literature in Europe, CAB Abstracts, and WHO regional offices |
Guatemala – rotavirus vaccine introduction in 2010; Kenya – 10 valent pneumococcal conjugate vaccine introduction in 2011; Mali – Meningococcal A vaccine introduction in 2010/11 |
National immunization and health officials of WHO regional offices |
WHO/UNICEF Coverage Estimates |
Scope |
130 articles included in the analysis (of 24,767 articles identified through search terms) |
61 documents included |
116 interviews conducted with national, regional and district staff; 87 health facilities responded to questionnaires |
Interviews conducted with 9 senior country immunization programme staff and 7 WHO regional staff |
152 new vaccine introductions included |
Notable features |
75% of articles from high-income countries; majority of studies not designed to address the research question |
Focus on low and middle-income countries; majority of studies not designed to address the research question |
Middle and low-income countries with diverse health systems; 3 different vaccines considered |
Mostly introduction of pentavalent DTP-hepatitis B-Haemophilus influenzae type b (Hib) or hepatitis B vaccines |
Many countries but primarily introduction of pentavalent DTP-hepatitis B-Hib or hepatitis B vaccines |