Current ownership of home-based records for recording vaccinations is far too low in many countries. One possible means towards motivating caregivers to retain home-based records through the first year of a child’s life and beyond is to link documentation of a child’s vaccination history to school entry. Using data from 35 countries that conducted a Demographic and Health Survey during 2010–2013, we observed that countries delivering immunization services through schools had a higher median current home-based record prevalence among children aged 12–23 months than countries that did not deliver immunization through schools. This ecological study suggests further exploration of the potential benefits of requiring documentation of vaccination history at the time of school entry as one mechanism for motivating improved home-based record ownership and maintenance may be warranted. The attached white paper describes in more detail what was observed. Constructive comments welcomed.
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