The effect of social determinants on immunization programs

Glatman‐Freedman, Aharona; Nichols, Katherine A.

doi:10.4161/hv.19003

Cited by 109 publications

(102 citation statements)

References 84 publications

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“…17,18 Such religious beliefs affecting immunisation coverage is seen in low-income and middle-income countries as well as in high-income countries. 19 These findings were in contrast to the study carried out by Nadeem et al where Hindu's (38.6%) are less and Christian (52.9%) are more than others (8.6%). 15 Gender analysis showed a high ratio of female [63 (61.16%)] child was observed compared to male child [40 (38.83%)] and this observation was similar to the study conducted by Ansong et al where female children are more compared to male children.…”

Section: Discussioncontrasting

confidence: 56%

Assessment of knowledge, attitude and perception among mothers towards immunization in a tertiary care teaching hospital

Sarfaraz¹,

Athira²,

Thotamsetty³

et al. 2017

Int J Community Med Public Health

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Background: The knowledge, attitude and perception (KAP) of parents is an important factor for better immunization coverage. Previous studies showed misconceptions on parent’s knowledge towards childhood immunization. This study aimed at promoting the childhood immunization by providing information and knowledge to mothers regarding immunization.Methods: A prospective interventional study was conducted on 103 mothers for a period of six months in a tertiary care teaching hospital, Karnataka. The study was divided into Pre-intervention and post-intervention phases and was performed using a KAP questionnaire.Results: 103 mothers were enrolled in the study, of which 77 (74.75%) mothers were uneducated which was the main reason for lack of knowledge on immunization. Most of the mothers in pre-intervention phase got score in the range of 2-4 and in post-intervention phase they got score in the range of 10-12. A significant difference was observed in the Pre and Post-intervention scores which indicated that level of knowledge among mothers was improved after counseling session. Chi-square test was used to analyse the pre and post- intervention scores and was found to be significant (p<0.01). Out of 103 mothers who had attended counseling session on immunization 80 (77.66%) children were immunized, 23 (22.66%) were partially immunized and no one was unimmunized.Conclusions:It was therefore suggested that proper health education and health promotion interventions be taken as measures to improve knowledge, attitude and perception of mothers towards immunization as a disease prevention tool.

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Section: Discussioncontrasting

confidence: 56%

Assessment of knowledge, attitude and perception among mothers towards immunization in a tertiary care teaching hospital

Sarfaraz¹,

Athira²,

Thotamsetty³

et al. 2017

Int J Community Med Public Health

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“…DTP3 coverage estimates in low-income countries were lower than in higher-income countries (Table 2) (7). Complete subnational coverage data, based on country-reported administrative sources, were available for 158 countries in 2015; among these, 54 (34%) reported achieving ≥80% DTP3 coverage in every district, and 21 (13%) reported that ≥10% of districts had DTP3 coverage <50%.…”

mentioning

confidence: 99%

Global Routine Vaccination Coverage, 2015

Casey¹,

Dumolard²,

Danovaro-Holliday³

et al. 2016

MMWR Morb. Mortal. Wkly. Rep.

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“…Nevertheless, a significant number of people residing in the rural communities are poor farmers and do not have access to health care. Traditional healers serve as the primary health care provider to non-urban residents and offer herbal, spiritual, and religious practices to them [27]. Although, measles outbreaks occur in crowded populations such as the urban zones.…”

Section: Discussionmentioning

confidence: 99%

“…Glatman-Freedman et al [27] explored the effects of social determinants on immunization programs in low income countries while Ataguba et al [28] researched on socio-economic inequalities in immunization coverage in Nigeria. However, our findings do not significantly demonstrate that Euclidean distances to geo-referenced health center constitute a barrier to measles vaccination; which contrast some findings in some literature [2].…”

Section: Discussionmentioning

confidence: 99%

Differentiating Non-Homoscedasticity and Geospatially Extreme Outliers for Urban and Rural Landscape Dataset Using Pearson's Product Moment Correlation Coefficients for Quantitating Clustering Tendencies in Non- Vaccinated Measles Populations in Nigeria

Alao¹,

Mati²,

Jacob³

2016

J Remote Sensing & GIS

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Linearized Models on measles vaccination related centroids in literature cannot provide pertinent data for local government measles managers. Spatial analysis is a cost cutting epidemiological tool for large scale immunization programs. A multivariate regression model was constructed to determine anthropogenic related covariates. In addition, we quantitated the clustering tendencies in the auto-correlated dataset using orthogonal eigenvectors and also illustrated problem hot spots for effective vaccine coverage. Data was retrieved from Demographic Health survey 2013 for Nigeria (N=28,337). Poverty, illiteracy level, and no vitamin A supplements were strong determinants of measles non-vaccination at a statistically significant level of (P<0.0001). The first order autocorrelation statistics (DW=0.1647, P<0.0001), (DW=0.2406, P<0.0001); and second order correlation (Moran's I=0.456, Z score=1208), (Moran's I=0.442, Z score=608) demonstrated a positive spatial autocorrelation for rural and urban geo-locations respectively. Land cover land use (LCLU) maps from Google earth and Diva-GIS were uploaded into ArcMap to visually represent the hot spot areas. Significant Mapped data showed that children not vaccinated against measles are clustered in the rural areas of Muslim dominated northern parts of Nigeria.

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The effect of social determinants on immunization programs

Cited by 109 publications

References 84 publications

Assessment of knowledge, attitude and perception among mothers towards immunization in a tertiary care teaching hospital

Assessment of knowledge, attitude and perception among mothers towards immunization in a tertiary care teaching hospital

Global Routine Vaccination Coverage, 2015

Differentiating Non-Homoscedasticity and Geospatially Extreme Outliers for Urban and Rural Landscape Dataset Using Pearson's Product Moment Correlation Coefficients for Quantitating Clustering Tendencies in Non- Vaccinated Measles Populations in Nigeria

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