Research evidence in improving vaccine practices in low and middle-income countries: examples of community engagement, barriers, and implementation strategies

Fahmida Aslam, Yang Yue, Naveed Jafri, Zaheer-Ud-Din Babar

Research output: Chapter in Book/Report/Conference proceedingChapter


Vaccination is regarded as one of the most effective and accessible public health preventive measures. With the creation of the Expanded Programme on Immunization in 1974, Global Alliance for Vaccines and Immunization (Gavi) has helped to boost immunization coverage and to close the gap in coverage between rich and developing nations. Yet with this advancement, there are still disparities in vaccine access and use. To increase the adoption and uptake of vaccines, different strategies were implemented to boost immunization coverage in LMICs. This chapter assesses the effectiveness of interventions designed to increase and maintain high childhood immunization rates in LMICs. To increase the adoption and uptake of vaccines, community-based approaches such as Community Engagement (CE) could help in this regard. Yet, current data reveal that the lack of suitable CE leads to community opposition, which in turn leads to a decrease in vaccine uptake. Therefore, this chapter also provides a research synthesis and updated literature on these initiatives.
Original languageEnglish
Title of host publicationEncyclopedia of evidence in pharmaceutical public health and health services research in pharmacy
ISBN (Print)9783030502478
Publication statusPublished - 16 May 2023
Externally publishedYes

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