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Review
. 2019;15(11):2508-2526.
doi: 10.1080/21645515.2019.1599675. Epub 2019 Jun 21.

Countering vaccine hesitancy through immunization information systems, a narrative review

Vincenza Gianfredi  1 , Massimo Moretti  2 , Pier Luigi Lopalco  3
Affiliations
Review

Countering vaccine hesitancy through immunization information systems, a narrative review

Vincenza Gianfredi et al. Hum Vaccin Immunother. 2019.

Abstract

Immunization is one of the most important public health interventions to contrast infectious disease; however, many people nowadays refuse vaccination. Vaccine hesitancy (VH) is due to several factors that influence the complex decision-making process. Information technology tools might play an important role in vaccination programs. In particular, immunization information systems (IISs) have the potential to improve performance of vaccination programs and to increase vaccine uptake. This review aimed to present IIS functionalities in order to counter VH. In detail, we analyzed the automatic reminder/recall system, the interoperability of the system, the decision support system, the web page interface and the possibility to record adverse events following immunization. IIS could concretely represent a valid instrument to increase vaccine confidence, especially trust in both health-care workers and decision makers. There are not enough trials aimed to evaluate the efficacy of IIS to counter VH. Further researches might focalize on this aspect.

Keywords: Immunization information system; automatic reminder; vaccine; vaccine confidence; vaccine hesitancy; vaccines refuser.

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Figures

Figure 1.
Figure 1.
Conceptual framework for the use of IIS to counter vaccine hesitancy, according to the 3C model.
See this image and copyright information in PMC

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References

    1. Schuster M, Eskola J, Duclos P; Hesitancy SWGoV . Review of vaccine hesitancy: rationale, remit and methods. Vaccine. 2015. August 14;33(34):4157–60. doi:10.1016/j.vaccine.2015.04.035 PubMed PMID: 25896380. - DOI - PubMed
    1. Hickler B, Guirguis S, Obregon R.. Vaccine special issue on vaccine hesitancy. Vaccine. 2015. August 14;33(34):4155–56. doi:10.1016/j.vaccine.2015.04.034 PubMed PMID: 25896381. - DOI - PubMed
    1. MacDonald NE; Hesitancy SWGoV . Vaccine hesitancy: definition, scope and determinants. Vaccine. 2015. August 14;33(34):4161–64. doi:10.1016/j.vaccine.2015.04.036 PubMed PMID: 25896383. - DOI - PubMed
    1. Leask J, Kinnersley P, Jackson C, Cheater F, Bedford H, Rowles G. Communicating with parents about vaccination: a framework for health professionals. BMC Pediatr. 2012;12:154. doi:10.1186/1471-2431-12-154 PubMed PMID: 22998654; PubMed Central PMCID: PMCPMC3480952. - DOI - PMC - PubMed
    1. World Health Organization Regional Office for Europe , editor. Working group on vaccine communications. 2011. October 13–14 Istanbul (Turkey): WHO.

Grants and funding

This research received no grant from any funding agency, commercial or not-for-profit sectors.