Assessing the Effectiveness of House-to-House Visits on Routine Oral Polio Immunization Completion and Tracking of Defaulters

Strengthening routine immunization is one of the four prongs of the Global Polio Eradication Initiative. Using data collected through 30-cluster sample household surveys of caretakers of children aged 12-23 months, this paper assessed the effectiveness of house-to-house visits on routine oral polio...

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Bibliographic Details
Published in:	Journal of health, population and nutrition Vol. 32; no. 2; pp. 356 - 366
Main Authors:	Curry, Dora Ward, Perry, Henry B, Tirmizi, Syed N, Goldstein, Allison L, Lynch, Meg C
Format:	Journal Article
Language:	English
Published:	Bangladesh icddr,b 01-06-2014 BioMed Central Ltd BioMed Central International Centre for Diarrhoeal Disease Research, Bangladesh
Subjects:	Administration, Oral Angola Caregivers Cluster Analysis Community health care Community health services Community health workers Control Defaulter tracking Dosage and administration Ethiopia Evaluation Female Home visits House Calls - statistics & numerical data Humans Immunization Immunization - methods Immunization - statistics & numerical data Immunization Programs - methods Immunization Programs - statistics & numerical data India Infant Male Odds Ratio Oral polio immunization Original Papers Patient compliance Polio eradication Poliomyelitis Poliomyelitis - prevention & control Poliomyelitis vaccine Program Evaluation - methods Program Evaluation - statistics & numerical data Routine immunization Vaccines Ethiopia Angola India
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Summary:	Strengthening routine immunization is one of the four prongs of the Global Polio Eradication Initiative. Using data collected through 30-cluster sample household surveys of caretakers of children aged 12-23 months, this paper assessed the effectiveness of house-to-house visits on routine oral polio immunization completion, using simple frequency tables, bivariate and multivariate logistic regression analyses. Logistic regression results demonstrated that children in households where the caregivers reported receiving a household visit by health workers were more likely to be fully immunized for polio through routine immunization than other children, although results were significant only after correcting for confounders. In Ethiopia and India, children of caregivers who remembered a house-to-house visit were significantly and positively associated with routine polio vaccination completion (OR=2.2 and OR=2.2 respectively). In Angola, the association was positive, though not significant (OR=1.3). The evidence suggests that targeting high-risk areas for house-to-house visits played a role in increasing routine polio vaccination.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1606-0997 2072-1315