Program Management Functions and Complete Basic Immunization Coverage: A Literature Review
DOI:
https://doi.org/10.35451/jkg.v9i1.3999Keywords:
Management functions, complete primary immunization, immunization coverageAbstract
Complete basic immunization coverage among children is influenced not only by individual and family factors but also by the quality of immunization program management. This literature review aims to analyze the role of program management functions in achieving complete basic immunization coverage. A search was conducted for articles published between 2015 and 2025 using PubMed, Scopus, ScienceDirect, and Google Scholar. A total of 11 articles that met the criteria were analyzed narratively and thematically. The findings were grouped into four main functions: planning; organizing and coordinating; implementation or mobilization of resources; and supervision, monitoring, and evaluation. The review results indicate that data-driven planning, microplanning, cross-actor coordination, capacity building for health workers, logistical support, supportive supervision, data utilization, and tracking of children who have dropped out are associated with improved program performance and increases in various immunization coverage indicators. However, the magnitude of these changes varies across regions, and not all studies allow for causal conclusions. Strengthening management functions as an integrated and adaptive cycle tailored to the local context is necessary to support the improvement and equitable distribution of complete basic immunization coverage.
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[1] GBD 2023 Vaccine Coverage Collaborators. Global, regional, and national trends in routine childhood vaccination coverage from 1980 to 2023 with forecasts to 2030: A systematic analysis for the Global Burden of Disease Study 2023. Lancet 2025;406:235–60. https://doi.org/10.1016/S0140-6736(25)01037-2.
[2] Kementerian Kesehatan RI. 95 persen anak harus dapat imunisasi, cek yuk 3 jenis antigen baru 2024.
[3] Badan Kebijakan Pembangunan Kesehatan. Hasil utama Survei Kesehatan Indonesia 2023. Kementerian Kesehatan Republik Indonesia; 2024.
[4] World Health Organization. Memperkuat bukti dan strategi imunisasi di Indonesia 2026.
[5] Phillips DE, Dieleman JL, Lim SS, Shearer J. Determinants of effective vaccine coverage in low and middle-income countries: A systematic review and interpretive synthesis. BMC Health Serv Res 2017;17:681. https://doi.org/10.1186/s12913-017-2626-0.
[6] Jain M, Duvendack M, Shisler S, Parsekar SS, Anda Leon MD. Effective interventions for improving routine childhood immunisation in low and middle-income countries: A systematic review of systematic reviews. BMJ Open 2024;14:e074370. https://doi.org/10.1136/bmjopen-2023-074370.
[7] LaFond A, Kanagat N, Steinglass R, Fields R, Sequeira J, Mookherji S. Drivers of routine immunization coverage improvement in Africa: Findings from district-level case studies. Health Policy Plan 2015;30:298–308. https://doi.org/10.1093/heapol/czu011.
[8] Patel C, Rendell N, Sargent GM, Ali A, Morgan C, Fields R, dkk. Measuring national immunization system performance: A systematic assessment of available resources. Glob Heal Sci Pract 2023;11:e220055. https://doi.org/10.9745/GHSP-D-22-00555.
[9] Marzouk M, Omar M, Sirison K, Ananthakrishnan A, Durrance-Bagale A, Pheerapanyawaranun C, dkk. Monitoring and evaluation of national vaccination implementation: A scoping review of how frameworks and indicators are used in the public health literature. Vaccines 2022;10:567. https://doi.org/10.3390/vaccines10040567.
[10] Manyazewal T, Mekonnen A, Demelew T, Mengestu S, Abdu Y, Mammo D, dkk. Improving immunization capacity in Ethiopia through continuous quality improvement interventions: A prospective quasi-experimental study. Infect Dis Poverty 2018;7:119. https://doi.org/10.1186/s40249-018-0502-8.
[11] Lame P, Milabyo A, Tangney S, Mbaka GO, Luhata C, Le Gargasson J-B, dkk. A successful national and multipartner approach to increase immunization coverage: The Democratic Republic of Congo Mashako Plan 2018–2020. Glob Heal Sci Pract 2023;11:e2200326. https://doi.org/10.9745/GHSP-D-22-00326.
[12] Ngo-Bebe D, Mechael P, Kwilu FN, Bukele TK, Langwana F, Lobukulu GL, dkk. Assessing the use of geospatial data for immunization program implementation and associated effects on coverage and equity in the Democratic Republic of Congo. BMC Public Health 2025;25:311. https://doi.org/10.1186/s12889-025-21578-x.
[13] Bakkabulindi P, Ampeire I, Ayebale L, Mubiri P, Feletto M, Muhumuza S. Engagement of community health workers to improve immunization coverage through addressing inequities and enhancing data quality and use is a feasible and effective approach: An implementation study in Uganda. PLoS One 2023;18:e0292053. https://doi.org/10.1371/journal.pone.0292053.
[14] Salisbury N, Hossain I, Oskouipour P, Hong A, Ebeling E, Shearer JC, dkk. Routine immunization microplanning challenges and opportunities in low- and middle-income countries: A mixed-method landscape analysis. Vaccines 2024;12:1370. https://doi.org/10.3390/vaccines12121370.
[15] Nigatu T, Abraham L, Willems H, Tilaye M, Tiruneh F, Gebru F, dkk. The status of immunization program and challenges in Ethiopia: A mixed method study. SAGE Open Med 2024;12:20503121241237116. https://doi.org/10.1177/20503121241237115.
[16] Osterman AL, Shearer JC, Salisbury NA. A realist systematic review of evidence from low- and middle-income countries of interventions to improve immunization data use. BMC Health Serv Res 2021;21:672. https://doi.org/10.1186/s12913-021-06633-8.
[17] Ratna M, Singh SK, Sinha NK, Kannure M, Bhatia M, Aggarwal MK, dkk. Developing a roadmap to reach and sustain 90% full immunization coverage through a cross-sectoral system strengthening strategy in Bihar, India. BMC Health Serv Res 2024;24:933. https://doi.org/10.1186/s12913-024-11380-7.
[18] Dougherty L, Adediran M, Akinola A, Alabi M, Etim E-O, Ohioghame J, dkk. An evaluation of a multi-partner approach to increase routine immunization coverage in six northern Nigerian States. BMC Health Serv Res 2024;24:951. https://doi.org/10.1186/s12913-024-11403-3.
[19] Sakas Z, Hester KA, Rodriguez K, Diatta SA, Ellis AS, Gueye DM, dkk. Critical success factors for high routine immunization performance: A case study of Senegal. Vaccine X 2023;14:100296. https://doi.org/10.1016/j.jvacx.2023.100296.
[20] Amare AT, Toni AT, Mekonnen ZA, Endehabtu BF, Tilahun BC. Effectiveness and feasibility of using local medical universities for capacity building to improve the immunization program in Ethiopia: Quasi-experimental study. J Multidiscip Healthc 2021;14:9–19. https://doi.org/10.2147/JMDH.S285280.
[21] Prakash R, Kumar P, Dehury B, Thacker D, Shoemaker E, Manjappa RB, dkk. Preventing vaccine drop-outs: Geographic and system-level barriers to full immunization coverage among children in Uttar Pradesh, India. Vaccine X 2025;23:100613. https://doi.org/10.1016/j.jvacx.2025.100613.
[22] Oyo-Ita A, Oduwole O, Arikpo D, Effa EE, Esu EB, Balakrishna Y. Interventions for improving coverage of childhood immunisation in low- and middle-income countries. Cochrane Database Syst Rev 2023:CD008145. https://doi.org/10.1002/14651858.CD008145.pub4.
[23] Harrison K, Rahimi N, Danovaro-Holliday MC. Factors limiting data quality in the expanded programme on immunization in low and middle-income countries: A scoping review. Vaccine 2020;38:4652–63. https://doi.org/10.1016/j.vaccine.2020.02.091.
[24] Scobie HM, Edelstein M, Nicol E, Morice A, Rahimi N, MacDonald NE, dkk. Improving the quality and use of immunization and surveillance data: Summary report of the Working Group of the Strategic Advisory Group of Experts on Immunization. Vaccine 2020;38:7183–97. https://doi.org/10.1016/j.vaccine.2020.09.017.
[25] Blanc DC, Grundy J, Sodha S V, O’Connell TS, von Mühlenbrock HJM, Grevendonk J. Immunization programs to support primary health care and achieve universal health coverage. Vaccine 2024;42:S38–42. https://doi.org/10.1016/j.vaccine.2022.09.086.
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