Pragmatic RE-AIM Evaluation of the Train-the-Trainer Vaccine Champions Program in Vietnam
References
- Decouttere C, De Boeck K, Vandaele N. Advancing sustainable development goals through immunization: A literature review. Glob Health. 2021;17(1):95.
- United Nations Children’s Fund. State of the world’s children 2023: For every child, vaccination. Florence: UNICEF Innocenti – Global Office of Research and Foresight; 2023.
- Broughton EI. Economic evaluation of Haemophilus influenzae type B vaccination in Indonesia: A cost‑effectiveness analysis. J Public Health (Oxf). 2007;29(4):441–448.
- The World Health Assembly. Immunisation agenda 2030: A global strategy to leave no one behind. Published 2020. Accessed November 22, 2024.
https://www.immunizationagenda2030.org/ . - World Health Organization. COVID‑19 in Viet Nam situation report 90. 2022.
- Harris RC, Chen Y, Côte P, et al. Impact of COVID‑19 on routine immunisation in South‑East Asia and Western Pacific: Disruptions and solutions. Lancet Reg Health West Pac. 2021;10:100140.
- Tran L, Dang T, Nguyen M, et al. Behavioural and social drivers of COVID‑19 vaccination in Vietnam: A scoping review. BMJ open. 2023;13(12):e081134.
- Brewer NT. What works to increase vaccination uptake. Acad Pediatr. 2021;21(4):S9–S16.
- Duong MC, Nguyen HT, Duong BT. Who influences the public intention to get a COVID‑19 vaccine and what are the public references and concerns? A population survey in Vietnam. Infect Chemother. 2021;53(4):753.
- Tran BX, Phan HT, Nguyen TPT, et al. Reaching further by village health collaborators: The informal health taskforce of Vietnam for COVID‑19 responses. J Glob Health. 2020;10(1):010354.
- Doan LP, Tran BX, Auquier P, et al. A reverse pattern in work motivation among Vietnamese health care workers during the prolonged COVID‑19 outbreak of 2021: Determinants and implications. J Glob Health. 2023;13:06022.
- Randell M, Wahyono TYM, Dynes M, et al. Service disruptions, trauma and burnout during the COVID‑19 pandemic among healthcare providers delivering immunisation and maternal and child health services in Indonesia. BMJ Global Health. 2024;9(6):e014318.
- Chimpololo A, Burrowes V. Use of Social mobilization and community mobilizers by non‑governmental health organizations in Malawi to support the eradication of polio, improve routine immunization coverage, and control measles and neonatal tetanus. Am J Trop Med Hyg. 2019;101(
4_Suppl ):85–90. - Le AT, Tran VT, Dinh HT, et al. Effectiveness of community intervention program on knowledge and practice of hpv prevention among married females in Vietnam rural areas. Cancer Control. 2019;26(1):1073274819862792.
- Msunyaro E, Rangi J, Haonga T, et al. Contribution of community champions to accelerate the uptake of COVID‑19 vaccination in Rukwa region, Tanzania, February ‑ October 2022. Pan Afr Med J. 2023;45(
Suppl 1 ):5. - Oyo‑Ita A, Oduwole O, Arikpo D, et al. Interventions for improving coverage of childhood immunisation in low‐ and middle‐income countries. Cochrane Database Syst Rev. 2023;12(12):CD008145.
- Adhikari B, Yeong Cheah P, von Seidlein L. Trust is the common denominator for COVID‑19 vaccine acceptance: A literature review. Vaccine X. 2022;12:100213.
- Kaufman J, Overmars I, Fong J, et al. Training health workers and community influencers to be vaccine champions: A mixed‑methods RE‑AIM evaluation. BMJ Global Health. 2024;9(9):e015433.
- Mohamed Y, Overmars I, Tukia O, et al. RE‑AIM evaluation of a community‑based vaccine education and communication program to improve human papillomavirus vaccine uptake in Tonga. PLOS Glob Public Health. 2025;5(11):e0005467.
- Kaufman J, Overmars I, Leask J, et al. Vaccine champions training program: Empowering community leaders to advocate for COVID‑19 vaccines. Vaccines (Basel). 2022;10(11):1893.
- Glasgow RE, Harden SM, Gaglio B, et al. RE‑AIM planning and evaluation framework: Adapting to new science and practice with a 20‑year review. Front Public Health. 2019;7:64.
- Welcome to RE‑AIM and PRISM: Implementation in context. RE‑AIM. Published 2024. Accessed May 21, 2024.
https://re-aim.org/ . - Strobe. STROBE Checklists. Published 2024. Accessed May 21, 2024.
https://www.strobe-statement.org/checklists/ . - von Elm E, Altman DG, Egger M, et al. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. J Clin Epidemiol. 2008;61(4):344–349.
- World Health Organization. Behavioural and social drivers of vaccination: Tools and practical guidance for achieving high uptake. Published 2022. Accessed 21 May 2024.
https://iris.who.int/handle/10665/354459 . - Henrikson NB, Opel DJ, Grothaus L, et al. Physician communication training and parental vaccine hesitancy: A randomized trial. Pediatrics. 2015;136(1):70–79.
- StataCorp. Stata Version 18.0. College Station, TX: USA; 2023
- Creswell JW, Plano Clark VL. Designing and conducting mixed methods research. 3rd ed. Thousand Oaks, CA: SAGE Publications; 2017.
- Assarroudi A, Heshmati Nabavi F, Armat MR, Ebadi A, Vaismoradi M. Directed qualitative content analysis: The description and elaboration of its underpinning methods and data analysis process. J Res Nurs. 2018;23(1):42–55.
- Fetters MD, Curry LA, Creswell JW. Achieving integration in mixed methods designs‑principles and practices. Health Serv Res. 2013:48(6Pt 2):2134–2156.
- Relief Web. Viet Nam flash floods 2023 ‑ DREF Operation (MDRVN023. Published 2023. Accessed November 22, 2024
- Sàigòn Giai Phong News. Mekong Delta facing increasingly serious flooding Vietnam. Updated September 18, 2023. Accessed November 22, 2024.
https://en.sggp.org.vn/mekong-delta-facing-increasingly-serious-flooding-post105062.html . - Việt Nam News. New regulations slow down vaccine supply, posing risk of disease infection in Việt Nam. Updated May 26, 2023. Accessed November 22, 2024.
https://vietnamnews.vn/society/1543119/new-regulations-slow-down-vaccine-supply-posing-risk-of-disease-infection-in-viet-nam.html . - Xinhuanet. Death toll rises to 11 in northern Vietnam’s landslides, floods. Updated August 8, 2023. Accessed November 22, 2024.
https://english.news.cn/asiapacific/20230808/aaf38ab4e8cd4ff0946d1e2f136c236f/c.html . - Nga L. Rabies kills 82 in Vietnam in 2023: VN express;. Updated January 25, 2024. Accessed November 22, 2024.
https://e.vnexpress.net/news/news/rabies-kills-82-in-vietnam-in-2023-4705027.html . - Tho V, Lieu D, Ha H. Diphtheria returns to Vietnam’s Ha Giang province after 20 years, killing one Vietnam:. Tuoi Tre News;. Updated September 8, 2023. Accessed November 22, 2024.
https://tuoitrenews.vn/news/society/20230908/diphtheria-returns-to-vietnams-ha-giang-province-after-20-years-killing-one/75448.html . - Viêt Nam News. Đắk Lắk gun attacks: 39 detained, funeral held for dead police officers Vietnam:. Viêt Nam News;. Updated June 13, 2023. Accessed November 22, 2024.
https://vietnamnews.vn/politics-laws/1549733/dak-lak-gun-attacks-39-detained-funeral-held-for-dead-police-officers.html . - Larson HJ, Eagan RL, Bowers AP, Smilingyte I, de Figueiredo A, Coulter A. Building public trust in preparation for future health shocks: A research agenda. BMJ. 2024;387:e078464.
- Berry NJ, Henry A, Danchin M, Trevena LJ, Willaby HW, Leask J. When parents won’t vaccinate their children: A qualitative investigation of Australian primary care providers’ experiences. BMC Pediatrics. 2017;17(1):19.
- Chhnang K. Attitudes towards immunization in Cambodia: A qualitative study of health worker and community knowledge, attitudes and practices in. PATH and AIHI JA Forder, PATH Consultant. 2002.
- De Waele A, Hendrickx G, Valckx S, et al. The vaccine training barometer: Assessing healthcare providers’ confidence to answer vaccine‑related questions and their training needs. Vaccine. 2024;42(9):2421–2428.
- Holford D, Anderson EC, Biswas A, et al. Healthcare professionals’ perceptions of challenges in vaccine communication and training needs: A qualitative study. BMC Primary Care. 2024;25(1):264.
- Oku A, Oyo‑Ita A, Glenton C, et al. Perceptions and experiences of childhood vaccination communication strategies among caregivers and health workers in Nigeria: A qualitative study. PLoS One. 2017;12(11):e0186733.
- Trifunović V, Bach Habersaat K, Tepavčević DK, et al. Understanding vaccination communication between health workers and parents: A tailoring immunization programmes (TIP) qualitative study in Serbia. Hum Vaccin Immunother. 2022;18(1):1913962.
- Lockhart S, Dempsey AF, Pyrzanowski J, O’Leary ST, Barnard JG. Provider and parent perspectives on enhanced communication tools for human papillomavirus vaccine–hesitant parents. Acad Pediatr. 2018;18(7):776–782.
- Glanternik JR, McDonald JC, Yee AH, et al. Evaluation of a vaccine‑communication tool for physicians. J Pediatr. 2020;224:72.e1–78.e1.
- Reno JE, O’Leary S, Garrett K, et al. Improving provider communication about HPV vaccines for vaccine‑hesitant parents through the use of motivational interviewing. J Health Commun. 2018;23(4):313–320.
- Reno JE, Thomas J, Pyrzanowski J, et al. Examining strategies for improving healthcare providers’ communication about adolescent HPV vaccination: Evaluation of secondary outcomes in a randomized controlled trial. Hum Vaccin Immunother. 2019;15(7–8):1592–1598.
- Viện Vệ sinh dịch tễ Trung ương (NIHE). NIHE, ed. Sổ tay truyền thông về Vắc xin và tiêm chủng (Vaccine and Immunization Communications Handbook). Vietnam; 2023.
- Galagan SR, Paul P, Menezes L, LaMontagne DS. Influences on parental acceptance of HPV vaccination in demonstration projects in Uganda and Vietnam. Vaccine. 2013;31(30):3072–3078.
- Hien LTT, Takano T, Seino K, Ohnishi M, Nakamura K. Effectiveness of a capacity‑building program for community leaders in a healthy living environment: A randomized community‑based intervention in rural Vietnam. Health Promot Int. 2008;23(4):354–364.
- Nam VS, Kay B, Thi Yen N, Ryan P, Bektas A. Community mobilization, behaviour change and biological control in the prevention and control of dengue fever in Viet Nam. Dengue Bulletin. 2004;28(
suppl ):57–61.https://iris.who.int/handle/10665/163994 . - Quan NK, Taylor‑Robinson AW. Vietnam’s evolving healthcare system: Notable successes and significant challenges. Cureus. 2023;15(6):e40414.
- Gavi The Vaccine Alliance. Gender and immunisation. Published 2024. Accessed November 22, 2024.
https://www.gavi.org/our-alliance/strategy/gender-and-immunisation . - Treleaven E, Toan PN, Le DN, Diamond‑Smith N, Partridge JC, Le HT. Gender disparities in child health care seeking in northern Vietnam. Asian Popul Stud. 2016;12(3):312–330.
- Bocian K, Baryla W, Kulesza WM, Schnall S, Wojciszke B. The mere liking effect: Attitudinal influences on attributions of moral character. J Exp Soc Psychol. 2018;79:9–20.
- Southwell BG, Yzer MC. When (and why) interpersonal talk matters for campaigns. Communication Theory. 2009;19(1):1–8.
- Duong HT, Nguyen LTV, Julian McFarlane S, Nguyen HT, Nguyen KT. Preventing the COVID‑19 outbreak in Vietnam: Social media campaign exposure and the role of interpersonal communication. Health Commun. 2023;38(2):394–401.
- Nguyen HT, Tran AV, Nguyen NB, et al. Community mobilization to reduce drug use, Quang Ninh, Vietnam. Am J Public Health. 2015;105(1):189–195.
- Takanashi K, Quyen DT, Le Hoa NT, Khan NC, Yasuoka J, Jimba M. Long‑term impact of community‑based information, education and communication activities on food hygiene and food safety behaviors in Vietnam: A longitudinal study. PLoS One. 2013;8(8):e70654.
- Paudel P, Kovai V, Burnett A, et al. Effects of a community‑based health education intervention on eye health literacy of adults in Vietnam. Int J Health Promot Educ. 2022;60(3):149–163.
- Pardoel ZE, Reijneveld SA, Lensink R, et al. The implementation of community‑based programs in Vietnam is promising in promoting health. Front Public Health. 2023;11:1182947.
- United Nations Children’s Fund.
The UNICEF Journey to Health and Immunization Framework . Demand for Health Services: A Human‑Centred Field Guide for Investigating and Responding to Challenges. New York: UNICEF; 2018. - Kaufman J, Ryan R, Glenton C, et al. Childhood vaccination communication outcomes unpacked and organized in a taxonomy to facilitate core outcome establishment. J Clin Epidemiol. 2017;84:173–184.
DOI: https://doi.org/10.5334/aogh.5116 | Journal eISSN: 2214-9996
Language: English
Page range: 47 - 47
Submitted on: Dec 1, 2025
Accepted on: May 2, 2026
Published on: May 25, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year
Keywords:
© 2026 Isabella Overmars, Jessica Kaufman, Thu-Anh Nguyen, Luong Tran, Thi Mai Nguyen, Ngoc Anh Vu Nguyen, Chu Huu Trang, Suzanna Vidmar, Maharajan Muthu, Gregory Fox, Shiva Shrestha, Holly Seale, Margie Danchin, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.