| Integration of routine vaccination and hygiene interventions: a comparison of 2 strategies in Kenya. | |
| | |
MedLine Citation:
|
PMID: 22315389 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Hygiene interventions reduce child mortality from diarrhea. Vaccination visits provide a platform for delivery of other health services but may overburden nurses. We compared 2 strategies to integrate hygiene interventions with vaccinations in Kenya's Homa Bay district, 1 using community workers to support nurses and 1 using nurses. METHODS: Homa Bay was divided into 2 geographical areas, each with 9 clinics. Each area was randomly assigned to either the nurse or community-assisted strategy. At infant vaccination visits hygiene kits were distributed by the nurse or community member. Surveys pre- and post-intervention, measured hygiene indicators and vaccination coverage. Interviews and focus groups assessed acceptability. RESULTS: Between April 2009 and March 2010, 39 158 hygiene kits were distributed. Both nurse and community-assisted strategies were well-accepted. Hygiene indicators improved similarly in nurse and community sites. However, residual chlorine in water changed in neither group. Vaccination coverage increased in urban areas. In rural areas coverage either remained unchanged or increased with 1 exception (13% third dose poliovirus vaccine decrease). CONCLUSIONS: Distribution of hygiene products and education during vaccination visits was found to be feasible using both delivery strategies. Additional studies should consider assessing the use of community members to support integrated service delivery. |
| | |
Authors:
|
Tove K Ryman; Elizabeth C Briere; Emily Cartwright; Karen Schlanger; Kathleen A Wannemuehler; Elizabeth T Russo; Steve Kola; Ibrahim Sadumah; Benjamin L Nygren; Cliff Ochieng; Robert Quick; Margaret L Watkins |
Related Documents
:
|
22702319 - Impact of rotavirus vaccines on rotavirus disease. 22808039 - Vaccination behaviour influences self-report of influenza vaccination status: a cross-s... 22698479 - Making an anti-amastigote vaccine for visceral leishmaniasis: rational, update and pers... 22457519 - Attenuation of chikungunya virus vaccine strain 181/clone 25 is determined by two amino... 22566889 - Immunotherapy for b-cell lymphoma: current status and prospective advances. 20974169 - Green nanotechnology: a short cut to beneficiation of natural fibers. 22261239 - Prevalence of positive antibody test results for canine parvovirus (cpv) and canine dis... 1069819 - The effect of cigarette smoking on susceptibility to epidemic influenza and on serologi... 10917199 - Increased non-major histocompatibility complex-restricted lytic activity in melanoma pa... |
Publication Detail:
|
Type: Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: The Journal of infectious diseases Volume: 205 Suppl 1 ISSN: 1537-6613 ISO Abbreviation: J. Infect. Dis. Publication Date: 2012 Mar |
Date Detail:
|
Created Date: 2012-02-08 Completed Date: 2012-03-22 Revised Date: 2012-05-14 |
Medline Journal Info:
|
Nlm Unique ID: 0413675 Medline TA: J Infect Dis Country: United States |
Other Details:
|
Languages: eng Pagination: S65-76 Citation Subset: AIM; IM |
Affiliation:
|
Global Immunization Division, Centers for Disease Control and Prevention, 1600 Clifton Rd, MS-A05, Atlanta, GA 30307, USA. tryman@cdc.gov |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Acquired Immunodeficiency Syndrome
/
prevention & control Community Health Services Delivery of Health Care, Integrated* / economics Humans Hygiene* Kenya Quality of Health Care Vaccination* Water Quality |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Experiences integrating delivery of maternal and child health services with childhood immunization p...
Next Document: Integrating health promotion and disease prevention interventions with vaccination in honduras.