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The study took spot in a real-life public well being setting. We worked with village medical doctors within the existing wellness care structure. This implies our study assessed the effectiveness of the intervention rather than its efficiency, which might facilitate replication and scale up. Also we combined qualitative and quantitative approaches, which gave us an opportunity to have a superior understanding of irrespective of whether and how the EPI app intervention had an effect on outcome measures. You can find also some limitations to our study. Firstly, we incorporated younger village medical doctors when there was more than one doctor in a village. We produced the assumption that they have been superior in a position to use smartphones. Therefore, the findings cannot be generalized for all health workers with a range of technology capabilities. Secondly, one particular year of implementation from the intervention was also quick, simply because throughout the course of implementation, the EPI app was constantly modified to get rid of the program errors and improve the usability.Chen et al. BMC Public Wellness (2016) 16:Page 14 ofBy the time we performed the end line survey, village doctors were nonetheless using EPI app, that will give us opportunity to conduct further study. Thirdly, 4 villages had been excluded from our study resulting from two villages in intervention group were as well remote to access. Also text messages had been send to parents each inside the intervention and control groups, which resulted in the estimated energy to reduce from 80 to 69 . Future studies needs to be carried out to evaluate which elements of mHealth interventions on youngster vaccination are most successful, like the effectiveness of EPI app and text messaging. Also further studies require to assess the effectiveness of the EPI app in increasing coverage over a longer time period and at a larger scale and to examine the impact of making use of a smartphone application on village doctors' time to total work, job satisfaction and their good quality of care.Author details 1 Division of Integrated Early Childhood Improvement, Capital Institute of Pediatrics, No. 2 Yabao Road, Chaoyang District, Beijing 100020, China. 2Save the Children China Plan, 1202 Block B Huaxi Buling, 5 Linyin Street, Wuhou District, Chengdu City, Sichuan Province, China. 3Global eHealth Unit, Department of Major Care and Public Wellness, Imperial College London, Reynolds developing 3rd floor, St Dunstans road, London W68RP, UK. 4Save the Kids China Program, 2-2-52 Jianwai Diplomatic Compound, Chaoyang District, Beijing 100600, China. 5Save the Children, 2000 L Street NW, Suite 500, Washington, DC 20036, USA. Received: 24 February 2016 Accepted: 18 AugustConclusions We identified that working with the EPI app and text messaging reminders enhanced kid vaccination coverage. Having said that, EPI alone might not strengthen child vaccination coverage powerful. Improved function efficiency of village doctors was title= journal.pcbi.1005422 also a crucial influence of your app. Further fileAdditional file 1: Raw database for EPI APP System. (XLSX 21421 kb) Acknowledgments We would like thank the following people today: each of the caregivers who participated in our survey, village doctors who participated in our interviews, the nearby title= 10508619.2011.638589 interviewers, staff from Save the Young children and regional health bureau that supported our study. Funding The study was funded by the Save the Kids, China.

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