Format

Send to

Choose Destination
See comment in PubMed Commons below
Trop Med Int Health. 2009 Jan;14(1):11-9. doi: 10.1111/j.1365-3156.2008.02196.x. Epub 2008 Nov 12.

Integration of immunization services with other health interventions in the developing world: what works and why? Systematic literature review.

Author information

  • 1Global Immunization Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. awallace@cdc.gov

Abstract

OBJECTIVE:

To assess benefits, challenges and characteristics of integrating child and maternal health services with immunization programmes.

METHODS:

Literature review using journal databases and grey literature. Papers meeting the inclusion criteria were rated for the quality of methodology and relevant information was systematically abstracted.

RESULTS:

Integrated services were vitamin A supplementation, bednet distribution, deworming tablet distribution, Intermittent Preventive Therapy for infants and referrals for family planning services. Two key characteristics of success were compatibility between interventions and presence of a strong immunization service prior to integration. Overburdened staff, unequal resource allocation and logistical difficulties were mentioned as risks of integration, whereas rapid uptake of the linked intervention and less competition for resources were listed as two key benefits of integration.

CONCLUSION:

The theoretical strengths of integrating other health services with immunization services remain to be rigorously proved in practice. When additional interventions are carefully selected for compatibility and when they receive adequate support, coverage of these interventions may improve, provided immunization coverage is already high. Evidence for the effectiveness of integration in increasing efficiency of resource use was insufficient and most benefits and challenges were not statistically quantified. More substantive information about the costs of integrated vs. vertical programmes and full documentation of the impacts of integration on immunization services should be published.

[PubMed - indexed for MEDLINE]
Free full text
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Wiley
    Loading ...
    Support Center