The Design and Development of Parent-Children Vaccination Alert System

  • Bukohwo Michael Esiefarienrhe North-West University, South Africa
  • Mmamosweu Caroline Patricia Makokoe North-West University, South Africa
Keywords: Children vaccination, Immunization of Children, Immunization Alert system, Botswana healthcare, Prototype for vaccination alert


Elevated rates of child mortality in many developing contries can be attributed to a complex interplay of poverty, malnutrition, and a host of preventable and non-preventable diseases. While vaccines for many of these diseases have been widely disseminated in developed countries through efforts from organizations such as WHO, UNICEF, and the Bill & Melinda Gates Foundation, adherence to vaccination schedules remains suboptimal in less affluent nations. This shortfall is largely due to the challenges parents and guardians face in scheduling and maintaining vaccine appointments for their children. To address this gap, our study employed the Design Science Research Process (DSRP) model to develop an integrated booking and SMS reminder system aimed at simplifying the immunization process. The application was engineered using Object-Oriented Agile methodologies and incorporates a prototype for client testing and early-stage implementation. As immunization stands as a cornerstone for managing vaccine-preventable diseases, this system offers a crucial solution to enhance child healthcare. It not only aids in reducing mortality rates but also simplifies the documentation and archival of vaccination records, thereby improving their accessibility. This system introduces an innovative approach that allows parents to book their child’s vaccination appointments online, thereby eliminating the need for physical presence at healthcare facilities. The implementation of this system is expected to alleviate congestion in clinics and hospitals, streamlining the vaccination process and potentially improving overall public health.


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Z.A. Mekonnen, F.N. Hussien, B. Tilahun, K.A. Gelaye, A. Mamuye, "Development of automated text-message reminder system to --improve uptake of childhood vaccination in North-West, Ethiopia," Online Journal of Public Health Informatics, vol. 11, issue 2, Sept 2019.

J. Lei, M.R. Balakrishman, J.F. Gidudu, P.L.F. Zuber, "Use of a new global indicator for vaccine safety surveillance and trends in adverse events following immunization reporting 2000–2015," Vaccine, vol. 36, issue 12, pp. 1577-1582, Feb 2018.

W.H. Organization, World health statistics 2016: monitoring health for the SDGs sustainable development goals. 2016: World Health Organization.

B. Pond, A. Bekele, S. Mounier-Jack, H. Teklie, T. Getachew, "Estimation of Ethiopia’s immunization coverage–20 years of discrepancies." BMC health services research, vol. 21, issue 1, pp. 1-9, Sept 2021.

M.C. Restrepo-Méndez, A.J.D. Barros, K.L.M. Wong, H.L. Johnson, G. Pariyo, F.C. Wehrmeister, C.G. Victoria, "Missed opportunities in full immunization coverage: findings from low-and lower-middle-income countries." Global health action, vol 3, issue 9, pp. 30963, May 2016.

A.M. Kazi, M. Ali, K. Zubair, H. Kalimuddin, A,N, Kazi, S.P. Iqbal, J. Collet, S.A. Ali, "Effect of mobile phone text message reminders on routine immunization uptake in Pakistan: randomized controlled trial." JMIR public health and surveillance, vol. 4, issue 1, pp. e7026, May 2018.

A. Haji, S. Lowther, Z. Ngan'ga, Z. Gura, C. Tabu. H. Sandhu, W. Arvelo, "Reducing routine vaccination dropout rates: evaluating two interventions in three Kenyan districts, 2014." BMC Public Health, vol. 16. issue 1, pp. 1-6, Feb 2016.

D.G. Gibson, E.W Kagucia, B. Ochieng, N. Hariharan, D. Obor, L.H. Moulton, et al., "The mobile solutions for immunization (M-SIMU) trial: a protocol for a cluster randomized controlled trial that assesses the impact of mobile phone delivered reminders and travel subsidies to improve childhood immunization coverage rates and timeliness in Western Kenya." JMIR research protocols, vol. 5, issue 2, pp. e5030, May 2016.

K. Harding, G.A. Biks, M. Adefris, J. Loehr, K.T. Gashaye, B. Tilahun, et al., "A mobile health model supporting Ethiopia’s eHealth strategy. Digital medicine" vol. 4, issue 2 pp. 54, Aug 2018.

C. Lin, N. Mistry, J. Boneh, H. Li, R. Lazebnik, "Text message reminders increase appointment adherence in a pediatric clinic: a randomized controlled trial." Int J Pediatr. doi: 10.1155/2016/8487378 Dec 2016.

M.J. Uddin, M. Shamsuzzaman, L. Horng, A. Labrique, L. Vasudevan, K. Zeller, et al., "Use of mobile phones for improving vaccination coverage among children living in rural hard-to-reach areas and urban streets of Bangladesh." Vaccine, vol 34, issue 2, pp. 276-283, Jan 2016.

N.J. Vickers, "Animal communication: when i’m calling you, will you answer too?" Current biology, vol. 27, issue 14, pp. R713-R715, July 2017.

A. Oyo-Ita, C.S. Wiysonge, C. Oringanje, C.E. Nwachukwu, O. Oduwole, M.M Meremikwu, "Interventions for improving coverage of childhood immunisation in low‐and middle‐income countries." Cochrane Database of Systematic Reviews, vol. 7, issue 7, doi: 10.1002/14651858.CD008145.pub3 July 2016.

A.H. Abbas, Y. Yusof, "Children vaccination reminder via SMS alert." in IEEE 2011 International Conference on Research and Innovation in Information Systems. Kuala Lumpur, Malaysia, 2011.

N.P. Motlogelwa, T. Seipone, G. Malema, G. Malema, A. Chirunga, "Infants Growth and Development Monitoring: A Prototype Mobile Application ? A Case for Botswana Health Care Services" in Environment and Water Resource Management / 837: Health Informatics / 838: Modelling and Simulation / 839: Power and Energy Systems conference, DOI: 10.2316/P.2016.837-007 Jan 2016.

K. Manakongtreecheep, "SMS-reminder for vaccination in Africa: research from published, unpublished and grey literature." The Pan African Medical Journal, vol 27 (Suppl 3), issue 23, doi: 10.11604/pamj.supp.2017.27.3.12115, June 2017.

A.A. Adewale, A. Abdulkareem, A.A. Adelakun, "Development of an SMS Based Alert System using Object Oriented Design Concept." International Journal of scientific & technology research, vol. 3 issue 5, pp. 71-76, May 2014.

G. LeBodic, Mobile messaging technologies and services: SMS, EMS and MMS. 2nd ed. John Wiley & Sons, 2005.

H.P. Gommans, M. Wangar, "Waithaka Health Centre Immunization Information System." International Journal of Scientific and Research Publications, vol. 4, issue 10, pp. 149-158, Oct 2014.

S. Okuboyejo, O. Eyesan, "mHealth: using mobile technology to support healthcare. Online journal of public health informatics." vol. 5, issues 3, pp. 1-10 2014.

G.U. Eze, O.O. Adeleke. "Enhancing routine immunization performance using innovative technology in an urban area of Nigeria.", West African journal of medicine, vol. 34, issues 1, Jan-Mar 2015.

P. Renugadeve, V. Sivakumar. "A Study on Vaccination and Immunization Reminder of Children Through Mobile Phones. "Research journal of Pharmaceutical biological and chemical sciences, vol. 8, issue 3, pp. 922-927 2017

K. Obahiagbon, B. Odigie, "A Mobile Architecture for Childhood Vaccine-Preventable Illnesses Expert System." African J Computing ICT, vol. 8, issue 2: p. 61-74, 2015.

S.R. Downer, J.G. Meara, A.C. Da-Costa, "Use of SMS text messaging to improve outpatient attendance." Medical journal of Australia,. vol. 183, issue 7, pp. 366-368, 2005.

S. Kumari, A. Haripriya, A. Aruna, D.S. Vidya, M.N Nithy. "Immunize—Baby steps for smart healthcare: Smart solutions to child vaccination." in 2017 International Conference on Innovations in Green Energy and Healthcare Technologies (IGEHT). DOI: 10.1109/IGEHT.2017.8094048 Mar 2017.

C. de Cock, M. van Velthoven, M. Milne-ives, M. Mooney, E. Meinert. "Use of apps to promote childhood vaccination: systematic review." JMIR mHealth and uHealth, vol 8, issue 5, p. e17371. May 2020.

S. Vidhya, B.A. Sabarish, J. Rajivkrishnan, P. Sachin. "E-vaccination Fingerprint based vaccination monitoring system." Int. J. Pure Appl. Math, 2 vol. 118, issue 7, p. 623-627, 2018.

M. Fadda, E. Galimberti, M. Fiordelli, L. Romano, A. Zanetti, P.J. Schulz. "Effectiveness of a smartphone app to increase parents' knowledge and empowerment in the MMR vaccination decision: A randomized controlled trial." Human vaccines & immunotherapeutics, vol 13, issue 11 pp. 2512-2521, Nov 2017.

G.J. Domek, I.L. Contreras-Roldan, S.T. O'Leary, S. Bull, A. Furniss, A. Kempe, E.J. Asturias. "SMS text message reminders to improve infant vaccination coverage in Guatemala: a pilot randomized controlled trial." Vaccine, vol 34 issue 21, pp. 2437-2443, 2016.

P. Baxter, S. Jack. "Qualitative case study methodology: Study design and implementation for novice researchers." The qualitative report, vol 13 issue 4, pp. 544-559, 2008.

A.G. Fiks, K.F. Hunter, A.R. Localio, R.W. Grundmeier, T. Bryant-Stephen, A.A. Luberti et al., "Impact of electronic health record-based alerts on influenza vaccination for children with asthma." Pediatrics, vol 124 issue 1, pp. 159-169, Jul 2009.

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How to Cite
Esiefarienrhe, B., & Makokoe, M. C. (2023). The Design and Development of Parent-Children Vaccination Alert System. Journal of Information Systems and Informatics, 5(3), 1177-1193.