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@ARTICLE{Yau:277487,
      author       = {I. B. Yau and M. Zubair Mustapha and E. Nwaze and O.
                      Nobila$^*$ and A. Maigoro and A. Abdullah and A. Gamawa and
                      P. Meissner and J. Albrecht and O. Müller},
      title        = {{I}mproving the timeliness and completeness of childhood
                      vaccination through color-coded bracelets: a pilot study
                      among {F}ulani tribe populations in {N}igeria.},
      journal      = {Journal of public health in Africa},
      volume       = {14},
      number       = {5},
      issn         = {2038-9922},
      address      = {Pavia},
      publisher    = {PAGEPress},
      reportid     = {DKFZ-2023-01400},
      pages        = {2079},
      year         = {2023},
      abstract     = {Childhood immunization remains one of the most
                      cost-effective public health interventions. Globally,
                      millions of children are not being reached with safe and
                      effective vaccines and Nigeria has the highest number of
                      unprotected children.The effects of locally adapted
                      interventions on vaccination timeliness and completeness
                      were studied amongst Fulani populations across 6 health
                      facilities in 2 districts of Bauchi State, Nigeria.The
                      intervention group consisted of newborns who received
                      5-color-coded bracelets representing different immunization
                      contacts, while the control group had no bracelets.
                      Vaccination rates across contacts were followed for 11
                      months. In addition, mothers of children in the intervention
                      group were voluntarily recruited as peer-to-peer mobilizers
                      (PPM).In this study, 435 children were studied. Vaccination
                      completeness was higher in the intervention group compared
                      to the control group at all contacts during follow-up. The
                      difference was most noticeable at the fifth contact, with
                      158/256 $(62\%)$ children in the intervention group
                      completing, compared to 73/179 $(41\%)$ in the control group
                      (P<0.0001). Vaccination timeliness was better in the
                      intervention group compared to the control one, which
                      reached statistical significance at the second and third
                      vaccination contacts (P<0.05). $68\%$ of women volunteered
                      as PPM and recruited 82 additional children for
                      vaccination.This study demonstrated the feasibility of a
                      composite intervention (bracelets and PPM) to increase the
                      completeness and timeliness of childhood immunization and
                      provided preliminary evidence for its efficacy among Fulani
                      populations in Nigeria. Findings from this pilot study
                      should be confirmed through a larger cluster randomized
                      controlled trial.},
      keywords     = {childhood vaccinations (Other) / vaccination completeness
                      (Other) / vaccination reminders (Other) / vaccination
                      timeliness (Other)},
      cin          = {M050},
      ddc          = {610},
      cid          = {I:(DE-He78)M050-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:37441119},
      pmc          = {pmc:PMC10334432},
      doi          = {10.4081/jphia.2023.2079},
      url          = {https://inrepo02.dkfz.de/record/277487},
}