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Feasibility and effectiveness of a digital approach to improve vaccination coverage in rural, Bangladesh

The proposed digital approach will minimize the invalid doses through ensuring accountability and awareness of the providers and community

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Describe what you intend to do and how you'll do it in one sentence (required 250 Characters)

International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) will develop and test an digital approach to improve expanded program on immunization (EPI) coverage through minimizing invalid doses in rural area of Bangladesh

Explain the idea (less than 2,000 characters)

Bangladesh could make remarkable progress in child health indicators during the last decade. The success of EPI is like near-miracle. Now valid vaccination coverage is 82.3% but stagnant for more than a decade. The major barriers for not improving the valid vaccine coverage include: invalid dose, drop out, Adverse events following immunization and ignorance of mothers about correct dates for valid vaccination. The events of invalid vaccination can be reduced if the vaccinators follow the vaccination schedule strictly. In this study we like to test the feasibility and effectiveness of a mobile-phone based tracker capture application placed at routine District Health Information System 2 (DHIS2) to increase valid vaccination coverage through minimizing invalid doses in a rural area of Bangladesh. In Bangladesh, under EPI services, each birth is registered by government health workers through domiciliary home-visits. In the study area each worker has a mobile device. In Bangladesh vast majority of rural people own a mobile phone. Along with the birth date the health worker will also collect the contact cell number for each infant (her mother/guardian) for future communication. A computer program will be written so that a correct vaccination schedule of each study participant will be generated on the basis of date of birth. If vaccination is given prior to the scheduled date the program will not allow entry of that antigen before valid date of vaccination. If the worker desperately wants to enter data, an alert message will be sent automatically to the supervisors mobile as if the supervisor can make instant quarry with the respective workers. An automatic awareness voice message will be texted and delivered to each participant’s phone number. This action will minimize the dropout rates. The health worker will send all the recorded information using short message service. The supervisor will be able to track the workers assignment using existing DHIS2 dashboard.

Which part(s) of the world does this idea target?

  • South-eastern Asia

Geographic Focus (less than 250 Characters)

The proposed study will take place at a rural community in one of the district in Bangladesh

Who are your end users and how well do you know them? (750 characters)

End users are the field workers and their supervisors both from family planning and health services under ministry of health and family welfare department. I am vast experiences to work with all of them for quiet sometimes and has published a paper on EPI (Equity and determinants of routine child immunisation programme among tribal and non-tribal populations in rural Tangail subdistrict, Bangladesh: a cohort study. BMJ Open. 2018;8(10):e022634). The existing health system throughout the country are using digital devices for data collection for several years. And this has created strong monitoring and transparent process to improve the quality of the collected data.

How is the idea unique? (750 Characters)

The proposed digital solution for minimizing invalid doses yet to be tested in Bangladesh. icddr,b has also well known mhealth expertise in Bangladesh. icddr,b has worked to solve several problems in the field of public health within and outside Bangladesh. If this digital approach works, this will be instantly can taken to the other parts of the country as this will use the existing DHIS2 platform. Moreover, icddr,b has a significant contribution for developing and scaling up the DHIS2 platform throughout the country. Moreover, the advocacy power which icddr,b enjoying for few decades will allow to fit the test result within the system

Idea Proposal Stage (Select 1)

  • Blueprint: We are exploring the idea and gathering the inspiration and information we need to test it with real users.

How many months are required for the project idea? (140 characters)

20 months

Organization Name (less than 140 characters)

International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b)

Type of Submitter

  • We are a registered NGO or Non-Profit Organization

Organizational Characteristics

  • This is an International Research Organization, not for profit catagory

Organization Location (less than 140 Characters)

The organization is placed at Dhaka, Bangladesh

What is the current scale of your organization’s work?

  • National (expansive reach within one country)

Website URL

Tell us more about your organization/company (1-2 sentences)

Dedicated to saving lives through research and treatment, icddr, b addresses some of the most critical health concerns facing the world today, ranging from improving neonatal survival to HIV/AIDS. icddr,b aims to carry out high-quality research that addresses health priorities and ultimately influences policy and practice. The proposed digital approach satisfy the discovery of a health solution role which is one of the core goal of this organization

Who will work alongside your organization in the project idea? (750 characters)

EPI and MIS division of Directorate general of Health Services (DGHS) of Bangladesh will act as collaborative partners in this project. Previously, we have worked with the providers of several public health facilities , specially nurses, midwives and health managers to implement digital partograph to improve labour care in the country. In this project we have worked with the MNCH dircetorate under DGHS through creating collaboration at different levels

How many people are on your team?


Tell us more about you and your team

Dr. Aminur Rahman (PI) is working with the centre for last 18 years and has expertise and experiences to work in solving problem through e-health for the health system. He is currently associated scientist under health and population system division at icddr,b. Dr. Iqbal Anwar, and health system expert has 35 years experiences to work both in public and icddr,b. His advocacy capacity is well known now a days. He is scientist in icddr,b Dr. Sadika Akhter, an anthropologist, who deals the health problems through gender and societal lance. She is working with icddr,b for more than 10 years. She is one of the qualitative scientist at icddr,b Mr. Monjur Rahman, a system analyst, who have developed several breakthrough system for the country is working for icddr,b for last 11 years. Dr. Mowla Box, the program manager of EPI under DGHS at the moment. He will guide the team to implement the study within the existing health system. He is serving ministry of health for more than 25 years.


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