District-wide initiatives to improve immunisation uptake don't work
Childhood immunisation coverage in the United Kingdom is good but
maintaining high coverage is proving difficult. On p 1569 Morgan and
Evans report a randomised controlled trial of two interventions to
improve uptake in children who had defaulted from the primary immunisation course or measles, mumps, and rubella immunisation. Neither prompting the child's health visitor by telephone nor a direct
mailed reminder to parents improved uptake compared with the control
group. The authors conclude that effort should be concentrated on
opportunistic and domiciliary immunisation activities at the primary
healthcare team level.
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BMJ 1998 316: 1569-1570.[Extract] [Full Text] [PDF]
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