| Malnutrition and infectious disease morbidity among children missed by the childhood immunization program in Indonesia. | |
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MedLine Citation:
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PMID: 17539257 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Although it has been thought that child immunization programs may miss the children who are in greatest need, there are little published quantitative data to support this idea. We sought to characterize malnutrition and morbidity among children who are missed by the childhood immunization program in Indonesia. Vaccination and morbidity histories, anthropometry, and other data were collected for 286,500 children, aged 12-59 months, in rural Indonesia. Seventy-three point nine percent of children received complete immunizations (3 doses of diphtheria-pertussis-tetanus, 3 doses of oral poliovirus, and measles), 16.8% had partial coverage (1-6 of 7 vaccine doses), and 9.3% received no vaccines. Of children with complete, partial, and no immunization coverage, respectively, the prevalence of severe underweight (weight-for-age Z score < -3) was 5.4, 9.9, and 12.6%, severe stunting (height-for-age Z score < -3) was 10.2, 16.2, and 21.5%, and current diarrhea was 3.8, 7.3, and 8.6% (all p < 0.0001), respectively. In families where the child had complete, partial, and no immunizations, the history of infant mortality was 6.4, 11.4, and 16.5%, and under-five child mortality was 7.3, 13.4, and 19.2% (both p < 0.0001). Expanded programmatic coverage is needed to reach children who are missed by childhood immunizations in rural Indonesia, as missed children are at higher risk of morbidity and mortality. |
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Authors:
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Richard D Semba; Saskia de Pee; Sarah G Berger; Elviyanti Martini; Michelle O Ricks; Martin W Bloem |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The Southeast Asian journal of tropical medicine and public health Volume: 38 ISSN: 0125-1562 ISO Abbreviation: Southeast Asian J. Trop. Med. Public Health Publication Date: 2007 Jan |
Date Detail:
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Created Date: 2007-06-01 Completed Date: 2007-08-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0266303 Medline TA: Southeast Asian J Trop Med Public Health Country: Thailand |
Other Details:
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Languages: eng Pagination: 120-9 Citation Subset: IM |
Affiliation:
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Hopkins School of Medicine, 550 N. Broadway, Suite 700, Baltimore, MD 21205, USA. rdsemba@jhmi.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anthropometry Child, Preschool Communicable Diseases / epidemiology* Female Health Services Needs and Demand Humans Immunization Programs / utilization* Indonesia / epidemiology Infant Male Malnutrition / epidemiology* Population Surveillance Prevalence Rural Health* |
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