Imperial College London
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DrHelenSkirrow

Faculty of Medicine, School of Public Health

Clinical Research Fellow
 
 
 
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Contact

 

h.skirrow

 
 
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Location

 

Charing Cross HospitalCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Cardoso:2023:10.1371/journal.pgph.0001415,
author = {Cardoso, Pinto A and Shariq, S and Ranasinghe, L and Budhathoki, S and Skirrow, H and Whittaker, E and Seddon, J},
doi = {10.1371/journal.pgph.0001415},
journal = {PLOS Global Public Health},
pages = {1--17},
title = {Reasons for reductions in routine childhood immunisation uptake during the COVID-19 pandemic in low- and middle-income countries: a systematic review},
url = {http://dx.doi.org/10.1371/journal.pgph.0001415},
volume = {3},
year = {2023}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - The coronavirus disease 2019 (COVID-19) pandemic has resulted in a substantial decline in routine immunisation coverage in children globally, especially in low- and middle-income countries (LMICs). This study summarises the reasons for disruptions to routine child immunisations in LMICs. A systematic review (PROSPERO CRD42021286386) was conducted following PRISMA 2020 guidelines. Six databases were searched: MEDLINE, Embase, Global Health, CINAHL, Scopus and MedRxiv, on 11/02/2022. Observational and qualitative studies published from January 2020 onwards were included if exploring reasons for missed immunisations during the COVID-19 pandemic in LMICs. Study appraisal used National Heart, Lung, and Blood Institute and Critical Appraisal Skills Programme tools. Reasons for disruption were defined with descriptive codes; cross-sectional (quantitative) data were summarised as mean percentages of responses weighted by study population, and qualitative data were summarised narratively. A total of thirteen studies were included describing reasons behind disruptions; 7 cross-sectional (quantitative), 5 qualitative and 1 mixed methods. Seventeen reasons for disruptions were identified. In quantitative studies (total respondents = 2,853), the most common reasons identified were fear of COVID-19 and consequential avoidance of health centres (41.2%, SD ±13.3%), followed by transport challenges preventing both families and healthcare professionals from reaching vaccination services (11.1% SD ±16.6%). Most reasons stemmed from reduced healthcare-seeking (83.4%), as opposed to healthcare-delivery issues (15.2%). Qualitative studies showed a more even balance of healthcare-seeking (49.5%) and healthcare-delivery issues (50.5%), with fear of COVID-19 remaining a major identified issue (total respondents = 92). The most common reasons for disruption were parental fear of COVID-19 and avoidance of health services. Health systems must therefore prioritise public health me
AU  - Cardoso,Pinto A
AU  - Shariq,S
AU  - Ranasinghe,L
AU  - Budhathoki,S
AU  - Skirrow,H
AU  - Whittaker,E
AU  - Seddon,J
DO  - 10.1371/journal.pgph.0001415
EP  - 17
PY  - 2023///
SN  - 2767-3375
SP  - 1
TI  - Reasons for reductions in routine childhood immunisation uptake during the COVID-19 pandemic in low- and middle-income countries: a systematic review
T2  - PLOS Global Public Health
UR  - http://dx.doi.org/10.1371/journal.pgph.0001415
UR  - https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0001415
UR  - http://hdl.handle.net/10044/1/101407
VL  - 3
ER  -
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