Evidence map›Paper›PMID 41995428›Full record

ArticleHuman vaccines & immunotherapeutics2026

Childhood immunization barriers and interventions in low- and middle-income countries: A scoping review of access, delivery systems, and health literacy.

Yasmin Fatinah, Marsa Qolbina, Mohammed Alfaqeeh, Widya N Insani, Rano K Sinuraya, Anas Hamad, Auliya A Suwantika

Abstract readScoping Review
In one paragraph

Article in Human vaccines & immunotherapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yasmin FatinahDoctoral Program of Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Bandung, Indonesia.ORCID 0009-0005-3639-8967
Marsa QolbinaMaster Program of Public Health, Faculty of Public Health, Yale University, New Haven, CT, USA.ORCID 0009-0001-3716-4776
Mohammed AlfaqeehDoctoral Program of Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Bandung, Indonesia.ORCID 0000-0002-4079-869X
Widya N InsaniDepartment of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Bandung, Indonesia.ORCID 0000-0002-0066-9746
Rano K SinurayaDepartment of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Bandung, Indonesia.ORCID 0000-0001-6109-0482
Anas HamadDrug Supply Department, Hamad Medical Corporation, Doha, Qatar.ORCID 0000-0001-8606-8521
Auliya A SuwantikaDepartment of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Bandung, Indonesia.ORCID 0000-0001-8671-2065

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Childhood immunization is among the most effective public health measures for preventing infectious diseases and reducing child mortality, yet coverage in many low- and middle-income countries (LMICs) remains suboptimal due to barriers in access, delivery systems, and caregiver acceptance. This scoping review mapped experimental and quasi-experimental studies from PubMed and Scopus (2000-2024) evaluating interventions to improve childhood immunization across three domains: access to services, distribution and logistics, and health literacy. Thirty-two studies met inclusion criteria. Community outreach, reminder/recall systems, and incentives improved vaccination uptake, timeliness, and completion. Supply-chain optimization and technology-assisted delivery enhanced vaccine availability and reduced stock-outs, especially in hard-to-reach settings. Educational and culturally tailored communication interventions strengthened caregiver knowledge and confidence. The findings demonstrate that coordinated strategies addressing both supply-side and demand-side constraints are most effective for achieving equitable and sustainable improvements in routine childhood immunization.

Indexed as

Health LiteracyHealth Services AccessibilityImmunizationImmunization ProgramsAdherence InterventionsChildDeveloping CountriesHumansVaccinationVaccination CoverageVaccinesVaccineschildhood immunization programsequity in vaccinationlogistical supportsupply chain managementVaccine uptake

Identifiers

PMID41995428
PMCPMC13094293

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.