The Effectiveness of Assessment and Referral on Immunization Coverage in the Special Supplemental Nutrition Program for Women, Infants, and Children

Ashkar, Susan H.; Dales, Loring G.; Averhoff, Francisco; Shefer, Abigail; Higa, Jeffrey; Thompson, Lisa; Gomez, Judy; Gee, Denise; Hurwitz, Eric L.

doi:10.1001/archpedi.157.5.456

Cited by 9 publications

(7 citation statements)

References 16 publications

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“…12 Moreover, in the TCHD study, as in numerous other studies, A/R interventions improved these UTD rates. [6][7][8][9][10] In this study, numerous vaccine types were found to be missing among non-UTD children. However, an important finding for TCHD was the poor DTaP coverage among its WIC population, along with the discrepancies between mother-reported and actual UTD status with regard to DTaP.…”

Section: Discussionmentioning

confidence: 85%

Assessment of Missing Immunizations and Immunization-Related Barriers among WIC Populations at the Local Level

et al. 2007

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Section: Discussionmentioning

confidence: 85%

Assessment of Missing Immunizations and Immunization-Related Barriers among WIC Populations at the Local Level

et al. 2007

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“…In most studies on integration [8, 11], immunization program was used as platform for integrating other MNCH services unlike this study where nutrition program was used as the entry point/ platform for integration of immunization services. Most studies [12-14] where integration was done using nutrition program as platform, were mostly co-location than co-delivery where children who came for nutrition services were referred to other immunization services delivery points unlike this study where both immunization and nutrition services were co-delivered both at the OTP centres and during outreaches. In this study there was increase in the number of children vaccinated in the project sites during the project year compared to the previous year.…”

Section: Discussionmentioning

confidence: 93%

Integrating immunization services into nutrition sites to improve immunization status of internally displaced persons� children living in Bentiu protection of civilian site, South Sudan

Oladeji¹,

Campbell²,

Jaiswal³

et al. 2019

Pan Afr Med J

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Introduction The protracted war in South Sudan has led to severe humanitarian crisis with high level of malnutrition and disruption of the health systems with continuous displacement of the population and low immunization coverage predisposing the population to vaccine preventable diseases. The study aimed at evaluating the effect of integrating immunization services with already established nutrition services on immunization coverage in resource-constrained humanitarian response. Methods A community and health facility based interventional study involving integration of immunization into nutrition services in two Outpatient Therapeutic Program(OTP)centers in Bentiu PoC between January-December 2017. The main hypothesis was that inclusion of immunization services during nutrition services both at the OTP and community outreaches be an effective strategy for reducing missed opportunity for immunizing all eligible children accessing nutrition services. Data analyzed using STATA version 15 and bivariate analysis using logistic regression was conducted to identify predictor of missed vaccinations. Results Integration of immunization into the nutrition services through the OTP centres increased the number of children immunized with various antigens and the dropout rate was much lower and statistically significant among children who received immunization at the OTP centers than those in the Primary Health Care Centers (PHC Centers) in the study sites. Children who were vaccinated at the OTP centre in sector 2 were 45% less likely to miss vaccination than those vaccinated at the PHCC (OR: 0.45; 95%CI:0.36- 0.55), p<0.05 while those vaccinated at the OTP sector in sector 5 were 27% less likely to miss vaccination than those vaccinated at the PHCC (OR: 0.27; 95%CI: 0.20 -0.35) p<0.05). Conclusion This study indicated that immunization coverage improved effectively with integration with nutrition services as a model of an integrated immunization programme for child health in line with the Integrated Management of Childhood Illnesses (IMCI) and the Global Immunization Vision and Strategy (GIV).

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“…Several studies 6–16 demonstrated the effectiveness of WIC-based strategies. However, no studies assessed coverage across multiple years and few compared coverage between WIC and non-WIC participants.…”

Section: Introductionmentioning

confidence: 99%

Assessing Immunization Interventions in the Women, Infants, and Children (WIC) Program

Thomas

Kolasa

Zhang

et al. 2014

American Journal of Preventive Medicine

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Background Vaccination promotion strategies are recommended in Women, Infants, and Children (WIC) settings for eligible children at risk for under-immunization due to their low-income status. Purpose To determine coverage levels of WIC and non-WIC participants and assess effectiveness of immunization intervention strategies. Methods The 2007–2011 National Immunization Surveys were used to analyze vaccination histories and WIC participation among children aged 24–35 months. Grantee data on immunization activities in WIC settings were collected from the 2010 WIC Linkage Annual Report Survey. Coverage by WIC eligibility and participation status and grantee-specific coverage by intervention strategy were determined at 24 months for select antigens. Data were collected 2007–2011 and analyzed in 2013. Results Of 13,183 age-eligible children, 5,699 (61%, weighted) had participated in WIC, of which 3,404 (62%, weighted) were current participants. In 2011, differences in four or more doses of the diphtheria, tetanus toxoid, and acellular pertussis (DTaP) vaccine by WIC participation status were observed: 86% (ineligible); 84% (current); 77% (previous); and 69% (never-eligible). Children in WIC exposed to an immunization intervention strategy had higher coverage levels than WIC-eligible children who never participated, with differences as great as 15% (DTaP). Conclusions Children who never participated in WIC, but were eligible, had the lowest vaccination coverage. Current WIC participants had vaccination coverage comparable to more affluent children, and higher coverage than previous WIC participants.

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The Effectiveness of Assessment and Referral on Immunization Coverage in the Special Supplemental Nutrition Program for Women, Infants, and Children

Abstract: In this urban population of WIC children with high baseline immunization coverage, A/R was not effective in increasing immunization coverage.

Cited by 9 publications

References 16 publications

Assessment of Missing Immunizations and Immunization-Related Barriers among WIC Populations at the Local Level

Assessment of Missing Immunizations and Immunization-Related Barriers among WIC Populations at the Local Level

Integrating immunization services into nutrition sites to improve immunization status of internally displaced persons� children living in Bentiu protection of civilian site, South Sudan

Assessing Immunization Interventions in the Women, Infants, and Children (WIC) Program

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